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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]
Knee replacement, also known as knee arthroplasty, is a surgical procedure to replace the weight-bearing surfaces of the knee joint to relieve pain and disability, most commonly offered when joint pain is not diminished by conservative sources.
The Royal Free Hampstead NHS Trust was authorised by Monitor as an NHS foundation trust on 1 April 2012, [9] subsequently changing its name to Royal Free London NHS Foundation Trust. [10] In the same month, University College London Hospitals NHS Foundation Trust took over management of Royal National Throat, Nose, and Ear Hospital from the ...
The trust expected to finish 2015-16 with a deficit of more than £22 million as a result of changes to the NHS tariff. [36] In February 2016 it was expecting a deficit of £32.5 million for the year 2015/6.
It was accepted by Andrew Lansley that a number of trusts would never reach foundation trust status, and a new organisation – the NHS Trust Development Authority – was established by the Health and Social Care Act 2012 to supervise trusts which have not reached foundation status, of which there were 99 in April 2013, 47 of which were never ...
In 2014-2015 the trust was given a loan of £6.2 million by the Department of Health which is supposed to be paid back in five years. [11] In 2020, the trust was rated "Good", with its main hospital (Kings Mill Hospital) being rated "Outstanding". In 2021 it was named by the Health Service Journal as the Acute or Specialist Trust of the Year. [12]
This is the third successive year the trust has made a surplus after incurring deficits between 2003 and 2007. With regard to its other financial duties, the trust stayed within its external financing limit (EFL) – using slightly less cash to fund its services and to meet its obligations than the allowance set by the Department of Health. The ...