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High tibial osteotomy is an orthopaedic surgical procedure which aims to correct a varus deformation with compartmental osteoarthritis.Since the inception of the procedure, advancements to technique, fixation devices, and a better understanding of patient selection has allowed HTO to become more popular in younger, more active patients hoping to combat arthritis. [1]
The location of the removed wedge of bone depends on where osteoarthritis has damaged the knee cartilage. The most common type of osteotomy performed on arthritic knees is a high tibial osteotomy, which addresses cartilage damage on the inside (medial) portion of the knee. The procedure usually takes 60 to 90 minutes to perform. [9]
Indications and contraindications [ edit ] UKA may be suitable for people with moderate joint disease caused by painful osteoarthritis or traumatic injury, a history of unsuccessful surgical procedures or poor bone density that precludes other types of knee surgery. [ 1 ]
Osteotomy may be useful in people with knee osteoarthritis, but has not been well studied and it is unclear whether it is more effective than non-surgical treatments or other types of surgery. [144] [145] Arthroscopic surgery is largely not recommended, as it does not improve outcomes in knee osteoarthritis, [146] [147] and may result in harm ...
A flattened or slightly dished high-density polyethylene surface is then inserted onto the tibial component so the weight is transferred metal to plastic, not metal to metal. During the operation any deformities must be corrected, and the ligaments balanced so the knee has a good range of movement, and is stable and aligned.
Osteotomy to restore or modify joint congruity is also a form of arthroplasty. [ citation needed ] In recent decades, the most successful and common form of arthroplasty is the surgical replacement of a joint or joint surface with a prosthesis .
In medicine, the Ilizarov apparatus is a type of external fixation apparatus used in orthopedic surgery to lengthen or to reshape the damaged bones of an arm or a leg; used as a limb-sparing technique for treating complex fractures and open bone fractures; and used to treat an infected non-union of bones, which cannot be surgically resolved.
Popliteal bypass surgery, more commonly known as femoropopliteal bypass (FPB, fem-pop, etc.) or more generally as lower extremity bypass surgery, is a surgical procedure used to treat diseased leg arteries above or below the knee. [1]