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Improved Methods to Measure Outcomes After High Tibial Osteotomy
Amanda L Lorbergs1, Trevor B Birmingham2, Codie A Primeau2
1Wolf Orthopaedic Biomechanics Laboratory, Fowler Kennedy Sport Medicine Clinic, University of Western Ontario, 3M Centre, Room 1220, London, Ontario N6A 3K7, Canada; Bone and Joint Institute, University of Western Ontario, London Health Sciences Centre, University Hospital B6-200, London, Ontario N6A 5B5, Canada.
Clinics in Sports Medicine
|May 14, 2019
Summary
High tibial osteotomy surgery shows promise for improving knee osteoarthritis outcomes, including pain and function. More high-level evidence is needed to confirm its benefits compared to other treatments.
Area of Science:
- Orthopedics
- Biomechanical Engineering
- Rheumatology
Background:
- High tibial osteotomy (HTO) is a surgical procedure to treat knee osteoarthritis.
- Observational studies indicate HTO may improve knee loading, stability, pain, and function.
- Its cost-effectiveness in managing knee osteoarthritis has been suggested.
Purpose of the Study:
- To review evidence on the therapeutic value of HTO in knee osteoarthritis.
- To highlight potential benefits for joint structure, function, quality of life, and healthcare systems.
- To identify the need for further high-level clinical trials.
Main Methods:
- Review of observational studies and existing systematic reviews/guidelines.
- Analysis of outcomes related to knee biomechanics, pain, function, and quality of life.
- Assessment of cost-effectiveness and healthcare system impact.
Main Results:
- HTO demonstrates potential to improve knee loading, stability, and limit joint damage progression.
- Significant improvements in patient-reported pain, function, and quality of life are suggested.
- Evidence supporting HTO's superiority over other treatments is limited, hindering strong recommendations.
- HTO may be a cost-effective intervention for knee osteoarthritis.
Conclusions:
- HTO shows promise for improving knee osteoarthritis outcomes and potentially delaying knee replacement.
- Further high-level clinical trials are essential to establish definitive therapeutic recommendations.
- The procedure's impact on joint structure, function, patient well-being, and healthcare economics warrants continued investigation.
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