Age-stratified analysis of HTO and UKA clinical effects in cross-indicated anterior medial osteoarthritis.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: The authors declare that they have no conflict of interest. 13. Orthop Traumatol Surg Res. 2019 Feb;105(1):85-88. doi: 10.1016/j.otsr.2018.11.004. Epub 2018 Dec 5. Failed high tibial osteotomy: A joint preserving alternative to total knee arthroplasty. Jones GG(1), Clarke S(2), Jaere M(2), Cobb JP(2). Author information: (1)MSk Lab, Imperial College London, Charing Cross Hospital, 7th Floor Lab Block, W6 8RF London, UK. Electronic address: ggjones@imperial.ac.uk. (2)MSk Lab, Imperial College London, Charing Cross Hospital, 7th Floor Lab Block, W6 8RF London, UK. High tibial osteotomy is an attractive treatment option for young active patients wishing to return to high-level activities. However, it is not considered a long-term solution, with 30% revised at ten years. Currently, the only revision option is a total knee arthroplasty, a procedure that might not deliver the functional level expected by these highly active patients. This paper describes a novel joint preserving approach to HTO revision, using assistive technology, in the form of 3D printed guides, to reverse the osteotomy and simultaneously perform a unicompartmental knee replacement. The indications and planning aims for this procedure are discussed, and the preliminary results in four patients presented. LEVEL OF EVIDENCE: IV. Copyright © 2018. Published by Elsevier Masson SAS. DOI: 10.1016/j.otsr.2018.11.004