Hing, "Opening- or closing-wedged
high tibial osteotomy: a meta-analysis of clinical and radiological outcomes," The Knee, vol.
Heckmann, "Opening wedge
high tibial osteotomy: An operative technique and rehabilitation program to decrease complications and promote early union and function," American Journal of Sports Medicine, vol.
High tibial osteotomy is an excellent modality in treating unicompartmental osteoarthrosis.
For example, a
high tibial osteotomy may be indicated to correct varus malalignment.
Amendola, "The Role of
High Tibial Osteotomy in the Varus Knee," American Academy of Orthopaedic Surgeon, vol.
It can be concluded from this series that, in addition to appropriate patient selection, exacting surgical technique has a direct Impact on the outcome following a
high tibial osteotomy. However, there is no consensus as to what constitutes appropriate correction of alignment.
(46.) Koshino T: The treatment of spontaneous osteonecrosis of the knee by
high tibial osteotomy with and without bone-grafting or drilling of the lesion.
The indications for
high tibial osteotomy include unicompartmental arthritis confined to the medial side, age of less than 60 years, 10[degrees] to 12[degrees] varus deformity, arc of motion of at least 90[degrees], and flexion contracture of less than 15[degrees].
Operative Technique of Lateral Closing Wedge
High Tibial Osteotomy(1,2) Jackson and Waugh, (3) in 1961, reported that
high tibial osteotomy is a reliable procedure for relief of pain and restoration of function.
There have been conflicting reports in the literature regarding the results of post
high tibial osteotomy knee arthroplasty.
In the cases of more than 7 years after
high tibial osteotomy, a positive straight regression line was drawn by calculation between Medial/Lateral ratio and postoperative limb alignment expressed by standing femorotibial angle, with coefficient of correlation ([gamma]) of 0.295 (p < 0.01).