Surgical interventions for symptomatic knee osteoarthritis: a network meta-analysis of randomized control trials.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: The authors declare that they have no competing interests. 19. J Clin Orthop Trauma. 2021 Oct 1;23:101618. doi: 10.1016/j.jcot.2021.101618. eCollection 2021 Dec. Role of high tibial osteotomy in medial compartment osteoarthritis of the knee: Indications, surgical technique and outcomes. Khakha RS(1)(2), Bin Abd Razak HR(1)(3), Kley K(1)(4), van Heerwaarden R(1)(5), Wilson AJ(1)(6). Author information: (1)London Knee Osteotomy Centre, Harley Street Specialist Hospital, 18-22 Queen Anne St, London W1G 8HU, UK. (2)Department of Orthopaedics, Guys & St Thomas's Hospital, Great Maze Pond, SE1 9RT, UK. (3)Department of Orthopaedic Surgery, Sengkang General Hospital, 110 Sengkang East Way, 544886, Singapore. (4)Orthoprofis Hannover, Luisenstraße 10-11, 30159, Hannover, Germany. (5)Centre for Deformity Correction and Joint Preserving Surgery, Kliniek ViaSana, Mill, the Netherlands. (6)Department of Sports and Exercise, University of Winchester, Sparkford Rd, Winchester SO22 4NR, United Kingdom. Knee osteoarthritis (OA) is the most common joint disorder worldwide. In particular, primary knee OA often presents with a varus malalignment. This increases the loads going through the medial compartment resulting in cartilage degeneration and symptomatic arthritis. High tibial osteotomy (HTO) is the workhorse surgical procedure for treating medial knee OA. When performed precisely in the hands of an experienced surgeon, HTO can delay or avoid knee arthroplasty. Of note, outcomes of knee arthroplasty are at best unpredictable in patients of younger age. Hence, there is a growing need for joint preservation procedures for younger patients presenting with knee OA, of which HTO is one. Through this article, the authors of whom all are joint preservation surgeons with a special interest in osteotomy hope to share from their experience as well as the available literature on the indications, perioperative planning, surgical technique, outcomes as well as pearls and pitfalls of HTO. © 2021 Delhi Orthopedic Association. All rights reserved. DOI: 10.1016/j.jcot.2021.101618 PMCID: PMC8758909