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      High Tibial Osteotomy for Varus Deformity of the Knee

      review-article
      , MD, , MD, , MD, , MD
      JAAOS Global Research & Reviews
      Wolters Kluwer

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          Abstract

          High tibial osteotomy is a powerful technique to treat symptomatic varus deformity of the knee and is successful when properly indicated and performed. Indications include varus deformity with medial compartment osteoarthritis, cartilage or meniscus pathology. Several techniques exist to correct symptomatic varus malalignment along with concomitant procedures to restore cartilage or meniscus injuries. Evidence supporting high tibial osteotomy for symptomatic medial compartment pathology exists, which provides a durable solution for joint preservation. This review will discuss the indications, techniques, and outcomes for high tibial osteotomies used in the treatment of symptomatic varus deformity of the knee.

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          Most cited references40

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          Deformity planning for frontal and sagittal plane corrective osteotomies.

          The authors have developed a universal system of geometric deformity planning based on the mechanical or anatomic axes. The place where the axes intersect is the center of rotation angulation (CORA) of a deformity. Osteotomy level and type should be considered relative to the CORA to avoid creating secondary deformities. This type of planning is applicable to both frontal and sagittal plane deformities.
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            20-Year Outcomes of Anterior Cruciate Ligament Reconstruction With Hamstring Tendon Autograft: The Catastrophic Effect of Age and Posterior Tibial Slope

            No well-controlled studies have compared the long-term outcome of anterior cruciate ligament (ACL) reconstruction with hamstring tendon autograft between adolescents and adults. Increased posterior tibial slopes (PTSs) have been reported in the ACL-injured versus controls, but the effect of PTS on the outcome after reconstruction is relatively unexplored.
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              Tibial Slope and Its Effect on Force in Anterior Cruciate Ligament Grafts: Anterior Cruciate Ligament Force Increases Linearly as Posterior Tibial Slope Increases

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                Author and article information

                Contributors
                Journal
                J Am Acad Orthop Surg Glob Res Rev
                J Am Acad Orthop Surg Glob Res Rev
                JAAOS Glob Res Rev
                JAAOS Glob Res Rev
                JAAOS Glob Res Rev
                JAAOS Global Research & Reviews
                Wolters Kluwer (Philadelphia, PA )
                2474-7661
                July 2021
                09 July 2021
                : 5
                : 7
                : e21.00141
                Affiliations
                From the Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA (Dr. Murray, Dr. Winkler, Dr. Shaikh, and Dr. Musahl), and the Department for Orthopaedic Sports Medicine, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany (Dr. Winkler).
                Article
                JAAOSGlobal-D-21-00141 00006
                10.5435/JAAOSGlobal-D-21-00141
                8274793
                34242204
                eb7454f2-3561-46fe-bf0f-56265f50f2f6
                Copyright © 2021 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Orthopaedic Surgeons.

                This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 04 June 2021
                : 12 June 2021
                Categories
                Review Article
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