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The role of high tibial osteotomy in the varus knee.

Publication ,  Journal Article
Rossi, R; Bonasia, DE; Amendola, A
Published in: J Am Acad Orthop Surg
October 2011

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.

Duke Scholars

Published In

J Am Acad Orthop Surg

DOI

ISSN

1067-151X

Publication Date

October 2011

Volume

19

Issue

10

Start / End Page

590 / 599

Location

United States

Related Subject Headings

  • Weight-Bearing
  • Treatment Outcome
  • Tibia
  • Osteotomy
  • Osteochondritis Dissecans
  • Orthopedics
  • Menisci, Tibial
  • Joint Instability
  • Joint Deformities, Acquired
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Rossi, R., Bonasia, D. E., & Amendola, A. (2011). The role of high tibial osteotomy in the varus knee. J Am Acad Orthop Surg, 19(10), 590–599. https://doi.org/10.5435/00124635-201110000-00003
Rossi, Roberto, Davide E. Bonasia, and Annunziato Amendola. “The role of high tibial osteotomy in the varus knee.J Am Acad Orthop Surg 19, no. 10 (October 2011): 590–99. https://doi.org/10.5435/00124635-201110000-00003.
Rossi R, Bonasia DE, Amendola A. The role of high tibial osteotomy in the varus knee. J Am Acad Orthop Surg. 2011 Oct;19(10):590–9.
Rossi, Roberto, et al. “The role of high tibial osteotomy in the varus knee.J Am Acad Orthop Surg, vol. 19, no. 10, Oct. 2011, pp. 590–99. Pubmed, doi:10.5435/00124635-201110000-00003.
Rossi R, Bonasia DE, Amendola A. The role of high tibial osteotomy in the varus knee. J Am Acad Orthop Surg. 2011 Oct;19(10):590–599.

Published In

J Am Acad Orthop Surg

DOI

ISSN

1067-151X

Publication Date

October 2011

Volume

19

Issue

10

Start / End Page

590 / 599

Location

United States

Related Subject Headings

  • Weight-Bearing
  • Treatment Outcome
  • Tibia
  • Osteotomy
  • Osteochondritis Dissecans
  • Orthopedics
  • Menisci, Tibial
  • Joint Instability
  • Joint Deformities, Acquired
  • Humans