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Review
. 2019 Dec 10:18:53-57.
doi: 10.1016/j.jor.2019.12.006. eCollection 2020 Mar-Apr.

Determination of the postoperative limb alignment following a high tibial osteotomy in patients with uni-compartmental knee osteoarthritis, review article

Gagan Sethi  1 , Ahmed Aljawadi  2 , Mohammed Elmajee  3 , Anand Pillai  2
Affiliations
Review

Determination of the postoperative limb alignment following a high tibial osteotomy in patients with uni-compartmental knee osteoarthritis, review article

Gagan Sethi et al. J Orthop. .

Erratum in

Abstract

Objectives: High tibial osteotomy is an established surgical procedure for treatment of mal-aligned Varus knees due to medial compartment knee osteoarthritis. Aims are to evaluate whether post-operative axial alignment achieves good long-term results.

Methods and results: Literature search done and studies with a follow up period of 2 or more years were included. The mean postoperative mechanical axis varied widely from 3 to 16° with significant differences between the studies.

Conclusion: The results suggested that medial knee osteoarthritis can be treated successfully with HTO. The post-operative valgus angle should be between 3 and 13° of valgus to achieve good long-term results.

Keywords: Alignment; Knee; Osteoarthritis; Osteotomy; Surgery; Tibia.

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Figures

Fig. 1
Fig. 1
The circular reasoning of unicondylar arthrosis.
Fig. 2
Fig. 2
Mechanical and anatomical axis in a neutral, varus and valgus knee. HKA-hip knee ankle axis, FM-femoral mechanical axis, TM – tibial mechanical axis.
See this image and copyright information in PMC

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