Knee Surg Relat Res.  2012 Jun;24(2):61-69. 10.5792/ksrr.2012.24.2.61.

High Tibial Osteotomy

• Lee DC
• Byun SJ

• KMID: 2223326
• DOI: http://doi.org/10.5792/ksrr.2012.24.2.61

Abstract

High tibial osteotomy (HTO) is a widely performed procedure to treat medial knee arthrosis. In general, published studies on HTO report good long-term results with a correct patient selection and a precise surgical technique. The ideal candidate for an HTO is a middle aged patient (60 to 65 years of age), with isolated medial osteoarthritis, with good range of motion and without ligamentous instability. Some issues that need resolution remain; these include the choice between opening and closing wedge tibial osteotomy, the graft selection in opening wedge osteotomies, the type of fixation, the comparison with unicompartmental knee arthroplasty and whether HTO significantly affects a subsequent total joint replacement. Precise indication, preoperative planning, and operative technique selection are essential to achieve good results.

Keyword

Osteoarthritis; High tibial osteotomy; Opening wedge osteotomy; Closed wedge osteotomy

MeSH Terms

Arthroplasty
Humans
Joints
Knee
Ligaments
Middle Aged
Osteoarthritis
Osteotomy
Patient Selection
Range of Motion, Articular
Transplants