Prospective 5-year survival rate data following open-wedge valgus high tibial osteotomy

Abstract

Therapeutic case series, Level IV.

High Tibial Osteotomy in the Treatment of Patients With Stage Ii–iii of Knee Osteoarthritis. Immediate Results and Factors Influencing the Outcome

“…А M. Asik и соавт. [17] оценивали ре-Р е в м о о р т о п е д и я и р е а б и л и т а ц и я На сегодняшний день РА и другие воспалительные артропатии причислены к абсолютным противопоказа-ниям к ВТО [18,19]. Нам не удалось найти статьи о лече-нии методом ВТО вторичного гонартроза при РА, опуб-ликованных после 1990 г. Исторически так сложилось, что ВТО в 60-80-х годах XX в. применяли для лечения как пациентов с ОА КС, так и больных РА и с вторичным гонартрозом [20][21][22][23][24][25].…”

Opening-Wedge Proximal Tibial Osteotomy

“…2,3 The importance of adequate correction has been established, but it can be difficult with some techniques showing either over-or undercorrection in up to 50% of patients. 4 Radiographic analysis of the iBalance system identified a 38% overcorrection and 0% undercorrection defined as >10% difference compared with the target weight-bearing line ratio.…”

Success of High Tibial Osteotomy in the United States Military

“…Similarly, this methodology fails to account for functional endpoints associated with suboptimal patient outcomes, including an inability to return to the same occupational activity after index knee surgery. Functional reports of HTO in young, athletic patient populations are also limited, 3,14 particularly when combined with other intra-articular knee procedures. 2,10,16,19,21,31 To this end, the current investigation reports on the clinical, functional, and occupational outcomes of 181 physically active military service members undergoing HTO with 2-to 8-year follow-up.…”

“…The existing literature suggests that clinical outcomes after chondral restoration procedures, such as autologous chondrocyte implantation (ACI), 2,3 osteoarticular autograft transfer surgery (OATS), 17 and osteochondral allograft transplantation, 26 for focal chondral defects might significantly benefit from mechanical offloading. Subtle corrective osteotomies have also optimized survivorship with medial meniscal allograft transplantation 27 and may synergistically act to delay the progression of medial joint line degeneration when compared with meniscal transplantation alone.…”