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Gareth G. Jones MSk Lab, Imperial College London, London, UK

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Martin Jaere MSk Lab, Imperial College London, London, UK

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Susannah Clarke MSk Lab, Imperial College London, London, UK

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Justin Cobb MSk Lab, Imperial College London, London, UK

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Introduction High tibial osteotomy (HTO) is typically used to treat early isolated medial tibiofemoral compartment osteoarthritis in younger, and physically active, patients for whom knee arthroplasty is associated with higher revision rates

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Jonathan G. Robin Box Hill Hospital, Eastern Health Network, Australia

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Philippe Neyret Lyon 1 University, France

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The use of high tibial osteotomy (HTO) in Orthopaedic surgery has been well documented in the literature for many years. In general, this procedure has been performed in the setting of symptomatic unicompartmental arthrosis associated with coronal

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Nicolás Franulic Hospital del Trabajador ACHS, Santiago, Chile
Hospital Militar de Santiago, Santiago, Chile

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José Tomas Muñoz Universidad de los Andes, Santiago, Chile

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Francisco Figueroa Hospital Sótero del Río, Santiago, Chile
Clínica Alemana - Universidad del Desarrollo, Santiago, Chile

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Piero Innocenti Hospital del Trabajador ACHS, Santiago, Chile

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Nicolás Gaggero Hospital del Trabajador ACHS, Santiago, Chile

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Introduction Medial opening wedge high tibial osteotomy (MOWHTO) is a surgical procedure accepted as a treatment for medial compartment osteoarthritis in patients with knee varus malalignment, among other indications ( 1 , 2 , 3

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Claudio Legnani IRCCS Istituto Ortopedico Galeazzi, Sports Traumatology and Minimally Invasive Articular Surgery Center, Milan Italy

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Andrea Parente IRCCS Istituto Ortopedico Galeazzi, Hip and Knee Arthroplasty Surgery Center, Milan, Italy

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Franco Parente IRCCS Istituto Ortopedico Galeazzi, Hip and Knee Arthroplasty Surgery Center, Milan, Italy

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Alberto Ventura IRCCS Istituto Ortopedico Galeazzi, Sports Traumatology and Minimally Invasive Articular Surgery Center, Milan Italy

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Introduction The treatment of medial unicompartmental knee osteoarthritis (OA) following failed high tibial osteotomy (HTO) is an issue of debate ( 1 , 2 ). Although prior HTO has traditionally been considered as a contraindication for medial

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Ahmed Mabrouk Mid Yorkshire Teaching Hospitals, Yorkshire, United Kingdom
Institut du mouvement et de l’appareil locomoteur, Marseille, France

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Jae-Sung An Institut du mouvement et de l’appareil locomoteur, Marseille, France

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Kristian Kley Orthoprofis Hannover, Hannover, Germany

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Komal Tapasvi The Orthopaedic Speciality Clinic, Pune, India

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Sachin Tapasvi The Orthopaedic Speciality Clinic, Pune, India

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Matthieu Ollivier Institut du mouvement et de l’appareil locomoteur, Marseille, France

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cases ( 2 ). Isolated high tibial osteotomy yields good midterm results but demonstrates clinical and radiographic deterioration in the long term ( 3 , 4 , 5 ). Cartilage treatment procedures have reported good outcomes. However, the presence of

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Aline Van Oevelen Department of Orthopaedics, University Hospital of Ghent, Ghent, Belgium
Department of Orthopaedics, University Hospital of Ghent, Ghent, Belgium

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Arne Burssens Department of Orthopaedics, University Hospital of Ghent, Ghent, Belgium

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Nicola Krähenbühl Department of Orthopaedics, University Hospital Basel, Basel, Switzerland

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Alexej Barg Department of Orthopaedics and Trauma, University Medical Center Hamburg-Eppendorf, Hamburg, Germany

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Bernhard Devos Bevernage Department of Orthopaedics, University Hospital of Ghent, Ghent, Belgium

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Emmanuel Audenaert Department of Orthopaedics, University Hospital of Ghent, Ghent, Belgium
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

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Beat Hintermann Department of Orthopaedics, Kantonsspital Baselland, Liestal, Switzerland

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Jan Victor Department of Orthopaedics, University Hospital of Ghent, Ghent, Belgium

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surgery American volume . 2005 87 2632–2638. CCS, case–control study; DFO, distal femoral osteotomy; HTO, high tibial osteotomy; LOE, level of evidence; LS, laboratory study; N, number of patients; N/A, not applicable; N/R, not reported; OA

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Andrea Pratobevera Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Brescia, Italy

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Romain Seil Department of Orthopaedic Surgery, Centre Hospitalier Luxembourg-Clinique d’Eich, Luxembourg, Luxembourg
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

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Jacques Menetrey Centre de Medecine du Sport et de l’Exercice - Swiss Olympic Medical Center, Hirslanden Clinique La Colline, Geneva, Switzerland
Orthopaedic Surgery Service, University Hospital of Geneva, Geneva, Switzerland

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, stability of fixation and bone healing in high tibial osteotomies . Journal of Bone and Joint Surgery 2008 90 1548 – 1557 . ( https://doi.org/10.1302/0301-620X.90B12.21198 ) 2 Castagnini F Sudanese A Bordini B Tassinari E Stea S & Toni A

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Daniel J. McCormack Department of Orthopaedics, University Hospitals of Leicester NHS Trust, Leicester, UK

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Darren Puttock Department of Orthopaedics, University Hospitals of Leicester NHS Trust, Leicester, UK

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Steven P. Godsiff Department of Orthopaedics, University Hospitals of Leicester NHS Trust, Leicester, UK

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towards less invasive surgery with uni-compartmental knee replacement (UKR) and high tibial osteotomy (HTO) gaining increasing popularity. Recent research has looked into potential benefits of these options over total knee arthroplasty. Knee surgeons

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Michael J. Raschke Department of Trauma, Hand and Reconstructive Surgery, Westphaelian Wilhelms University Muenster, Waldeyer Strasse 1, 48149 Muenster, Germany

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Christoph Kittl Department of Trauma, Hand and Reconstructive Surgery, Westphaelian Wilhelms University Muenster, Waldeyer Strasse 1, 48149 Muenster, Germany

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Christoph Domnick Department of Trauma, Hand and Reconstructive Surgery, Westphaelian Wilhelms University Muenster, Waldeyer Strasse 1, 48149 Muenster, Germany

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relevant parts of the tibial plateau. However, due to a high risk of ligamentous and neurovascular damage, the indications for osteotomy should be evaluated carefully. Fig. 6 Lateral view of the knee. Femoral epicondylar osteotomy (FE) is a safe

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Elena Gálvez-Sirvent Department of Orthopaedic Surgery, ‘Infanta Elena’ University Hospital, Valdemoro, Madrid, Spain

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Aitor Ibarzábal-Gil Department of Orthopaedic Surgery, ‘La Paz’ University Hospital-IdiPaz, Madrid, Spain

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E. Carlos Rodríguez-Merchán Department of Orthopaedic Surgery, ‘La Paz’ University Hospital-IdiPaz, Madrid, Spain

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other 97, only nail dynamization was performed. 15 In both groups, the procedure was performed without fibular osteotomy. They found high rates of bone healing with both procedures (83% dynamization, 90% nail change), with no statistically

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