The purpose of this study was to evaluate the accuracy of alignment after open-wedge high tibial osteotomy and its effect on the clinical outcome. A prospective case series of 56 consecutive patients underwent open-wedge high tibial osteotomy fixed with a TomoFix plate fixator (Synthes, West Chester, Pennsylvania). The correction angle was radiologically determined preoperatively and at 6 month...

The aim of this study was to determine if microfractures improve the outcome of high tibial osteotomy in patients with medial compartmental osteoarthritis in genu varum. Forty patients presenting with Outerbridge grade III and IV chondropathies on the femoral and/or the tibial joint surface underwent high tibial osteotomy with Puddu plates (Arthrex, Inc, Naples, Florida) for primary medial comp...

INTRODUCTION Uni-compartmental knee arthritis may be treated with several surgical options including uni-compartmental knee arthroplasty, total knee arthroplasty and high tibial osteotomy. Non-union is a well-established and common complication that may arise from the latter option and few reports have shown successful treatment of persistent non-union of high tibial osteotomy. CASE PRESENTAT...

INTRODUCTION One major use for high tibial osteotomy aims at improving alignment in the symptomatic, varus malaligned, medial compartment osteoarthritic knee. The importance of achieving correct alignment is obvious upon considering the increased potential for significant complications with over- or undercorrection in any plane. The aim of this systematic review was to compare navigation and co...

background: this is a case series of 76 knees of 62 patients who underwent upper tibial valgus osteotomy for treatment of medial compartment osteoarthritis during a 20-year period and who were followed for a mean of 7.6 years.   methods: the patients were evaluated by validated outcome assessment systems of general health status short form (sf-36), the western ontario mcmaster osteoarthritis in...

High tibial osteotomy (HTO) is a widely performed procedure to treat medial knee arthrosis. In general, published studies on HTO report good long-term results with a correct patient selection and a precise surgical technique. The ideal candidate for an HTO is a middle aged patient (60 to 65 years of age), with isolated medial osteoarthritis, with good range of motion and without ligamentous ins...

High tibial osteotomy is effective for managing a variety of knee conditions, including gonarthrosis with varus or valgus malalignment, osteochondritis dissecans, osteonecrosis, posterolateral instability, and chondral resurfacing. The fundamental goals of the procedure are to unload diseased articular surfaces and to correct angular deformity at the tibiofemoral articulation. Although the clin...

High tibial osteotomy (HTO) has been used for many years to correct angular deformity about the knee, however, it’s use in the treatment of knee arthritis was not described in the English language literature until 1958 (Jackson 1958). This report presented at the Sheffield Regional Orthopaedic Club detailed Jackson’s experience of fourteen osteotomies ‘to correct a lateral deformity of the knee...

High tibial osteotomy (HTO) has been used for many years to correct angular deformity about the knee, however, it’s use in the treatment of knee arthritis was not described in the English language literature until 1958 (Jackson 1958). This report presented at the Sheffield Regional Orthopaedic Club detailed Jackson’s experience of fourteen osteotomies ‘to correct a lateral deformity of the knee...