Abstract
The varus high tibial osteotomy is indicated in the young active patient with lateral arthritis of the knee and a moderately valgus knee. This surgical procedure results in a durable and satisfying clinical outcome up to 8–12 years if the lower limb has been corrected to neutral alignment. This procedure addresses both the valgus in extension as well as in flexion. It results frequently in an obliquity of the joint line. This surgery should be used as an alternative to a knee prosthesis (TKA or UKA). The surgical technique consists of a closing wedge osteotomy on the medial side of the tibia. Exceptionally, a lateral opening wedge osteotomy is an alternative option to correct a deformity resulting from and excessive lateral closing wedge high tibial osteotomy, or in selected pediatric disorders.
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Debarge, R., Archbold, P., Neyret, P., Butcher, C. (2020). Varus High Tibial Osteotomy: Medial Closing. In: Neyret, P., Butcher, C., Demey, G. (eds) Surgery of the Knee. Springer, Cham. https://doi.org/10.1007/978-3-030-19073-6_18
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DOI: https://doi.org/10.1007/978-3-030-19073-6_18
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