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Current Reviews in Musculoskeletal Medicine

, Volume 7, Issue 4, pp 292–301 | Cite as

High tibial osteotomy

  • Davide Edoardo BonasiaEmail author
  • Giorgio Governale
  • Simone Spolaore
  • Roberto Rossi
  • Annunziato Amendola
Modern Techniques in Lower Limb Realignment (DE Bonasia and P Phisitkul, Section Editors)

Abstract

High tibial osteotomy (HTO) is a widely accepted and performed procedure to treat medial knee arthrosis. The aim of this review is to evaluate the different surgical options in medial knee arthrosis, focusing on indications, patient’s selection, long-term follow-up and survival analysis of HTO. Comparison and pooling of results are challenging because of different evaluation systems, small cohort number, and different surgical techniques. No differences have been described between opening and closing wedged HTO in terms of outcomes. Excellent early survivorship and good clinical outcomes were reported also with concomitant procedures. Correct indications, preoperative workup/planning, and technique selection are essential in achieving good results. The choice between opening and closing wedge osteotomy, graft selection in opening wedge HTO, comparison between HTO and unicompartmental knee arthroplasty, and the results of revised HTO to total knee replacement are currently under debate and will be discussed in the present review.

Keywords

High tibial osteotomy HTO Medial arthritis Knee Opening wedge Closing wedge 

Notes

Compliance with Ethics Guidelines

Conflict of Interest

Annunziato Amendola has received grants from the National Institutes of Health. Annunziato Amendola has received royalties from Arthrex, Inc and Arthrosurface, Inc. and owns stock in Arthrosurface Inc. and MTP Solutions.

Davide Bonasia, Giorgio Governale, Simone Spolaore, and Roberto Rossi declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Davide Edoardo Bonasia
    • 1
    Email author
  • Giorgio Governale
    • 1
  • Simone Spolaore
    • 1
  • Roberto Rossi
    • 2
  • Annunziato Amendola
    • 3
  1. 1.Department of OrthopaedicsUniversity of Torino, CTO HospitalTorinoItaly
  2. 2.Department of OrthopaedicsUniversity of Torino, Mauriziano “Umberto I” HospitalTorinoItaly
  3. 3.Department of Orthopaedics and RehabilitationUniversity of Iowa Hospitals and ClinicsIowa CityUSA

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