“…The greater part of its substance can be applied to worldwide osteotomy practice where the indications and the resource exist. It difers somewhat from a recently published UK consensus [17] in which an alternative methodology has been used. The UK consensus covers a wider range of indications for osteotomy and includes more complex and challenging situations, whereas the ESSKA consensus focusses speciically upon varus medial osteoarthritis in a detailed analysis.…”
“…The greater part of its substance can be applied to worldwide osteotomy practice where the indications and the resource exist. It difers somewhat from a recently published UK consensus [17] in which an alternative methodology has been used. The UK consensus covers a wider range of indications for osteotomy and includes more complex and challenging situations, whereas the ESSKA consensus focusses speciically upon varus medial osteoarthritis in a detailed analysis.…”
“…suggests not only that this procedure is actively being used in clinical practice, but that the continued use of this procedure is based on limited current research. The belief that further research is needed to improve current practice with regards to osteotomies of the knee is supported by the UK Knee Osteotomy Group's recent consensus statement [28].…”
Section: Author Complications Success Rate and Further Proceduresmentioning
“…Nowadays, PTO might be performed, if degenerative changes occur, in patients with varus knee plus ACL rupture in the absence of dynamic instability on weight-bearing lateral radiographs. ACL reconstruction may be combined with PTO or performed as a second surgical stage, usually in patients with painful instability combined with medial degenerative changes in a varus knee ( 3 ).…”
Osteotomies around the knee represent a valid surgical treatment in young active patients affected by unicompartmental osteoarthritis and/or knee ligament instability.
This review article describes the main osteotomies performed around the knee and their optimization, with particular attention to indications and surgical technique in light of the most recent literature and author experience.
Further developments have to be expected from technological advances, focusing particularly on surgical planning and the control of intraoperative deformity correction by pre-shaped cutting blocks.
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