High Tibial Osteotomy – Use of Navigation System

Abstract

In patients suffering from gonarthrosis, which is limited to the medial aspect of the knee joint, high tibial valgisation osteotomy appears to be an appropriate alternative to knee arthroplasty [6,9]. In 1958, Jackson described this procedure for axis correction of the proximal tibia [8] for the first time. This operation was modified 1965 by Coventry [3]. At first, it was used mainly for correction of valgus deformities. According to the knee baseline in valgus deformity, distal femur osteotomy may be recommended [1]. For a long time the indication for high tibial osteotomy was not subject to discussion [2]. Within the last years high tibial osteotomy was performed more and more seldom and seemed to be replaced by uni- or bicondulary knee arthroplasty. Taking into account the biomechanical basics and the very positive long-time results, which were achieved by the traditional osteotomy technique this change of treatment does not seem to be adequate.