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


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


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


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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

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


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


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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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