High Tibial Osteotomies for the Treatment of Osteoarthritis of the Knee

• DOI: 10.2106/jbjs.rvw.21.00127
• Publication Date: 2022-01-12T19:10:11Z
• Authors: Ajay C. Kanakamedala; Eoghan T. Hurley; Amit K. Manjunath; Laith M. Jazrawi; Michael J. Alaia; Eric J. Strauss
• Keywords: High tibial osteotomy; Unicompartmental knee arthroplasty

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 varus malalignment 3° 8° valgus appears lead favorable results. Recently, there has been growing awareness it important consider soft-tissue laxity during planning.Although recent trend toward performing opening-wedge rather than closing-wedge or dome HTOs osteoarthritis, current data suggest all 3 acceptable techniques with varying complication profiles.Based evidence, an HTO provides pain relief, functional improvement, rate return sport, reported survivorship ranging from 74.7% 97.6% 66.0% 90.4% at 10 15 years, respectively.