Determination of the postoperative limb alignment following a high tibial osteotomy in patients with uni-compartmental knee osteoarthritis, review article.

Sethi, Gagan; Aljawadi, Ahmed; Elmajee, Mohammed; Pillai, Anand · J Orthop · 2020

review · Level V

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Abstract

High tibial osteotomy is an established surgical procedure for treatment of mal-aligned Varus knees due to medial compartment knee osteoarthritis. Aims are to evaluate whether post-operative axial alignment achieves good long-term results. Literature search done and studies with a follow up period of 2 or more years were included. The mean postoperative mechanical axis varied widely from 3 to 16° with significant differences between the studies. The results suggested that medial knee osteoarthritis can be treated successfully with HTO. The post-operative valgus angle should be between 3 and 13° of valgus to achieve good long-term results.

Anatomy