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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Curr+Rev+Musculoskelet+Med
2014 ; 7
(4
): 292-301
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High tibial osteotomy
#MMPMID25129702
Bonasia DE
; Governale G
; Spolaore S
; Rossi R
; Amendola A
Curr Rev Musculoskelet Med
2014[Dec]; 7
(4
): 292-301
PMID25129702
show ga
High tibial osteotomy (HTO) is a widely accepted and performed procedure to treat
medial knee arthrosis. The aim of this review is to evaluate the different
surgical options in medial knee arthrosis, focusing on indications, patient's
selection, long-term follow-up and survival analysis of HTO. Comparison and
pooling of results are challenging because of different evaluation systems, small
cohort number, and different surgical techniques. No differences have been
described between opening and closing wedged HTO in terms of outcomes. Excellent
early survivorship and good clinical outcomes were reported also with concomitant
procedures. Correct indications, preoperative workup/planning, and technique
selection are essential in achieving good results. The choice between opening and
closing wedge osteotomy, graft selection in opening wedge HTO, comparison between
HTO and unicompartmental knee arthroplasty, and the results of revised HTO to
total knee replacement are currently under debate and will be discussed in the
present review.