High tibial osteotomy for medial compartment osteoarthritis
Presentation
20 years of knee pain.
Patient Data
Age: 45
Gender: Male
From the case:
High tibial osteotomy for medial compartment osteoarthritis
X-ray
Frontal
Complete loss of joint space medially with marginal osteophytes affecting the medial tibiofemoral compartment in keeping with osteoarthritis.
From the case:
High tibial osteotomy for medial compartment osteoarthritis
X-ray
Frontal
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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