Tag Archive for: Varus knee osteoarthritis

Volume 6 | Issue 2 | July-December 2021 | Page 12-19 | Nicolaas C. Budhiparama, Dwikora N. Utomo, Kukuh D. Hernugrahanto

DOI:10.13107/aja.2021.v06i02.029


Author: Nicolaas C. Budhiparama [1, 2, 3], Dwikora N. Utomo [4], Kukuh D. Hernugrahanto [4, 5]

[1] Nicolaas Institute of Constructive Orthopaedic Research and Education Foundation for Arthroplasty and Sports Medicine, Jakarta, Indonesia.
[2] Department of Orthopedic Surgery, Leiden University Medical Center, Leiden, The Netherlands.
[3] Department of Vocational Studies, University Airlangga, Surabaya, Indonesia.
[4] Department of Orthopedic & Traumatology, Faculty of Medicine, University Airlangga, Indonesia.
[5] Dr. Soetomo General Academic Hospital, Surabaya, Indonesia.

Address of Correspondence:
Dr. Nicolaas C. Budhiparama,
Nicolaas Institute of Constructive Orthopaedic Research and Education Foundation for Arthroplasty and Sports Medicine, Jakarta, Indonesia.
E-mail: n.c.budhiparama@gmail.com


Abstract

The high tibial osteotomy (HTO) is one attainable management of varus knee osteoarthritis. Particularly aimed at the young and active patient population. This procedure can alleviate the symptoms and restore alignment, which may significantly defer the requirement for knee arthroplasty in the future time. Close-wedge high tibial osteotomy (CW-HTO) is an effective option with minimal complication rate. Choosing between an open-wedge HTO, close-wedge HTO, or unicompartmental knee arthroplasty (UKA) for medial compartmental knee arthritis should be tailored to patients’ preoperative conditions and surgeons’ preferences. There is no clear evidence that one surgical method is superior to the other.

Keywords: High tibial osteotomy, Varus knee osteoarthritis, Medial compartment


References

1. Haddad FS, Bentley G. Total knee arthroplasty after high tibial osteotomy: a medium-term review. J Arthroplasty. 2000;15(5):597–603.
2. Yadav VP, Juyal A, Sharma S. Evaluation of lateral closed wedge high tibial osteotomy for medial compartment osteoarthritis. Bangladesh J Med Sci. 2015;14(4):389–92.
3. Hoell S, Suttmoeller J, Stoll V, Fuchs S, Gosheger G. The high tibial osteotomy, open versus closed wedge, a comparison of methods in 108 patients. Arch Orthop Trauma Surg. 2005;125(9):638–43.
4. Jackson JP, Waugh W. Tibial osteotomy for osteoarthritis of the knee. J Bone Joint Surg Br. 1961;43(4):746–51.
5. Gariepy R. Genu varum treated by high tibial osteotomy. J Bone Jt Surg Br. 1964;46:783–4.
6. Coventry MB. Osteotomy of the upper portion of the tibia for degenerative arthritis of the knee. J Bone Jt Surg Am. 1965;47(5):984–90.
7. Smith JO, Wilson AJ, Thomas NP. Osteotomy around the knee: evolution, principles and results. Knee Surgery, Sport Traumatol Arthrosc. 2013;21(1):3–22.
8. Chul Lee MD D. High tibial osteotomy. Knee Surg Relat Res. 2012;24(2):149–61.
9. Rossi R, Bonasia DE, Amendola A. The role of high tibial osteotomy in the varus knee. JAAOS-Journal Am Acad Orthop Surg. 2011;19(10):590–9.
10. Staubli AE, De Simoni C, Babst R, Lobenhoffer P. TomoFix: a new LCP-concept for open wedge osteotomy of the medial proximal tibia–early results in 92 cases. Injury. 2003;34:55–62.
11. Schröter S, Lobenhoffer P, Mueller J, Ihle C, Stöckle U, Albrecht D. Changes of patella position after closed and open wedge high tibial osteotomy: review of the literature. Orthopade. 2012;41(3):186–8.
12. El-Azab H, Glabgly P, Paul J, Imhoff AB, Hinterwimmer S. Patellar height and posterior tibial slope after open-and closed-wedge high tibial osteotomy: a radiological study on 100 patients. Am J Sports Med. 2010;38(2):323–9.
13. Tunggal JAW, Higgins GA, Waddell JP. Complications of closing wedge high tibial osteotomy. Int Orthop. 2010;34(2):255–61.
14. Atrey A, Morison Z, Tosounidis T, Tunggal J, Waddell JP. Complications of closing wedge high tibial osteotomies for unicompartmental osteoarthritis of the knee. Bone Joint Res. 2012;1(9):205–9.
15. Berruto M, Maione A, Tradati D, Ferrua P, Uboldi FM, Usellini E. Closing-wedge high tibial osteotomy, a reliable procedure for osteoarthritic varus knee. Knee Surgery, Sport Traumatol Arthrosc [Internet]. 2020;28(12):3955–61. Available from: https://doi.org/10.1007/s00167-020-05890-0
16. Marcheggiani Muccioli GM, Fratini S, Cammisa E, Vaccari V, Grassi A, Bragonzoni L, et al. Lateral Closing Wedge High Tibial Osteotomy for Medial Compartment Arthrosis or Overload. Clin Sports Med. 2019;38(3):375–86.
17. Hohmann E, Bryant A, Imhoff AB. The effect of closed wedge high tibial osteotomy on tibial slope: A radiographic study. Knee Surgery, Sport Traumatol Arthrosc. 2006;14(5):454–9.
18. Duerr RA, Harangody S, Magnussen RA, Kaeding CC, Flanigan DC. Technique for Medial Closing-Wedge Proximal Tibia Osteotomy in the Valgus Knee. Arthrosc Tech. 2020;9(7):e925–33.
19. Takeuchi R, Ishikawa H, Miyasaka Y, Sasaki Y, Kuniya T, Tsukahara S. A novel closed-wedge high tibial osteotomy procedure to treat osteoarthritis of the knee: hybrid technique and rehabilitation measures. Arthrosc Tech. 2014;3(4):e431–7.
20. Mattei L, Lea S, Nicolaci G, Ferrero G, Marmotti A, Castoldi F. Closing wedge tibial osteotomy: is it an actual procedure nowadays? planning. 2017;3:6.
21. Howells NR, Salmon L, Waller A, Scanelli J, Pinczewski LA. The outcome at ten years of lateral closingwedge high tibial osteotomy: Determinants of survival and functional outcome. Bone Jt J. 2014;96B(11):1491–7.
22. Cheng X, Liu F, Xiong F, Huang Y, Paulus AC. Radiographic changes and clinical outcomes after open and closed wedge high tibial osteotomy: A systematic review and meta-analysis. J Orthop Surg Res. 2019;14(1):1–15.
23. Habib MK, Khan ZA. Radiological, functional, and anatomical outcome in patients with osteoarthritic knee undergoing high tibial osteotomy. Sicot-J. 2019;5.
24. Efe T, Ahmed G, Heyse TJ, Boudriot U, Timmesfeld N, Fuchs-Winkelmann S, et al. Closing-wedge high tibial osteotomy: Survival and risk factor analysis at long-term follow up. BMC Musculoskelet Disord. 2011;12:12–6.
25. Ramanoudjame M, Vandenbussche E, Baring T, Solignac N, Augereau B, Gregory T. Fibular nonunion after closed-wedge high tibial osteotomy. Orthop Traumatol Surg Res. 2012;98(8):863–7.
26. Kim J-H, Kim H-J, Lee D-H. Survival of opening versus closing wedge high tibial osteotomy: a meta-analysis. Sci Rep. 2017;7(1):1–7.
27. Deng Y-J, Yuan Y, Ren Y-M, Li Q, Wang D, Yang Y, et al. Differences between open-wedge versus closed-wedge high tibial osteotomy on clinical and radiological outcomes and adverse events. Int J Clin Exp Med. 2018;11(5):4371–88.
28. Dettoni F, Bonasia DE, Castoldi F, Bruzzone M, Blonna D, Rossi R. High tibial osteotomy versus unicompartmental knee arthroplasty for medial compartment arthrosis of the knee: a review of the literature. Iowa Orthop J. 2010;30:131.
29. Santoso MB, Wu L. Unicompartmental knee arthroplasty, is it superior to high tibial osteotomy in treating unicompartmental osteoarthritis? A meta-analysis and systemic review. J Orthop Surg Res. 2017;12(1):1–10.
30. Adravanti P, Budhiparama NC, Berend KR, Thienpont E. ACL-deficient knee and unicompartmental OA: state of the art. J ISAKOS. June, 2017
31. Thienpont E, Budhiparama NC. Current expert opinions about unicompartmental knee arthroplasty: Proceedings for the Partial Knee Meeting. January, 2017.


How to Cite this article: Budhiparama NC, Utomo DN, Hernugrahanto KD | Lateral Closing-Wedge High Tibial Osteotomy in Unicompartmental Medial Knee Arthritis | Asian Journal of Arthroscopy | July- December 2021; 6(2): 12-19.


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Volume 6 | Issue 2 | July-December 2021 | Page 08-11 | Hamid Razak, Kristian Kley
DOI:10.13107/aja.2021.v06i02.028


Author: Hamid Razak [1, 2], Kristian Kley [3, 4]

[1] SingHealth Duke-NUS Musculoskeletal Sciences Academic Clinical Programme 20 College Road, Academia Level 4, Singapore 169865.
[2] Department of Orthopaedic Surgery, Sengkang General Hospital 110 Sengkang East Way, Singapore 544886.
[3] London Osteotomy Centre, Harley Street Specialist Hospital, 18-22 Queen Anne Street, London.
[4] Orthoprofis Hannover, Luisenstraße 10-11, 30159, Hannover, Germany.

Address of Correspondence:
Dr. Hamid Razak,
Department of Orthopaedic Surgery, Sengkang General Hospital 110 Sengkang East Way, Singapore 544886.
E-mail: hamidrazak@gmail.com


Abstract

High tibial osteotomy (HTO) has been the workhorse joint preserving surgery for medial knee osteoarthritis (KOA) with varus deformity. Its importance as a surgical option has been amplified in recent years due to the greater incidence of KOA in young active patients. HTO procedures produce the best outcomes and the highest predictability when executed according to the pre-ordained surgical plan. Planning for an HTO is a mandatory and critical step. Failure to plan adequately leads to poor outcomes following HTO. Methods of planning can be broadly classified into traditional pen-and-paper planning as well as digital planning with software. Both are acceptable methods with their own merits but their utilization may be influenced by surgeon preferences, accessibility, case load and experience.
keywords: Varus knee osteoarthritis, Knee preservation, High tibial osteotomy, Preoperative planning, Surgical planning


References

1. Smith JO, Wilson AJ, Thomas NP. Osteotomy around the knee: evolution, principles and results. Knee Surg Sports Traumatol Arthrosc. 2013;21(1):3-22.2. Niinimäki TT, Eskelinen A, Ohtonen P, Junnila M, Leppilahti J. Incidence of osteotomies around the knee for the treatment of knee osteoarthritis: a 22-year population-based study. Int Orthop. 2012;36(7):1399-402.
3. Bayliss LE, Culliford D, Monk AP, Glyn-Jones S, Prieto-Alhambra D, Judge A, et al. The effect of patient age at intervention on risk of implant revision after total replacement of the hip or knee: a population-based cohort study. Lancet. 2017;389(10077):1424-30.
4. El-Azab HM, Morgenstern M, Ahrens P, Schuster T, Imhoff AB, Lorenz SG. Limb alignment after open-wedge high tibial osteotomy and its effect on the clinical outcome. Orthopedics. 2011;34(10):e622-8.
5. Razak H, Micicoi G, Khakha RS, Ehlinger M, Faizan A, LiArno S, et al. Patients with varus knee osteoarthritis undergoing high tibial osteotomy exhibit more femoral varus but similar tibial morphology compared to non-arthritic varus knees. Knee Surg Sports Traumatol Arthrosc. 2021.
6. Engel GM, Lippert FG, 3rd. Valgus tibial osteotomy: avoiding the pitfalls. Clin Orthop Relat Res. 1981(160):137-43.
7. Kettelkamp DB, Wenger DR, Chao EY, Thompson C. Results of proximal tibial osteotomy. The effects of tibiofemoral angle, stance-phase flexion-extension, and medial-plateau force. J Bone Joint Surg Am. 1976;58(7):952-60.
8. Tjörnstrand B, Selvik G, Egund N, Lindstrand A. Roentgen stereophotogrammetry in high tibial osteotomy for gonarthrosis. Arch Orthop Trauma Surg. 1981;99(2):73-81.
9. Majeed H. Litigations in trauma and orthopaedic surgery: analysis and outcomes of medicolegal claims during the last 10 years in the United Kingdom National Health Service. EFORT Open Rev. 2021;6(3):152-9.
10. Al Ghunimat A, Hind J, Abouelela A, Sidhu GAS, Lacon A, Ashwood N. Communication With Patients Before an Operation: Their Preferences on Method of Communication. Cureus. 2020;12(11):e11431-e.
11. Miniaci A, Ballmer FT, Ballmer PM, Jakob RP. Proximal tibial osteotomy. A new fixation device. Clin Orthop Relat Res. 1989(246):250-9.
12. Fick R. Handbuch der Anatomie und Mechanik der Gelenke: T. Spezielle Gelenk-und Muskelmechanik: G. Fischer; 1911.
13. Fujisawa Y, Masuhara K, Shiomi S. The effect of high tibial osteotomy on osteoarthritis of the knee. An arthroscopic study of 54 knee joints. Orthop Clin North Am. 1979;10(3):585-608.
14. Dugdale TW, Noyes FR, Styer D. Preoperative planning for high tibial osteotomy. The effect of lateral tibiofemoral separation and tibiofemoral length. Clin Orthop Relat Res. 1992(274):248-64.
15. Lee SS, Lee HI, Cho ST, Cho JH. Comparison of the outcomes between two different target points after open wedge high tibial osteotomy: The Fujisawa point versus the lateral tibial spine. Knee. 2020;27(3):915-22.
16. Takeuchi R, Ishikawa H, Kumagai K, Yamaguchi Y, Chiba N, Akamatsu Y, et al. Fractures around the lateral cortical hinge after a medial opening-wedge high tibial osteotomy: a new classification of lateral hinge fracture. Arthroscopy. 2012;28(1):85-94.
17. Jacobi M, Wahl P, Jakob RP. Avoiding intraoperative complications in open-wedge high tibial valgus osteotomy: technical advancement. Knee Surg Sports Traumatol Arthrosc. 2010;18(2):200-3.
18. Han SB, Lee DH, Shetty GM, Chae DJ, Song JG, Nha KW. A “safe zone” in medial open-wedge high tibia osteotomy to prevent lateral cortex fracture. Knee Surg Sports Traumatol Arthrosc. 2013;21(1):90-5.
19. Nakamura R, Komatsu N, Fujita K, Kuroda K, Takahashi M, Omi R, et al. Appropriate hinge position for prevention of unstable lateral hinge fracture in open wedge high tibial osteotomy. Bone Joint J. 2017;99-b(10):1313-8.
20. Sivertsen EA, Vik J, Meland ASV, Nerhus TK. The Dugdale planning method for high tibial osteotomies underestimates the correction angle compared to the Miniaci method. Knee Surg Sports Traumatol Arthrosc. 2021.
21. Elson DW, Petheram TG, Dawson MJ. High reliability in digital planning of medial opening wedge high tibial osteotomy, using Miniaci’s method. Knee Surg Sports Traumatol Arthrosc. 2015;23(7):2041-8.
22. Yoon SD, Zhang G, Kim HJ, Lee BJ, Kyung HS. Comparison of Cable Method and Miniaci Method Using Picture Archiving and Communication System in Preoperative Planning for Open Wedge High Tibial Osteotomy. Knee Surg Relat Res. 2016;28(4):283-8.


How to Cite this article: Razak H, Kley K | Indications for High Tibial Osteotomy | Asian Journal of Arthroscopy | July-December 2021; 6(2): 08-11.


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