The BURN upper tibial osteotomy with tricortical autologous bone grafting is a simple and reliable method to correct the varus knee. The tibial tubercle is not moved laterally as it is with a Pudu supra-tubercle osteotomy. The bone is cut from anterior to posterior so avoiding posterior venous damage. The lateral cortex is NOT cut and finishes in the cancellous bone at a 3.2 mm drill hole. The osteotomy is wedged open with a Bristow by gentle rotation.
This osteotomy can be done concurrently after the medial UNI if needed. The tibial cut of the UNI is lined up to a virtual correction point , to which the tibia will be corrected.
In my hands there have been no cases of DVT in contrast to the lateral closing wedge osteotomy which in my hands has the highest risk of DVT of all lower limb operations. The UTMOWO is easy to convert to TKR, with results the same as primary TKR (compare with lateral closing wedge (COVENTRY STYLE) converted, which is equivalent to a revision knee) Make sure the patient is off all NSAIDS 7 days before surgery and until union, and is a non-smoker.
This osteotomy can be done concurrently after the medial UNI if needed. The tibial cut of the UNI is lined up to a virtual correction point , to which the tibia will be corrected.
In my hands there have been no cases of DVT in contrast to the lateral closing wedge osteotomy which in my hands has the highest risk of DVT of all lower limb operations. The UTMOWO is easy to convert to TKR, with results the same as primary TKR (compare with lateral closing wedge (COVENTRY STYLE) converted, which is equivalent to a revision knee) Make sure the patient is off all NSAIDS 7 days before surgery and until union, and is a non-smoker.
