High tibial osteotomy for medial compartment osteoarthritis

Case contributed by Dr Henry Knipe


20 years of knee pain.

Patient Data

Age: 45
Gender: Male

Complete loss of joint space medially with marginal osteophytes affecting the medial tibiofemoral compartment in keeping with osteoarthritis. 

High tibial osteotomy with bone graft has been performed. 

Case Discussion

  • high tibial osteotomy (HTO) is a well established procedure for treatment of medial compartment osteoarthritis and aims to transfer weightbearing to the less affected lateral compartment and delay the need for a total knee replacement
  • reported post-operative complications specific to HTO include:
    • intra-articular fracture
    • plate fracture resulting in non-union
    • non-union rate is ~2.5%
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Case information

rID: 31434
Published: 9th Oct 2014
Last edited: 14th Aug 2019
Tag: hto
Inclusion in quiz mode: Included

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