J Korean Orthop Assoc.  2018 Aug;53(4):293-300. 10.4055/jkoa.2018.53.4.293.

Opening Wedge High Tibia Osteotomy

Affiliations
  • 1Department of Orthopedic Surgery, Inje University Ilsan Paik Hospital, Goyang, Korea.
  • 2Department of Orthopedic Surgery, Daegu Fatima Hospital, Daegu, Korea. hjh8434@daum.net

Abstract

Proximal tibial osteotomy is the preferred method for treating medial compartment knee arthritis with varus deformity. The purpose of this treatment is to reduce the weight burden of the lesion by correcting the mechanical axis of the patient with degenerative arthritis of medial tibiofemoral joint and abnormal alignment. In general, the proximal tibial osteotomy provides satisfactory clinical results when suitable patient are selected by considering the extent of cartilaginous injury and the age of the patient and the correct technique is performed. In tibial osteotomy, medial open wedge osteotomy is used widely because of its short operation time and relatively simple technique. This review describes the current knowledge of patient selection, preoperative evaluation and planning, treatment principles, surgical techniques, rehabilitation procedures and complications in open wedge high tibial osteotomy.

Keyword

knee joint; osteoarthritis; high tibial osteotomy; medial opening wedge
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