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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 tibial plateau leveling osteotomy and tibial tuberosity advancement are two of the most common osteotomy procedures performed in the United States. Recovery is often 6–8 weeks and the osteotomy can be filled with autologous bone grafts, scaffolds (hydroxyapatite, TR Matrix, etc.) or ceramics. [14]
In comparisons with a more extensive surgical procedure called high tibial osteotomy, ... [13] Also, the rehabilitation process may be more progressive. [14]
Treatment can include an osteotomy, a major surgical procedure where bones are cut and realigned correctly, or compensatory methods, where individuals learn to externally or internally rotate their limb to compensate for the rotation. Further research is currently being examined in this area to reduce occurrences of malrotation, including ...
Rozbruch's research extensively explored the Ilizarov method for treating tibial bone and soft-tissue defects, showing its efficacy in limb salvage for patients unsuitable for flap coverage. His findings underscore the method’s success in achieving bony union and soft-tissue closure without requiring amputation. [ 7 ]
The knee is a modified hinge joint, a type of synovial joint, which is composed of three functional compartments: the patellofemoral articulation, consisting of the patella, or "kneecap", and the patellar groove on the front of the femur through which it slides; and the medial and lateral tibiofemoral articulations linking the femur, or thigh bone, with the tibia, the main bone of the lower ...
The proximal tibial attachment of the sMCL is the primary stabilizer to valgus force on the knee, whereas the distal tibial attachment is the primary stabilizer of external rotation at 30° of knee flexion. [3] [9] The dMCL is a thickening of the medial aspect of the capsule surrounding the knee.
Valgus osteotomy. The black line is the mechanical axis. This process may be done to correct a varus deformity. Generally, no treatment is required for idiopathic presentation as it is a normal anatomical variant in young children. Treatment is indicated when it persists beyond 3 + 1 ⁄ 2 years old.