Indications and results of high tibial osteotomy

Capella, Marcello; Gennari, Elisa; Dolfin, Marco; Saccia, Francesco

doi:10.21037/aoj.2017.06.06

Cited by 10 publications

(11 citation statements)

References 0 publications

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“…Prior studies have shown HTO to effectively decrease pain, while increasing function and improving PROs following surgery. 1,4,6,8 With the exception of Marx, SF-12 Mental, and VR-12 mental, PROs were found to significantly increase following HTO at a minimum of 2 year follow up, while the 10-year survival probability following HTO was 85.3%, comparable to that reported in prior investigations. Several studies have reported on long-term survival rates following HTO.…”

Section: **supporting

confidence: 81%

Patient factors predictive of failure following high tibial osteotomy

Gilat

Patel

Knapik

et al. 2021

Journal of Cartilage & Joint Preservation

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Section: **supporting

confidence: 81%

Patient factors predictive of failure following high tibial osteotomy

Gilat

Patel

Knapik

et al. 2021

Journal of Cartilage & Joint Preservation

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“…These criteria arestated also by many previous studies [10,11,14,17,18] . HTO for the treatment of medial knee osteoarthritis is an established method, having been described by many authors as being effective in case of unicompartmental destruction in young patients in whom no or only very minor lateral degeneration is present [2][3][4][5] .…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, biomechanical studies have shown that planned alteration of the posterior tibial slope can also help improve or restore stability in the sagittal plane in ligament deficient knees [3] . Thus, valgus-producing HTOs, either lateral closing wedge (LCW) or medial opening wedge (MOW), should be considered as a preferred alternative to a knee arthroplasty, particularly in young, active patients with degenerative changes and concomitant cruciate injuries [4,5] .…”

Section: Introductionmentioning

confidence: 99%

Simultaneous Arthroscopic Anterior Cruciate Ligament Reconstruction and Medial Opening Wedge High Tibial Osteotomy Using Locked Plate and Synthetic Bone Graft (TUTOBONE®)

ELNOKEETY¹,

REDA

2022

The Medical Journal of Cairo University

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Background: High tibial osteotomy (HTO) has traditionally been used to treat varus gonarthrosis in younger, active patients. Varus malignment increases the risk of progression of medial compartment osteoarthritis and an HTO can be performed to realign the mechanical axis of the lower limb towards the lateral compartment, thereby decreasing contact pressures in the medial compartment. Anterior cruciate ligament (ACL) insufficiency may lead to post-traumatic arthritis due to altered joint loading and associated injuries to the menisci and articular cartilage. Understanding the importance of posterior tibial slope and its role in sagittal knee stability has led to the development of biplane osteotomies designed to flatten the posterior tibial slope in the ACL deficient knee. Altering the alignment in both the sagittal and coronal planes helps improve stability as well as alter the load in the medial compartment.Aim of Study: Was to prospectively assess the effectiveness of management of varus angulated-ACL deficient knees by simultaneous arthroscopic ACL reconstruction and medial opening wedge high tibial osteotomy (HTO) using locked plate and synthetic bone graft (TUTOBONE®). The IKDC scoring system is used to assess the patients. Clinical outcomes are assessed preoperatively and at 20 months post-operatively.

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“…This study included 10 male subjects (age: 46.2 ± 9.2 years; body height: 1.79 ± 0.05 m; body mass: 81.8 ± 5.8 kg) with knee varus malalignment (8.6°± 1.7) in whom a HTO was indicated. Inclusion and exclusion criteria were set according to the recommendations of the International Society of Arthroscopy, Knee Surgery and Orthopedic Sports Medicine (ISAKOS) [33,34]. Additional exclusion criteria were acute or chronic disease, which could influence gait pattern, trauma or previous surgeries of the leg, sensory deficits, and inability to walk without aid.…”

Section: Sample Descriptionmentioning

confidence: 99%