Realignment osteotomy of the knee allows for return to work and sport activities in the young athletic population

Knee Preservation Techniques for Severe Synovial Osteochondromatosis in End-Stage Osteoarthritic Knee Using High Tibia Osteotomies, Cartilage Restoration Procedure, and Biologics; A Case Report in Bilateral Knees

“…A key advantage of High Tibial Osteotomy may allow unlimited activity following surgery, including running, jumping, cutting and pivoting. 2 The result of our patient seem to support this concept. The microfracture technique often is considered the golden standard therapy for the treatment of cartilage defects.…”

“…1 surgical treatments such as arthroscopic debridement or knee replacement have limitation in long-term efficacy or appropriateness for this type of patient. 1,2 Joint preservation surgery is most difficult in patients with concomitant knee pathologies, including cartilage defects, meniscal deficiency, malalignment, and/or intraarticular pathology such as synovial chondromatosis. Synovial chondromatosis can occur as either a primary or secondary form.…”

“…Realignment osteotomy is effective in offloading the affected arthritic compartment by performing a valgus or varus correction for a medial or lateral disease, respectively. 2 The use of biologic therapy as an alternative to or to augment more conventional surgical management has increase in popularity in the past decade, and indications for biologic therapy continue to evolve. 1 Mesenchymal Stem Cells (MSCs) are considered to be the most promising cells for cartilage regeneration by cell transplantation, and they have been applied clinically.…”

Knee osteoarthritis and management of the retired athlete: the role of osteotomy

“…22 We studied a cohort of young, active patients treated at our clinic undergoing knee osteotomy for a variety of pathologies. 23 In 60 patients, all under the age of 45 years old, 95% were able to return to sport by 2 years postoperatively, with 74% returning to their preinjury level. Sixty-five percent of patients competed at a high level of sport preoperatively, indicating that return to cutting and pivoting sports is possible after a realignment procedure; however, this is likely to be sport specific in terms of the demands required by individual sports.…”

No clinical outcome difference between varus phenotypes after medial opening‐wedge high tibial osteotomy at 2 years follow‐up

“…A single-centre knee osteotomy database (2016-2020) was retrospectively screened by a single observer for valgus-producing unilateral MOWHTO surgery in patients 18-80 years of age and with the availability of baseline patient-reported outcome measures (PROMs) and minimal 2-year clinical follow-up. The response rate on PROMs in the study centre is 88% at baseline and 77% at 2 years which is superior to other clinical osteotomy studies [10,27]. The selected cases were then subjected to specific radiological inclusion criteria: the availability of a valid preoperative (within 1 year before surgery) and postoperative (3 months) full-leg bipodal standing radiograph and a Schuss view knee radiograph.…”