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High tibial osteotomy is an orthopaedic surgical procedure which aims to correct a varus deformation with compartmental osteoarthritis.Since the inception of the procedure, advancements to technique, fixation devices, and a better understanding of patient selection has allowed HTO to become more popular in younger, more active patients hoping to combat arthritis. [1]
The location of the removed wedge of bone depends on where osteoarthritis has damaged the knee cartilage. The most common type of osteotomy performed on arthritic knees is a high tibial osteotomy, which addresses cartilage damage on the inside (medial) portion of the knee. The procedure usually takes 60 to 90 minutes to perform. [9]
Surgical treatments are closing wedge osteotomy, opening wedge osteotomy, and reversed wedge osteotomy. [1] Radiographs of the fingers are useful in planning the surgical procedure. Severe clinodactyly may require soft tissue alterations to the digit such as release of skin, extensor tendon relocation, and collateral ligament advancement.
Secondly as the horizontal defect created by removing the wedge is closed down, the tibial tuberosity is itself advanced by several millimetres. This compares with an average of 20 degrees plateau levelling required for the tibial plateau leveling osteotomy and 9-12mm of tibial tuberosity advancement with the tibial tuberosity advancement.
Akin osteotomy; Ankle fusion; Ankle replacement; Anterior cervical discectomy and fusion; Anterior cruciate ligament reconstruction; Anterior interval release; Arthrodesis; Arthroplasty; Arthroscopy; Arthroscopy (journal) Arthrotomy; Articular cartilage repair; Articular cartilage stem cell paste grafting; Astragalectomy; Autologous chondrocyte ...
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The Tree of Andry. Orthopedic surgery is the branch of surgery concerned with conditions involving the musculoskeletal system. Orthopedic surgeons use both surgical and nonsurgical means to treat musculoskeletal injuries, sports injuries, degenerative diseases, infections, bone tumours, and congenital limb deformities.
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