High tibial osteotomy for medial compartment osteoarthritis

Unicompartmental osteoarthritis of the knee is often a difficult management problem in the younger age group. A high tibial osteotomy has been found to be quite an effective procedure for this condition in the past. A better understanding of the principles of this technique and innovations in the in...

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Bibliographic Details
Published in:The knee 2006-03, Vol.13 (2), p.87-92
Main Authors: Dowd, G.S.E., Somayaji, H.S., Uthukuri, M.
Format: Article
Language:English
Subjects:
Closing wedge
High tibial osteotomy
Humans
Knee Joint - physiopathology
Medial compartment
Opening wedge
Osteoarthritis
Osteoarthritis, Knee - physiopathology
Osteoarthritis, Knee - surgery
Osteotomy
Realignment
Tibia - surgery
Weight-Bearing - physiology
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Summary:Unicompartmental osteoarthritis of the knee is often a difficult management problem in the younger age group. A high tibial osteotomy has been found to be quite an effective procedure for this condition in the past. A better understanding of the principles of this technique and innovations in the instrumentation has renewed interest in this procedure. This article provides an overview of the principles, biology, indications, contraindications, planning and execution, postoperative care, results and complications of high tibial osteotomy. An attempt has been made to incorporate important technical considerations, recent developments and other treatment options in this condition.
ISSN:0968-0160
1873-5800
DOI:10.1016/j.knee.2005.08.002