Medial Opening-Wedge High Tibial Osteotomy for Medial Compartment Arthrosis/Overload

Molly Day; Brian R Wolf

doi:10.1016/j.csm.2019.02.003

Medial Opening-Wedge High Tibial Osteotomy for Medial Compartment Arthrosis/Overload

Clin Sports Med. 2019 Jul;38(3):331-349. doi: 10.1016/j.csm.2019.02.003.

Authors

Molly Day¹, Brian R Wolf²

Affiliations

¹ Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Iowa City, IA 52242, USA. Electronic address: molly-day@uiowa.edu.
² Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, University of Iowa Athletics, 2701 Prairie Meadow Drive, Iowa City, IA 52240, USA.

PMID: 31079766
DOI: 10.1016/j.csm.2019.02.003

Abstract

Medial opening-wedge high tibial osteotomy has become increasingly popular for treating isolated, medial compartment arthrosis in younger, more active patients. Relative indications include age younger than 55 to 60 years, normal weight, preserved range of motion, and isolated medial compartment osteoarthritis or overload. Several surgical techniques exist for stabilization of the osteotomy with similar outcomes. Complication rates after medial opening-wedge high tibial osteotomy vary from 29% to 37%, with highest risk of nonunion, fracture, stiffness, and loss of correction. Good long-term outcomes can be achieved, with 5- and 10-year survivorship rates ranging from 75% to 98.7% and 51% to 97.6%, respectively.

Keywords: Mechanical axis; Medial opening-wedge high tibial osteotomy; Medial tibiofemoral compartment overload; Medial tibiofemoral osteoarthrosis; Varus deformity.

Publication types

Review

MeSH terms

Humans
Knee Joint / diagnostic imaging
Knee Joint / surgery
Osteoarthritis, Knee / surgery*
Osteotomy / methods*
Preoperative Period
Radiography
Tibia / surgery*