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J Knee Surg 2020; 33(12): 1164-1171
DOI: 10.1055/s-0040-1712985
Special Focus Section

Osteotomies for the Management of Medial Compartment Defects of the Knee

Nathan L. Grimm
1   Pediatric & Adult Sports Medicine Surgeon, Idaho Sports Medicine Institute, Boise, Idaho
2   Division of Sports Medicine, Department of Orthopaedic Surgery, University of Connecticut Health, Farmington, Connecticut
,
Benjamin J. Levy 
2   Division of Sports Medicine, Department of Orthopaedic Surgery, University of Connecticut Health, Farmington, Connecticut
,
Andrew E. Jimenez
2   Division of Sports Medicine, Department of Orthopaedic Surgery, University of Connecticut Health, Farmington, Connecticut
,
Robert A. Arciero
2   Division of Sports Medicine, Department of Orthopaedic Surgery, University of Connecticut Health, Farmington, Connecticut
› Author Affiliations Funding None.
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Abstract

For nearly three-quarters of a century the proximal tibia osteotomy has been used as an effective treatment for cartilage injuries of the knee. Over this same timeframe several advancements have been made in our diagnostic, preoperative planning, and technical execution of this procedure. As such, good-to-excellent short-, mid-, and long-term outcomes have been reported. Since its inception, the most important step in deciding on this procedure is identifying the ideal candidate. This candidate should be a young patient (<55 years old), active, with isolated medial compartment arthrosis without significant comorbidities. With appropriate patient selection and careful preoperative planning, the patient should achieve excellent results and high satisfaction.

Keywords

knee - osteotomy - tibia - high tibial osteotomy - sports


Publication History

Received: 17 March 2020

Accepted: 02 May 2020

Article published online:
24 June 2020

© 2020. Thieme. All rights reserved.

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