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Total Knee Replacement After High Tibial Osteotomy

Volume 6 | Issue 2 | July-December 2021 | Page 54-57 | Vijay C. Bose , Kalaivanan Kanniyan

DOI:10.13107/aja.2021.v06i02.035


Author: Vijay C. Bose [1], Kalaivanan Kanniyan [1]

[1] Asian-Joint Reconstruction Institute (AJRI), SIMS, Chennai, Tamil Nadu, India.

Address of Correspondence:

Dr. Vijay Bose,
Asian-Joint Reconstruction Institute (AJRI), SIMS, Chennai, Tamil Nadu, India.
E-mail: bose5vijay@hotmail.com


Abstract

Total Knee Arthroplasty (TKA), post High Tibial osteotomy (HTO) continues to be an enigma with published reports of both good and suboptimal results in comparison to TKA for osteoarthritis (OA). The surgeons performing HTO must always employ TKR friendly techniques so that it is easy to apply the correct principles while conversion into TKA and have a very good results contradictory to the traditional historical conclusion. The bug bear of HTO is the post slope where common errors can occur even when performed by experienced surgeons. The norm is usually for the post slope to increase with the medial open wedge and for the post slope to decrease with lateral Closed wedge. The golden rule in Post HTO TKA conversion is to start off by resecting less bone. This is done so that inadvertent joint line variation from ideal is avoided. We then do extension space management by using various thickness of spacer hemi blocks. However individual cases may be different. Reliable results can be achieved in post HTO TKR if good planning and careful execution of the potentially problematic steps are undertaken. Residual soft tissue laxity necessitating increased constraint is more common in Post HTO TKR than in TKR for OA.
Keywords: Total Knee Replacement, High Tibial Osteotomy, Osteoarthritis


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How to Cite this article: Bose VC, Kanniyan K | Total Knee Replacement After High Tibial Osteotomy | Asian Journal of Arthroscopy | July-December 2021; 6(2): 54-57.


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