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High Tibial Osteotomy

이동철|Seong Joon Byun
대한슬관절학회 (Korean Knee Society)|2012.06|Knee Surgery and Related Research|제24권 제2호|pp. 61-69|DOI http://dx.doi.org/

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키워드

OsteoarthritisHigh tibial osteotomyOpening wedge osteotomyClosed wedge osteotomy.

초록

High tibial osteotomy (HTO) is a widely performed procedure to treat medial knee arthrosis. In general, published studies on HTO report good long-term results with a correct patient selection and a precise surgical technique. The ideal candidate for an HTO is a middle aged patient (60 to 65 years of age), with isolated medial osteoarthritis, with good range of motion and without ligamentous instability. Some issues that need resolution remain; these include the choice between opening and closing wedge tibial osteotomy, the graft selection in opening wedge osteotomies, the type of fixation, the comparison with unicompartmental knee arthroplasty and whether HTO significantly affects a subsequent total joint replacement. Precise indication, preoperative planning, and operative technique selection are essential to achieve good results.

Abstract

High tibial osteotomy (HTO) is a widely performed procedure to treat medial knee arthrosis. In general, published studies on HTO report good long-term results with a correct patient selection and a precise surgical technique. The ideal candidate for an HTO is a middle aged patient (60 to 65 years of age), with isolated medial osteoarthritis, with good range of motion and without ligamentous instability. Some issues that need resolution remain; these include the choice between opening and closing wedge tibial osteotomy, the graft selection in opening wedge osteotomies, the type of fixation, the comparison with unicompartmental knee arthroplasty and whether HTO significantly affects a subsequent total joint replacement. Precise indication, preoperative planning, and operative technique selection are essential to achieve good results.

참고문헌 (34)

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관련 논문AI추천

Open Wedge High Tibial Osteotomy and Combined Arthroscopic Surgery in Severe Medial Osteoarthritis and Varus Malalignment: Minimum 5-Year Results유문집, Yong-Eun Shin대한슬관절학회 · Knee Surgery and Related Research2016 · 제28권 제4호High Tibial Osteotomy versus Unicompartmental Knee Arthroplasty for Medial Compartment Arthrosis with Kissing Lesions in Relatively Young Patients류승민, 손욱진, Ho Dong Na, Jae Woo Park대한슬관절학회 · Knee Surgery and Related Research2018 · 제30권 제1호High Tibial Osteotomy for Medial Knee OsteoarthritisHee-Soo Kyung대한슬관절학회 · Knee Surgery and Related Research2016 · 제28권 제4호Comparative Study of Clinical and Radiographic Outcomes of High Tibial Osteotomy in Patients with Kissing Lesions and Non-Kissing Lesions박상진, 손욱진, 심범진, 이동열대한슬관절학회 · Knee Surgery and Related Research2017 · 제29권 제4호Short-Term Results of Hybrid Closed-Wedge High Tibial Osteotomy: A Case Series with a Minimum 3-Year Follow-upHidetomo Saito, Hiroaki Kijima, Kimio Saito, Koji Nozaka, Naohisa Miyakoshi, Shin Yamada, Takahiro Sato, Toshiaki Yamamura, Yoichi Shimada대한슬관절학회 · Knee Surgery and Related Research2018 · 제30권 제4호Complications and Short-Term Outcomes of Medial Opening Wedge High Tibial Osteotomy Using a Locking Plate for Medial Osteoarthritis of the KneeDo-Hoon Kim, In-Seung Lee, Jin-Hyeok Seo, Ok-Gul Kim, Seung-Suk Seo, Youn-Gu Kim대한슬관절학회 · Knee Surgery and Related Research2016 · 제28권 제4호

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