Search for other papers by Andrea Pratobevera in
Google Scholar
PubMed
Luxembourg Institute of Research in Orthopaedics, Sports Medicine and Science (LIROMS), Luxembourg, Luxembourg
Department of Orthopaedic Surgery, Centre Hospitalier Luxembourg-Clinique d’Eich, Luxembourg, Luxembourg
Search for other papers by Romain Seil in
Google Scholar
PubMed
Orthopaedic Surgery Service, University Hospital of Geneva, Geneva, Switzerland
Search for other papers by Jacques Menetrey in
Google Scholar
PubMed
Introduction Knee osteotomy, a surgical procedure designed for the correction of bone deformities, has been in use for centuries. Following the introduction and exponential development of arthroplasty surgery, this practice lost interest
Institut du mouvement et de l’appareil locomoteur, Marseille, France
Search for other papers by Ahmed Mabrouk in
Google Scholar
PubMed
Search for other papers by Jae-Sung An in
Google Scholar
PubMed
Search for other papers by Kristian Kley in
Google Scholar
PubMed
Search for other papers by Komal Tapasvi in
Google Scholar
PubMed
Search for other papers by Sachin Tapasvi in
Google Scholar
PubMed
Search for other papers by Matthieu Ollivier in
Google Scholar
PubMed
lower limb malalignment can threaten the success of these procedures with consequent failures ( 6 , 7 , 8 ). Hence, knee osteotomy is becoming more popular as an additional procedure with cartilage repair surgeries in cases of malalignment to improve
Department of Orthopaedics, University Hospital of Ghent, Ghent, Belgium
Search for other papers by Aline Van Oevelen in
Google Scholar
PubMed
Search for other papers by Arne Burssens in
Google Scholar
PubMed
Search for other papers by Nicola Krähenbühl in
Google Scholar
PubMed
Search for other papers by Alexej Barg in
Google Scholar
PubMed
Search for other papers by Bernhard Devos Bevernage in
Google Scholar
PubMed
Department of Electromechanics, InViLab research group, University of Antwerp, Antwerp, Belgium
Department of Trauma and Orthopedics, Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK
Search for other papers by Emmanuel Audenaert in
Google Scholar
PubMed
Search for other papers by Beat Hintermann in
Google Scholar
PubMed
Search for other papers by Jan Victor in
Google Scholar
PubMed
). Despite this replicated observation, the mechanism by which this interaction occurs is complex and poorly understood. Moreover, while an abundant amount of literature is present on the post-operative changes in lower limb alignment following knee osteotomy
Search for other papers by Felix Christoph Finger in
Google Scholar
PubMed
Osteotomie Komitee der Deutschen Knie Gesellschaft (DKG), Munich, Germany
Search for other papers by Steffen Schröter in
Google Scholar
PubMed
Search for other papers by Christoph Ihle in
Google Scholar
PubMed
Search for other papers by Moritz Herbst in
Google Scholar
PubMed
Search for other papers by Tina Histing in
Google Scholar
PubMed
Osteotomie Komitee der Deutschen Knie Gesellschaft (DKG), Munich, Germany
AO Research Institute Davos, Davos, Switzerland
Search for other papers by Marc-Daniel Ahrend in
Google Scholar
PubMed
Introduction Patients expectations on the postoperative outcome after knee osteotomy are high, especially with regard to pain reduction, regaining knee functionality and return to work ( 1 ). The postoperative period contributes essentially to
Search for other papers by Jonathan G. Robin in
Google Scholar
PubMed
Search for other papers by Philippe Neyret in
Google Scholar
PubMed
-
Patients with unstable, malaligned knees often present a challenging management scenario, and careful attention must be paid to the clinical history and examination to determine the priorities of treatment.
-
Isolated knee instability treated with ligament reconstruction and isolated knee malalignment treated with periarticular osteotomy have both been well studied in the past. More recently, the effects of high tibial osteotomy on knee instability have been studied.
-
Lateral closing-wedge high tibial osteotomy tends to reduce the posterior tibial slope, which has a stabilising effect on anterior tibial instability that occurs with ACL deficiency.
-
Medial opening-wedge high tibial osteotomy tends to increase the posterior tibia slope, which has a stabilising effect in posterior tibial instability that occurs with PCL deficiency.
-
Overall results from recent studies indicate that there is a role for combined ligament reconstruction and periarticular knee osteotomy.
-
The use of high tibial osteotomy has been able to extend the indication for ligament reconstruction which, when combined, may ultimately halt the evolution of arthritis and preserve their natural knee joint for a longer period of time.
Cite this article: Robin JG, Neyret P. High tibial osteotomy in knee laxities: Concepts review and results. EFORT Open Rev 2016;1:3-11. doi: 10.1302/2058-5241.1.000001.
Search for other papers by Daniel J. McCormack in
Google Scholar
PubMed
Search for other papers by Darren Puttock in
Google Scholar
PubMed
Search for other papers by Steven P. Godsiff in
Google Scholar
PubMed
, for instance graft type or osteotomy location as opposed to its efficacy compared to UKR or TKR. Although a UK knee osteotomy registry exists, this is as yet non-compulsory, 32 in contrast to the National Joint Registry of England and Wales. 33
Search for other papers by Andrea Ferrera in
Google Scholar
PubMed
Division of Orthopaedic Surgery, University Hospital of Geneva, Geneva, Switzerland
Search for other papers by Jacques Menetrey in
Google Scholar
PubMed
M Dawson M & UK Knee Osteotomy consensus Group . A 2021 consensus statement on osteotomies around the knee by the UK Knee Osteotomy Consensus Group (KOG) . Knee 2021 33 73 – 83 . ( https://doi.org/10.1016/j.knee.2021.08.034 ) 10.1016/j
Centre for Hip Surgery, Wrightington Hospital, UK
Search for other papers by Martyn Porter in
Google Scholar
PubMed
Head of Health Registries, Northgate Public Services, Peoplebuilding 2, Hemel Hempstead, Hertfordshire, England
Search for other papers by Richard Armstrong in
Google Scholar
PubMed
Royal Derby Hospital, Derby, UK
Search for other papers by Peter Howard in
Google Scholar
PubMed
West Suffolk NHS Foundation Trust, UK
Search for other papers by Matthew Porteous in
Google Scholar
PubMed
University of Sheffield, Sheffield, UK
Search for other papers by J. Mark Wilkinson in
Google Scholar
PubMed
Structure (TORUS). 37 These registries consist of The British Spine Registry (BSR), 38 The UK National Ligament Registry (NLR), 39 The UK Knee Osteotomy Registry (UKKOR), 40 The Non Arthroplasy Hip Register (NAHR), 41 The Bone and
Search for other papers by Gareth G. Jones in
Google Scholar
PubMed
Search for other papers by Martin Jaere in
Google Scholar
PubMed
Search for other papers by Susannah Clarke in
Google Scholar
PubMed
Search for other papers by Justin Cobb in
Google Scholar
PubMed
. Arthrosc - J Arthrosc Relat Surg 2004 ; 20 : 366 - 372 . 23. Kawakami H Sugano N Yonenobu K . Effects of rotation on measurement of lower limb alignment for knee osteotomy . J Orthop Res 2004 ; 22 : 1248 - 1253
Search for other papers by Gareth G. Jones in
Google Scholar
PubMed
Search for other papers by Susannah Clarke in
Google Scholar
PubMed
Search for other papers by Martin Jaere in
Google Scholar
PubMed
Search for other papers by Justin Cobb in
Google Scholar
PubMed
alignment for knee osteotomy . J Orthop Res 2004 ; 22 : 1248 - 1253 . 28. Logishetty K Jones GG Cobb JP . Letter to the Editor: The John Insall Award: No functional benefit after unicompartmental knee arthroplasty
