High tibial osteotomy as a treatment protocol for osteoarthritis of a knee- time for a change?

Abstract

Osteoarthritis is a common degenerative condition of the joints, consisting of retrogressive sequence of cell and matrix changes that result in loss of articular cartilage structure and function. It affects all ethnic groups in all geographic locations. There are several treatment options available for early OA knee including non pharmacological, pharmacological treatment and various surgical treatment. An arthroplasty is a good option for low demand and older patients there remains a significant concern regarding the longevity of implant, particularly in younger patients whereas high tibial osteotomy is joint preserving surgery . The normal anatomical tibial bone shape is maintained after the HTO, which allows for conversion to knee replacement if required in future . Early ambulation and weight bearing on operated limb is possible with use of orthofix .Orthofix does not require additional surgery for implant removal and bone graft is also not needed.