Presentation
20 years of knee pain.
Patient Data
Age: 45
Gender: Male
From the case:
High tibial osteotomy for medial compartment osteoarthritis
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/32249/annotated_viewer_json?lang=us"}
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
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/32250/annotated_viewer_json?lang=us"}
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%