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Minimum Correction of High Tibial Osteotomy with Medial Meniscus Centralization

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Knee Arthroscopy

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Abstract

High tibial osteotomy (HTO) is an effective treatment for the medial unicompartmental knee osteoarthritis, and favorable outcomes after isolated HTO have been reported. On the other hand, as long-term results are still not satisfactory, further development of surgical procedures is necessary in order to improve clinical results and survival rates. As a novel surgical procedure for meniscus extrusion, arthroscopic centralization has been developed, and its good clinical outcomes have been reported. In this chapter, a combination of minimum correction open-wedge HTO aiming for neutral alignment and arthroscopic centralization of medial meniscus has been introduced, and a detailed surgical procedure is described. Clinical results at 1-year follow-up were comparable to those after HTO with previously reported combined procedures, with a significant decrease in the joint-line convergence angle. This procedure could expect better long-term clinical and radiographic outcomes as well as a decrease of possible adverse effects by valgus alignment.

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Authors and Affiliations

  1. Department of Joint Surgery and Sports Medicine, Tokyo Medical and Dental University, Tokyo, Japan

    Hideyuki Koga & Hiroki Katagiri

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  1. Hideyuki Koga
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  2. Hiroki Katagiri
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Correspondence to Hideyuki Koga .

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Editors and Affiliations

  1. Department of Orthopedic, Hanyang University, Myong Ji Hospital, Gyeonggi-do, Korea (Republic of)

    Jin Goo Kim

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Koga, H., Katagiri, H. (2021). Minimum Correction of High Tibial Osteotomy with Medial Meniscus Centralization. In: Kim, J.G. (eds) Knee Arthroscopy. Springer, Singapore. https://doi.org/10.1007/978-981-15-8191-5_31

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  • DOI: https://doi.org/10.1007/978-981-15-8191-5_31

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  • Publisher Name: Springer, Singapore

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  • Online ISBN: 978-981-15-8191-5

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