High tibial osteotomy.

Journal Article (Journal Article)

High tibial osteotomy (HTO) is a widely accepted and performed procedure to treat medial knee arthrosis. The aim of this review is to evaluate the different surgical options in medial knee arthrosis, focusing on indications, patient's selection, long-term follow-up and survival analysis of HTO. Comparison and pooling of results are challenging because of different evaluation systems, small cohort number, and different surgical techniques. No differences have been described between opening and closing wedged HTO in terms of outcomes. Excellent early survivorship and good clinical outcomes were reported also with concomitant procedures. Correct indications, preoperative workup/planning, and technique selection are essential in achieving good results. The choice between opening and closing wedge osteotomy, graft selection in opening wedge HTO, comparison between HTO and unicompartmental knee arthroplasty, and the results of revised HTO to total knee replacement are currently under debate and will be discussed in the present review.

Full Text

Duke Authors

Cited Authors

  • Bonasia, DE; Governale, G; Spolaore, S; Rossi, R; Amendola, A

Published Date

  • December 2014

Published In

Volume / Issue

  • 7 / 4

Start / End Page

  • 292 - 301

PubMed ID

  • 25129702

Pubmed Central ID

  • PMC4596221

International Standard Serial Number (ISSN)

  • 1935-973X

Digital Object Identifier (DOI)

  • 10.1007/s12178-014-9234-y


  • eng

Conference Location

  • United States