The role of high tibial osteotomy in the treatment of knee laxity: a comprehensive review

Cantin, O.; Magnussen, Robert A.; Corbi, Fernando; Servien, Elvire; Neyret, Philippe; Lustig, Sébastien

doi:10.1007/s00167-015-3752-z

Cited by 79 publications

(52 citation statements)

References 36 publications

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“…As a mature method of “knee preservation,” HTO has been widely used in the treatment of unicompartmental knee osteoarthritis. The operation principle of HTO is to transfer the pressure load in unicompartment by adjusting the force line of the lower extremities so as to relieve pain, restore knee joint function, and prolong knee joint life [ 5 ]. Numerous studies have shown that HTO has been proven to be a reliable treatment with good short- and medium-term efficacy for KOA after years of clinical practice [ 6 – 8 ].…”

Section: Introductionmentioning

confidence: 99%

Research trends and hotspots of high tibial osteotomy in two decades (from 2001 to 2020): a bibliometric analysis

et al. 2020

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Background The purpose of this study is to comprehensively analyze the global application trend of high tibial osteotomy (HTO) and identify promising research hotspots of HTO based on bibliometrics and visual analysis. Methods Publications (articles and reviews) related to HTO from 2001 to 2020 were retrieved from the Web of Science Core Collection database (WOSCC). The country, institution, year, author, journal, average citations per item, H index, title, abstract, keywords of publication, and the top 10 cited articles were extracted and analyzed in detail. The VOSviewer software was used to analyze theco-occurrence of keywords to predict the hotspots of HTO. Results A total of 1883 articles were included. In the past 20 years, the number of HTO articles has shown an increasing trend in general. The top 3 countries (the USA, Germany, and South Korea) accounted for 49.547% of all articles published. The USA has the largest number of publications. The University of Western Ontario is the largest contributor. The Knee Surgery Sports Traumatology Arthroscopy is the most influential journal. Professors Saito T and Imhoff AB are the leading scholars who made great achievements in the HTO field. The research direction can be divided into the following 5 clusters: "prognosis and outcome", "HTO combined with cartilage restoration techniques", "animal experimental research", "study on bone union and plate fixation at osteotomy", and "surgical technique research". Conclusion In terms of the trend of previous years, an increasing number of literatures related to HTO will be published in the future. The USA is a world leader in the field of HTO. South Korea presented great potential in this area. HTO combined with cartilage restoration techniques, postoperative prognosis and outcome, and surgical technique research may be the future hotspots in the field of HTO research.

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Section: Introductionmentioning

confidence: 99%

Research trends and hotspots of high tibial osteotomy in two decades (from 2001 to 2020): a bibliometric analysis

et al. 2020

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“…In addition to the treatment of unicompartmental OA, osteotomies around the knee are increasingly performed as a concomitant treatment to correct alignment in ligament reconstruction, articular cartilage restoration procedures, and meniscal repair or transplantation surgery [22–26]. In these patients, who are mostly younger and more active, the function of the osteotomy is to (1) reduce strain on the reconstructed ligament graft or the posterolateral corner in cases of varus alignment or (2) unload the involved compartments and thereby reduce stress to the biological repair tissue and potentially prevent or postpone progression of early knee OA.…”

Section: Introductionmentioning

confidence: 99%

High Rates of Return to Sports Activities and Work After Osteotomies Around the Knee: A Systematic Review and Meta-Analysis

et al. 2017

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BackgroundKnee osteotomies are proven treatment options, especially in younger patients with unicompartmental knee osteoarthritis, for certain cases of chronic knee instability, or as concomitant treatment for meniscal repair or transplantation surgery. Presumably, these patients wish to stay active. Data on whether these patients return to sport (RTS) activities and return to work (RTW) are scarce.ObjectivesOur aim was to systematically review (1) the extent to which patients can RTS and RTW after knee osteotomy and (2) the time to RTS and RTW.MethodsWe systematically searched the MEDLINE and Embase databases. Two authors screened and extracted data, including patient demographics, surgical technique, pre- and postoperative sports and work activities, and confounding factors. Two authors assessed methodological quality. Data on pre- and postoperative participation in sports and work were pooled.ResultsWe included 26 studies, involving 1321 patients (69% male). Mean age varied between 27 and 62 years, and mean follow-up was 4.8 years. The overall risk of bias was low in seven studies, moderate in ten studies, and high in nine studies. RTS was reported in 18 studies and mean RTS was 85%. Reported RTS in studies with a low risk of bias was 82%. No studies reported time to RTS. RTW was reported in 14 studies; mean RTW was 85%. Reported RTW in studies with a low risk of bias was 80%. Time to RTW varied from 10 to 22 weeks. Lastly, only 15 studies adjusted for confounders.ConclusionEight out of ten patients returned to sport and work after knee osteotomy. No data were available on time to RTS. A trend toward performing lower-impact sports was observed. Time to RTW varied from 10 to 22 weeks, and almost all patients returned to the same or a higher workload.Electronic supplementary materialThe online version of this article (doi:10.1007/s40279-017-0726-y) contains supplementary material, which is available to authorized users.

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“…1 When treating ligamentous instability, PTO can be performed in isolation, with simultaneous ligament reconstruction or as a staged procedure with PTO first followed by ligament reconstruction in cases of persistent instability. A recent systematic review 19 reported favorable outcomes of combined PTO and ligamentous procedures. Studies with combined ACL reconstruction and PTO tended to report higher postoperative activity levels when compared with PTO alone.…”

Section: Discussionmentioning

confidence: 99%

Medial Opening Wedge Proximal Tibial Osteotomy

Chahla

Dean

Mitchell

et al. 2016

Arthroscopy Techniques

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Genu varus malalignment can lead to medial compartment overload and progression of ipsilateral compartment osteoarthritis. To slow this process, a medial opening wedge proximal tibial osteotomy (PTO) can be performed. This type of PTO is indicated in patients with genu varus malalignment and isolated medial compartment osteoarthritis of the knee, prior to or concurrent with medial compartment cartilage procedures or meniscal transplants, chronic posterolateral corner deficiency, or chronic anterior cruciate ligament deficiency. When treating ligamentous instability, a PTO can be performed in isolation, with simultaneous ligament reconstruction, or as a staged procedure with the osteotomy first, followed by ligament reconstruction if instability persists. Failure to address malalignment in cases of concurrent ligament reconstruction leads to increased stress on the graft and potential graft failure. One distinct advantage of this procedure is the ability to correct deformities in the sagittal and coronal planes. The purpose of this article was to describe our technique used to perform a medial opening wedge PTO.

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The role of high tibial osteotomy in the treatment of knee laxity: a comprehensive review

Cited by 79 publications

References 36 publications

Research trends and hotspots of high tibial osteotomy in two decades (from 2001 to 2020): a bibliometric analysis

Research trends and hotspots of high tibial osteotomy in two decades (from 2001 to 2020): a bibliometric analysis

High Rates of Return to Sports Activities and Work After Osteotomies Around the Knee: A Systematic Review and Meta-Analysis

Medial Opening Wedge Proximal Tibial Osteotomy

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