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High tibial osteotomy.
Davide Edoardo Bonasia1, Giorgio Governale, Simone Spolaore
1Department of Orthopaedics, University of Torino, CTO Hospital, Via Lamarmora 26, 10128, Torino, Italy, davidebonasia@virgilio.it.
Current Reviews in Musculoskeletal Medicine
|August 18, 2014
Summary
High tibial osteotomy (HTO) effectively treats medial knee arthrosis. Careful patient selection and surgical planning are crucial for successful long-term outcomes with HTO procedures.
Area of Science:
- Orthopedic Surgery
- Biomechanics
- Knee Arthrosis Treatment
Background:
- Medial knee arthrosis is a common condition requiring surgical intervention.
- High tibial osteotomy (HTO) is a established procedure for managing medial knee arthrosis.
- Evaluating various HTO techniques and outcomes is essential for optimizing patient care.
Purpose of the Study:
- To review and evaluate different surgical options for medial knee arthrosis.
- To analyze indications, patient selection, long-term follow-up, and survival rates of HTO.
- To compare outcomes of various HTO techniques and concomitant procedures.
Main Methods:
- Systematic review of existing literature on High Tibial Osteotomy.
- Analysis of studies focusing on surgical techniques, patient selection, and outcomes.
- Comparison of opening versus closing wedge HTO and other treatment modalities.
Main Results:
- No significant outcome differences reported between opening and closing wedge HTO.
- Excellent early survivorship and good clinical outcomes observed with HTO, including combined procedures.
- Challenges in result pooling due to varied evaluation systems and techniques.
Conclusions:
- Correct indications, preoperative planning, and technique selection are vital for successful HTO outcomes.
- Further debate is needed on graft selection, HTO vs. unicompartmental knee arthroplasty, and revision strategies.
- HTO remains a valuable treatment option for medial knee arthrosis when appropriately applied.
