Hello Surgeon 👋🏻

X

How can we help you today?

Indications and Contraindications for high tibial osteotomy

 Indications and Contraindications for high tibial osteotomy


  • High tibial osteotomy is a procedure for the treatment of uni-compartmental osteoarthritis of the knee joint.
  • The most common deformity in patients with knee osteoarthritis is a varus position, which causes stresses to be concentrated om medial compartment of the joint, which leads to accelerate degenerative changes in this compartment.

What are the indications for high tibial osteotomy in osteoarthritis of the knee?

  1. Patient is physiologically young and active.
  2. Pain and disability resulting from osteoarthritis that prevent the patient from daily activities.
  3. Evidence on weight-bearing radiographs of degenerative arthritis that is confined to one compartment with a corresponding varus or valgus deformity.
  4. The patient must be able to use crutches or a walker, and have sufficient muscle strength and motivation to carry out a rehabilitation program.
See Also: Risk factors associated with osteoarthritis disease

What are the Contraindications for high tibial osteotomy in osteoarthritis of the knee?

  1. Narrowing of lateral compartment cartilage space.
  2. Lateral tibial subluxation of more than 1 cm.
  3. Medial compartment tibial bone loss of more than 2 or 3 mm,
  4. Flexion contracture of more than 15 degrees.
  5. Knee flexion of less than 90 degrees.
  6. More than 20 degrees of correction needed.
  7. Inflammatory arthritis.
  8. Significant peripheral vascular disease.

See Also: Anatomic sources of pain in osteoarthritis

Previous

Next

Learn More Orthopedic

 Elbow Osteochondritis Dissecans

Elbow Osteochondritis Dissecans

Elbow Osteochondritis Dissecans of the capitellum is a non-inflammatory degeneration of subchondral bone occurring in the…
 Panners Disease

Panners Disease

Panners disease (osteochondrosis deformans or osteochondritis) is an aseptic or osteonecrosis of the epiphysis of the…
 Facioscapulohumeral Dystrophy FSHD

Facioscapulohumeral Dystrophy FSHD

Facioscapulohumeral dystrophy (FSHD) is an autosomal dominant condition with characteristic weakness of the facial and shoulder…
 Trapezius Myalgia

Trapezius Myalgia

Trapezius myalgia is vaguely defined as pain in the region of the trapezius, most frequently involving…
 Scapular Dyskinesis

Scapular Dyskinesis

Scapular dyskinesis is an alteration in the normal position or motion of the scapula that occurs…
 Scapula Anatomy

Scapula Anatomy

The Scapula Anatomy is a complex osseous structure that plays a critical role in the maintenance…


Get Orthopedic apps for android

orthopedic examination and special test app for android