Unicompartmental versus total knee arthroplasty for knee osteoarthritis.

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Abstract

[Indexed for MEDLINE] 14. J Surg Orthop Adv. 2023 Fall;32(3):148-155. Proximal Tibial Osteotomies: Indications, Techniques, and Outcomes. Qazi S(1), Martinkovich S(2), DeMeo P(2), Mosier B(2), Schmidt G(2), Hammarstedt J(2). Author information: (1)Department of Orthopaedic Surgery, Temple University Hospital, Philadelphia, Pennsylvania. (2)Department of Orthopaedic Surgery, Allegheny General Hospital, Pittsburgh, Pennsylvania. High tibial osteotomy (HTO) is a surgical procedure that can be used as a primary or as an adjunctive treatment for a variety of knee pathologies, most commonly isolated medial compartment arthrosis in a knee with varus alignment. More recently, indications for HTO have been expanded to include its use in combination with cartilage preserving techniques, to offload the effected compartment, and in conjunction with ligamentous reconstruction. HTO also has utility in delaying total knee arthroplasty (TKA) in select patients with favorable literature on future TKA outcomes. 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. (Journal of Surgical Orthopaedic Advances 32(3):148-155, 2023).