Proximal tibial osteotomy in patients who are fifty years old or less. A long-term follow-up study.

Holden, D.; James, Stanley L.; Larson, Robert L.; Slocum, Donald B.

doi:10.2106/00004623-198870070-00004

Cited by 144 publications

(78 citation statements)

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“…A consistent correspondence between HKA and femorotibial angle was reported by Jokio et al (1984). In a 10-year follow-up, Holden et al (1988) found a slight, but not significant, correlation between the alignment achieved and the clinical result in younger patients. Because the HKA in our series was recorded late, after the osteotomy had healed, recurrence in varus from initially good correction might have occurred; Insall et al (1984) found recurrence of varus after 9 years in initially corrected knees, and Prodromos et al (1985) reported recurrence of varus deformity in patients with high adduction moment during walking, with an average observation time of 3 years.…”

Section: Discussionmentioning

confidence: 71%

Revision after osteotomy for gonarthrosis: A 10–19-year follow-up of 314 cases

Odenbring

Egund

Knutson

et al. 1990

Acta Orthopaedica Scandinavica

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Section: Discussionmentioning

confidence: 71%

Revision after osteotomy for gonarthrosis: A 10–19-year follow-up of 314 cases

Odenbring

Egund

Knutson

et al. 1990

Acta Orthopaedica Scandinavica

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“…Favourable outcomes of lateral closing wedge high tibial osteotomies for varus gonarthrosis have been associated with precise angle of correction, decreased body weight, increased activity level in the younger patient population and lower level of arthritis [2,[55][56][57]. Babais et al [19] found that knees with a postoperative femorotibial angle of 174-180 degrees, lateral joint line obliquity of less than 4 degrees and a medial plateau force distribution of 40-60% had a decreased risk of failure.…”

Section: Results Of Lateral Closing Wedge High Tibial Osteotomy For Vmentioning

confidence: 99%

Closing wedge osteotomy of the tibia and the femur in the treatment of gonarthrosis

Sherman

Cabanela

2009

International Orthopaedics (SICOT)

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New developments in osteotomy techniques and methods of fixation have caused a renewed interest in closing wedge osteotomies of the tibia and femur in the treatment of gonarthrosis. The rationale, definition and techniques of closing wedge tibial and femoral osteotomies in the treatment of gonarthrosis are discussed. The principal indications include unicompartmental medial and much less so, varus knee gonarthrosis and unicompartmental lateral or valgus knee gonarthrosis with a well-maintained range of motion in patients who are physiologically young. Newer techniques have provided more rigid fixation and improved accuracy of correction.

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“…The increased stress on the articular cartilage may lead to a higher probability of developing arthritis. Many studies have analysed the results of this operation with respect to age, activity, gender, degree of arthritic change, weight, previous injury treatment, and preoperative and postoperative angulation, in an effort to identify the risk factors for failure [2][3][4][5]. Ligamentous injuries in the setting of varus alignment may also have a higher rate of failure as soft tissue grafts may stretch out over time in this setting.…”

Section: Introductionmentioning

confidence: 99%

High tibial osteotomies in the young active patient

Wolcott

Traub

Efird

2010

International Orthopaedics (SICOT)

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Unicompartmental changes in the knee of a young athlete remains a difficult and controversial problem in orthopaedics. Excessive premature loading of articular cartilage, most often the result of a knee injury, has been shown to result in increased degenerative changes and pain in the younger patient. Instability may also contribute to the degeneration of cartilage and must therefore be considered in the treatment of osteoarthritis in the young adult. High tibial osteotomy has been described as a treatment option for malalignment in the older, less active adult and has shown promising results in a younger, more active population. Osteotomies for instability are more controversial and should be considered in more complex injury patterns.

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Proximal tibial osteotomy in patients who are fifty years old or less. A long-term follow-up study.

Cited by 144 publications

References 0 publications

Revision after osteotomy for gonarthrosis: A 10–19-year follow-up of 314 cases

Revision after osteotomy for gonarthrosis: A 10–19-year follow-up of 314 cases

Closing wedge osteotomy of the tibia and the femur in the treatment of gonarthrosis

High tibial osteotomies in the young active patient

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