The role of high tibial osteotomy in the varus knee.

Journal Article (Journal Article;Review)

High tibial osteotomy (HTO) is a widely performed procedure, and good results can be achieved with appropriate patient selection and precise surgical technique. Clinical indications include varus alignment of the knee associated with medial compartment arthrosis, knee instability, medial compartment overload following meniscectomy, and osteochondral defects requiring resurfacing procedures. Coronal alignment (ie, varus, valgus) and sagittal alignment (ie, tibial slope) should be thoroughly evaluated in all cases. Many techniques have been described for HTO, whether alone or in combination with other procedures (eg, anterior cruciate ligament reconstruction, meniscal transplant, cartilage resurfacing). Little direct evidence exists regarding the effectiveness of HTO alone or in combination with other procedures because of the lack of randomized controlled studies. However, it is commonly accepted that correct alignment is essential in achieving durable results.

Full Text

Duke Authors

Cited Authors

  • Rossi, R; Bonasia, DE; Amendola, A

Published Date

  • October 2011

Published In

Volume / Issue

  • 19 / 10

Start / End Page

  • 590 - 599

PubMed ID

  • 21980024

International Standard Serial Number (ISSN)

  • 1067-151X

Digital Object Identifier (DOI)

  • 10.5435/00124635-201110000-00003


  • eng

Conference Location

  • United States