2024年12月23日 · High Tibial Osteotomy (HTO) is a surgical procedure that is performed to correct angular deformities of the knee to prevent development or progression of unicompartmental osteoarthritis. It is predominately done to correct for varus deformities in young patients but can also be done to correct valgus deformities.

Several proximal tibial osteotomy techniques for the medial compartment arthrosis of the knee are described and traced in their development. These techniques are of the closed wedge, dome and open wedge types. We detail the differences in planning and surgery as well the need for different fixation devices.

What is a Proximal Tibial Osteotomy? Proximal tibial osteotomies, equivalent to high tibial osteotomies, involve taking a patient who is bow-legged and making them have either normal alignment through the center of the knee or slightly knock-kneed.

The procedure to realign the angles of the lower leg is called a proximal tibial osteotomy. This guide will help you understand. Which parts of the knee are involved? The knee joint is formed where the thighbone (femur) meets the shinbone (tibia). Two bony knobs on the end of the femur, called condyles, sit on the top surface of the tibia.

2016年7月18日 · Proximal tibial osteotomy serves as an acceptable treatment strategy for young, active patients with unicompartmental osteoarthritis of the knee. A valgus-producing tibial osteotomy can redistribute the weight-bearing forces, lessen the medial compartment load, and reduce the varus knee moment.

We describe a proximal tibial anterior open-wedge osteotomy to correct sagittal and coronal malalignment after a failed high tibial osteotomy and failed posterior cruciate ligament (PCL) reconstruction with iliac crest autograft as a treatment for symptomatic genu recurvatum with 15° anterior tibial slope and 28% mechanical axis (MA) coronal ...

2016年2月10日 · The proximal tibial opening wedge osteotomy technique has been reported to produce significant improvement in subjective and objective clinical outcome scores when treating medial compartment overload and chronic instabilities. 8 PTO has recently expanded its indications for treatment to include medial compartment overload or early degenerative ...

Numerous techniques for HTO have been published, however, medial opening wedge and lateral closing wedge osteotomies remain the most common. The purpose of this article is to summarize HTO patient selection and indications, surgical techniques, common complications, and review outcomes from recent literature.

Eighty-seven valgus osteotomies of the tibia were performed in seventy-three patients for osteoarthrosis of the medial compartment of the knee; the median follow-up was ten years (range, three to fourteen years). The data were subjected to …

Purpose: Proximal tibia osteotomy with absorbable spacer combined with fibular osteotomy (TPOASI) is an emerging surgical technique for treating knee osteoarthritis (KOA); however, the efficacy of this procedure remains unknown. We hypothesize that TPOASI can achieve similar clinical outcomes to opening-wedge high tibial osteotomy (OW-HTO).