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Results of high tibial osteotomy: review of the literature

International Orthopaedics volume 34, pages 155–160 (2010)Cite this article

Abstract

The aim of this review is to evaluate long-term follow-up and survival analysis studies regarding high tibial osteotomies (HTO) for the treatment of medial knee arthritis. Despite the good number of studies available, comparison and pooling of the results are challenging because of the different evaluation systems and techniques used. However, in general, published studies on HTO report good long-term results with a correct patient selection and a precise surgical technique. Based on our findings, the ideal candidate for an HTO is a young patient (<60 years of age), with isolated medial osteoarthritis, with good range of motion and without ligamentous instability. Furthermore, the literature review shows that the outcomes gradually deteriorate with time. Nevertheless, some issues remain that need resolution; these include the choice between opening or 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.

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Affiliations

  1. Orthopaedic Surgery, University of Iowa Sports Medicine Center, University of Iowa Hospitals and Clinics, 200 Hawkins Dr., Iowa City, IA, 52242, USA

    Annunziato Amendola

  2. University of Iowa Sports Medicine, Via Lamarmora 26, Turin, 10128, Italy

    Davide Edoardo Bonasia

Authors
  1. Annunziato Amendola
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  2. Davide Edoardo Bonasia
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Correspondence to Davide Edoardo Bonasia.

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Amendola, A., Bonasia, D.E. Results of high tibial osteotomy: review of the literature. International Orthopaedics (SICOT) 34, 155–160 (2010). https://doi.org/10.1007/s00264-009-0889-8

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  • DOI: https://doi.org/10.1007/s00264-009-0889-8

Keywords

  • High Tibial Osteotomy
  • Unicompartmental Knee Arthroplasty
  • Wedge Osteotomy
  • Open Wedge High Tibial Osteotomy
  • Open Wedge Osteotomy