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KMID : 0361620180530040293
Journal of the Korean Orthopaedic Association
2018 Volume.53 No. 4 p.293 ~ p.300
Opening Wedge High Tibia Osteotomy
Oh Seung-Min

Nha Kyung-Wook
Han Jae-Hui
Abstract
Proximal tibial osteotomy is the preferred method for treating medial compartment knee arthritis with varus deformity. The purpose of this treatment is to reduce the weight burden of the lesion by correcting the mechanical axis of the patient with degenerative arthritis of medial tibiofemoral joint and abnormal alignment. In general, the proximal tibial osteotomy provides satisfactory clinical results when suitable patient are selected by considering the extent of cartilaginous injury and the age of the patient and the correct technique is performed. In tibial osteotomy, medial open wedge osteotomy is used widely because of its short operation time and relatively simple technique. This review describes the current knowledge of patient selection, preoperative evaluation and planning, treatment principles, surgical techniques, rehabilitation procedures and complications in open wedge high tibial osteotomy.
KEYWORD
knee joint, osteoarthritis, high tibial osteotomy, medial opening wedge
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