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. 2022 Jan 12;10(1).
doi: 10.2106/JBJS.RVW.21.00127.

High Tibial Osteotomies for the Treatment of Osteoarthritis of the Knee

Ajay C Kanakamedala  1 , Eoghan T Hurley, Amit K Manjunath, Laith M Jazrawi, Michael J Alaia, Eric J Strauss
Affiliations

High Tibial Osteotomies for the Treatment of Osteoarthritis of the Knee

Ajay C Kanakamedala et al. JBJS Rev. .

Abstract

»: A high tibial osteotomy (HTO) is a joint-preserving procedure that can be used to treat symptomatic unicompartmental cartilage disorders in the presence of limb malalignment.

»: Appropriate patient selection and careful preoperative planning are vital for optimizing outcomes.

»: Based on past literature, correction of varus malalignment to 3° to 8° of valgus appears to lead to favorable results. Recently, there has been growing awareness that it is important to consider soft-tissue laxity during preoperative planning.

»: Although there has been a recent trend toward performing opening-wedge rather than closing-wedge or dome HTOs for unicompartmental osteoarthritis, current data suggest that all 3 are acceptable techniques with varying complication profiles.

»: Based on current evidence, an HTO provides pain relief, functional improvement, and a high rate of return to sport, with reported survivorship ranging from 74.7% to 97.6% and 66.0% to 90.4% at 10 and 15 years, respectively.

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Conflict of interest statement

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSREV/A794).

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