Total knee replacement after high tibial osteotomy – Analysis

An important aim of high tibial osteotomy (HTO) is to prevent or delay the need for total knee replacement (TKR). We sought to estimate the frequency and timing of conversion from HTO to TKR and the factors associated with it.
We found that 79% of knees did not undergo TKR within 10 years after undergoing medial opening wedge HTO. The strongest predictor of conversion to TKR is greater radiographic disease at the time of HTO.
Author(s)Source
Primeau CA, Birmingham TB, Leitch KM, Willits KR et al.CMAJ February 01, 2021 193 (5) E158-E166; DOI: https://doi.org/10.1503/cmaj.200934

german: Deutsches Ärzteblatt

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