The 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 supratubercle osteotomy. The bone is cut from anterior to posterior so avoiding posterior venous damage. The lateral cortex is NOT cut. The osteotomy is wedged open with a Bristow by gentle rotation.
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 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.
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 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.
