Knee Surgery pp 288-300 | Cite as

High Tibial Osteotomy

  • Martin W. Korn


Painful knees with varus or valgus angular deformity and mainly unicompartmental noninflammatory arthritis can be symptomatically improved by corrective osteotomy about the knee. This is believed to be due to transferring the excessive weight-bearing forces from the diseased compartment to the less involved one. As larger and more intact articular surfaces share the weight-bearing forces, pressure decreases, degeneration of the overloaded compartment may slow or reverse, and pain diminishes or ceases. Coventry,1 Maquet,2,3 Fujisawa et a1,4 and Oldenbring et al5 reported that correction of angular deformity can lead to regrowth of an articular surface, which is thought to mature to a fibrocartilage. Analysis of the biomechanical forces involved in arthritic deformity has been published by Maquet,6 Chao,7 and Harding.8


Total Knee Replacement High Tibial Osteotomy Mechanical Axis Anatomic Axis Anterior Tibial Artery 
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© Springer Science+Business Media New York 2001

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  • Martin W. Korn

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