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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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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
Hospital Militar de Santiago, Santiago, Chile
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Clínica Alemana - Universidad del Desarrollo, 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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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
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
Department of Orthopaedics, University Hospital of Ghent, Ghent, Belgium
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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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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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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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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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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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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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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