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.
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Elazab et al. (2026) studied this question.
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