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High Tibial Osteotomy in Cartilage Repair

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Techniques in Cartilage Repair Surgery

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Abstract

Deformity of the knee associated with osteoarthrosis (OA) is a common presenting complaint to the orthopedic surgeon. In a normal knee, approximately 60 % of the weight-bearing forces are transmitted through the medial compartment and 40 % through the lateral compartment. The varus knee with unicompartmental OA of the medial compartment has an altered limb alignment and subsequently more load is distributed to the affected compartment. Despite the expanding indications for knee arthroplasty, it is advantageous to delay arthroplasty given the higher wear rate and likelihood of future complex revisions if the primary surgery is performed in patients at a young age [1]. Proximal tibial osteotomy, a joint-preserving procedure, has been reported as a viable surgical option for younger patients with isolated medial compartment arthritis. The aim of the surgery is to shift the weight-bearing axis away from the diseased area, as this relieves the pain and suppresses the disease progression. It has been reported that young active patients with isolated medial compartment disease and varus knee alignment have the highest likelihood of a good outcome with an osteotomy [2, 3]. This can delay, or potentially avoid, the need for a total knee arthroplasty.

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Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, University Orthopaedic, Hand and Reconstructive Microsurgery Cluster, National University Health System, Singapore, Singapore

    Mohammed Shukrimi, Sureshbabu Manivannan, Joel Lee & James H. P. Hui

Authors
  1. Mohammed Shukrimi
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  2. Sureshbabu Manivannan
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  3. Joel Lee
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  4. James H. P. Hui
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Corresponding author

Correspondence to James H. P. Hui .

Editor information

Editors and Affiliations

  1. Department of Minimally Invasive Surgery, Faculty of Health and Social Sciences, Canterbury Christ Church University, Chatham Maritime, Kent, UK

    Asode Ananthram Shetty MD, PhD, MCh, FRCS Ed., FRCS Eng., FRCS Orth

  2. Faculty of Stem Cell Research and Regenerative Medicine, NITTE University, Mangalore, India

    Asode Ananthram Shetty MD, PhD, MCh, FRCS Ed., FRCS Eng., FRCS Orth  & Seok-Jung Kim MD, PhD, FRCS  & 

  3. Department of Orthopaedic Surgery, Uijeongbu St. Mary’s Hospital College of Medicine The Catholic University of Korea, Gyeonggi-do, Korea, Republic of, South Korea

    Seok-Jung Kim MD, PhD, FRCS

  4. Institute for Medical Science in Sports, Osaka Health Science University, Osaka, Japan

    Norimasa Nakamura MD, PhD

  5. Center for Advanced Medical Engineering and Informatics, Osaka University, Suita, Osaka, Japan

    Norimasa Nakamura MD, PhD

  6. Cartilage Research Unit Department of Orthopaedic, University of Gothenburg, Kungsbacka, Sweden

    Mats Brittberg MD, PhD

  7. Region Halland Orthopaedics Kungsbacka Hospital, Kungsbacka, Sweden

    Mats Brittberg MD, PhD

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Shukrimi, M., Manivannan, S., Lee, J., Hui, J.H.P. (2014). High Tibial Osteotomy in Cartilage Repair. In: Shetty, A.A., Kim, SJ., Nakamura, N., Brittberg, M. (eds) Techniques in Cartilage Repair Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-41921-8_24

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  • DOI: https://doi.org/10.1007/978-3-642-41921-8_24

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-41920-1

  • Online ISBN: 978-3-642-41921-8

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