Hybrid Protective Sentinel System: A Combined Technique for Safe and Controlled Open‐Wedge High Tibial Osteotomy
Abstract Open‐wedge high tibial osteotomy is an effective joint‐preserving surgery for medial compartment osteoarthritis but remains associated with 3 major intraoperative hazards: posterior neurovascular injury, lateral hinge fracture, and unintended slope modification. The present technical note describes a hybrid method that integrates the protective cutting system and sentinel wires technique to achieve maximal procedural safety during open‐wedge high tibial osteotomy.
Authors
- Mohamed Darwish (ORCID: https://orcid.org/0009-0004-4301-6675)
- Ibrahim Mandour
- Ashraf Mohamed Attia Elazab (ORCID: https://orcid.org/0000-0002-6836-130X)
- Mohamed Gad
- Bassem Abdelmotalleb Elfeky
- Hesham Gawish
Institutions
- Kafrelsheikh University (EG)
- Mansoura University (EG)
- Al-Azhar University (EG)
- Mansoura University Hospital (EG)
Publication Details
- Journal
- Arthroscopy Techniques
- Published
- 2026-09-25
- DOI
- https://doi.org/10.1002/atn2.70281
- Primary Topic
- Total Knee Arthroplasty Outcomes
- Type
- article
- Field-Weighted Citation Impact
- 0.00