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European Instructional Lectures pp 253–258Cite as

Modern Indications for High Tibial Osteotomy

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Part of the book series: European Instructional Lectures ((EICL,volume 13))

Abstract

The aim of this paper is to set out modern indications for the High Tibial Osteotomy (HTO) procedure in cartilage pathologies of the medial compartment of the knee that is the unloading of the cartilage to obtain better results.

The HTO that gives the most reliable results over time is the open-wedge procedure. Applying the correct technique is fundamental to obtaining the desired results. The best results can be seen in cases where the subject is relatively young, and where early osteoarthritis is visible in weight-bearing x-rays. Encouraging results can be seen when modern techniques are used in addition to a HTO, such as a cartilage treatment, medial meniscus transplantation or ligament reconstruction, always performed in carefully pre-selected patients.

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Authors and Affiliations

  1. Department of Knee Surgery and Sports Traumatology, IRCCS Istituto Clinico Humanitas, Rozzano, Milano, Italy

    Matteo Denti & Piero Volpi

  2. Valle Giulia Clinic, Rome, Italy

    Giancarlo Puddu

Authors
  1. Matteo Denti
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  2. Piero Volpi
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  3. Giancarlo Puddu
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Correspondence to Matteo Denti .

Editor information

Editors and Affiliations

  1. Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, HA7 4LP, Middlesex, United Kingdom

    George Bentley

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© 2013 EFORT

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Denti, M., Volpi, P., Puddu, G. (2013). Modern Indications for High Tibial Osteotomy. In: Bentley, G. (eds) European Instructional Lectures. European Instructional Lectures, vol 13. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-36149-4_20

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  • DOI: https://doi.org/10.1007/978-3-642-36149-4_20

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-36148-7

  • Online ISBN: 978-3-642-36149-4

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