High tibial osteotomy in a lax knee: A review of current concepts

Wade, Roshan; Shah, Swapneel; Sujith, B.S.; Shah, Kunal Ajitkumar; Raj, Aditya; Marathe, Nandan

doi:10.1016/j.jor.2019.10.023

Cited by 13 publications

(7 citation statements)

References 19 publications

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“…e concept of enhanced recovery surgery is introduced by professor Henrik Kehlet of Denmark in 2001. e concept of enhanced recovery after surgery (ERAS) is based on the preparation of the sufferer's physical and mental conditions before surgery. It can reduce the physical and mental damage of sufferers during the whole process of surgery, enhance the postoperative recovery rate of sufferers, and enable sufferers to obtain the best prognosis, thereby effectively improving the recovery speed and satisfaction of sufferers [3,4]. e use of the ERAS concept in most orthopedic operations has achieved good results.…”

Section: Introductionmentioning

confidence: 99%

[Retracted] The Effects of ERAS Concept Combined with Postoperative Leg Pad Elevation on Knee Enhancement, Quality of Life, and Pain in Sufferers after HTO Surgery

Zhu

Huang

2022

Contrast Media & Molecular Imaging

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The effects of the enhanced recovery after surgery (ERAS) concept combined with postoperative leg pad elevation on knee enhancement, quality of life, and pain in sufferers after high tibial osteotomy (HTO) are investigated. A total of 98 sufferers who underwent high tibial osteotomy in our hospital from January 2020 to May 2021 were selected as the study subjects. Two sets of sufferers are randomly divided into the study set and the routine set by the random number table method, with 49 cases in each set. The contrast set is given routine nursing intervention, and the ERAS concept combined with self-made raising leg pad nursing is given to the study set on the basis of the contrast set. Efficacy, joint pain, knee function, SF-36 fraction, quality of life fraction, and psychological status fraction are observed in 2 sets. Experimental results show that for sufferers after HTO surgery, the application of the ERAS concept combined with leg pad nursing therapy can effectively enhance postoperative knee function and adverse mood, reduce postoperative pain, and enhance postoperative quality of life.

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Section: Introductionmentioning

confidence: 99%

[Retracted] The Effects of ERAS Concept Combined with Postoperative Leg Pad Elevation on Knee Enhancement, Quality of Life, and Pain in Sufferers after HTO Surgery

Zhu

Huang

2022

Contrast Media & Molecular Imaging

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“…Traditional contraindications for HTO are obesity, knee stiffness, ligamentous instability that is not amenable to reconstruction, inflammatory arthritis, medial bone loss, symptomatic arthritis in other compartments, or prior lateral meniscectomy 9 . Coexisting ligamentous or soft tissue pathology such as anterior cruciate ligament (ACL) or posterior cruciate ligament (PCL) deficiency, chondral pathology, or medial meniscal pathology is not necessarily contraindicated because reconstruction, repair, or replacement can be performed concomitantly or in a staged fashion 10,11 , as adjustments in coronal and sagittal alignment can be used to provide a biomechanical advantage.…”

Section: High Tibial Osteotomymentioning

confidence: 99%

Comparing Unicompartmental Knee Arthroplasty and High Tibial Osteotomy for Isolated Medial Compartment Knee Osteoarthritis

et al. 2023

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Both unicompartmental knee arthroplasty (UKA) and high tibial osteotomy (HTO) allow for compartment-specific intervention on an arthritic knee joint that preserves bone stock and native soft tissue compared to a total knee arthroplasty (TKA). Both operations give a more natural feeling with native proprioception compared with a TKA.HTO is better suited in patients who are younger (<55 years-of-age), have a body mass index (BMI) <30 kg/m2, high activity requirements, mechanical malalignment, asymmetric varus, isolated anterior cruciate ligament insufficiency, need for multiplanar correction, and a preference for joint preserving interventions. Recent data suggest that age (>55 years-of-age) should not solely contraindicate a HTO.UKA may be chosen in patients who are older (>55 years-of-age), low activity requirements, have a BMI <40 kg/m2, severe osteoarthritis with significant joint space narrowing, acceptable coronal alignment, symmetric varus, and patient preference for arthroplasty.

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“…If lower extremity alignment has been corrected accurately and the fracture is completely healed, the internal fixation can be removed at a scheduled time point. 80,81 Formulation Methods of these Guidelines…”

Section: Clinicalmentioning

confidence: 99%

“…(v) If the patient requires removal of the internal fixation, local and full‐length X‐ray films of both lower extremities should be taken 12–18 months after surgery. If lower extremity alignment has been corrected accurately and the fracture is completely healed, the internal fixation can be removed at a scheduled time point 80,81 …”

Section: Clinical Questionsmentioning

confidence: 99%

Chinese Clinical Practice Guidelines in Treating Knee Osteoarthritis by Periarticular Knee Osteotomy

Wang

2022

Orthopaedic Surgery

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Unicompartmental knee osteoarthritis (UKOA) is the early stage of knee joint degeneration, which is characterized by unicompartmental degeneration and mostly occurs in medial compartment. Pain and limited motion are main symptoms, which affect patients' life quality. Periarticular knee osteotomy (PKO) for lower extremity alignment correction is an effective treatment for UKOA with abnormal alignment, which could relieve pain and improve joint function by adjusting lower extremity alignment. At present, no clinical guidelines are available for the treatment of UKOA by PKO for lower extremity alignment correction. Experts from the Clinical New Technology Application Committee of the Chinese Hospital Association, Joint Surgery Study Group of the Chinese Orthopaedic Association of the Chinese Medical Association, and Osteoarthritis Study Group of the Chinese Association of Orthopaedic Surgeons of the Chinese Medical Doctor Association formulated these guidelines. The Grading of Recommendations Assessment, Development, and Evaluation (GRADE) grading system and the Reporting Items for Practice Guidelines in Healthcare (RIGHT) were adopted to select 25 most concerning questions. Finally, 25 recommendations were formulated through evidence retrieval, evidence quality evaluation, and the determination of directions and strength of recommendations. Recommendation items 1–5 are indications and contraindications for PKO for lower extremity alignment correction, items 6–21 are surgical methods and principles, item 22 describes 3D printing corrective osteotomy technique, and items 23–25 address the perioperative period, follow‐up management, and other content. These guidelines are designed to improve the normalization and standardization of KOA treatment by PKO for lower extremity alignment correction.

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High tibial osteotomy in a lax knee: A review of current concepts

Cited by 13 publications

References 19 publications

[Retracted] The Effects of ERAS Concept Combined with Postoperative Leg Pad Elevation on Knee Enhancement, Quality of Life, and Pain in Sufferers after HTO Surgery

[Retracted] The Effects of ERAS Concept Combined with Postoperative Leg Pad Elevation on Knee Enhancement, Quality of Life, and Pain in Sufferers after HTO Surgery

Comparing Unicompartmental Knee Arthroplasty and High Tibial Osteotomy for Isolated Medial Compartment Knee Osteoarthritis

Chinese Clinical Practice Guidelines in Treating Knee Osteoarthritis by Periarticular Knee Osteotomy

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