Aim of Report:
The main aim of this report is to outline the outcomes of treating medial compartment osteoarthritis of the knee using high tibial osteotomy (HTO) by exploring the supporting literature. The report aims to cover the following steps
• Formulating a research question.
• Searching the literature to answer the research question.
• Critically appraisal.
• Providing recommendations.
• Applying the results of the study to practice.
• Providing a conclusion answering the research question. Rationale for Question:
One of the most common joint disorders encountered today is osteoarthritis of the knee causing considerable pain immobility and deformity. The associated mal-alignment in the joint due to the deformity increases the progression …show more content…
2012). The prevalence and burden of knee osteoarthritis has seen a substantial rise recently. This has led to a recent increase in the number of publications on HTOs (McNamara et al. 2013). Surgeons are looking at HTO as a alternative viable option due to concerns of longterm survival of uni-compartmental and total knee arthroplasty in the younger population (McNamara et al. 2013). The advantages of osteotomy include the facts that prosthetic material is not used, the bone stock is preserved and unlimited activity is permitted (Stukenborg-Colsman et al. 2001), excellent pain relief and function improvement, often delaying the need for total knee replacement (TKR) (Dettoni et al. 2010).Satisfactory long-term outcomes following HTO have been documented (Bito et al. 2010).Various techniques, such as lateral closed-wedge, medial opening wedge, dome osteotomy and hemicallotosis with external fixator, etc. are available. Each technique has its own advantages and disadvantages (R. W. Brouwer et al. 2006; Magyar et al. 1999; Kaper et al. 2001; Insall et al. …show more content…
2010). However, opening-wedge HTO still has disadvantages that include loss of fixation, as well as nonunion and delayed union of osteotomy, patellofemoral complication common to both types of HTOs (Song et al. 2012; Takeuchi et al. 2010). Few surgeons favor a lateral closing wedge HTO (Coventry 1985) as the technique providse a relatively stable osteotomy ‘‘construct’’ that permits early weight bearing(McNamara et al. 2013). But it should be noted that the procedure is limited by complications like medial collateral ligament instability, patella infera, loss of correction, delayed union and nonunion, fracture, arthrofibrosis, bone stock loss and the risk of peroneal nerve palsy (Matthews et al. 1988; JACKSON & WAUGH 1961; Wright et al. 2005; Stoffel et al.
The main aim of this report is to outline the outcomes of treating medial compartment osteoarthritis of the knee using high tibial osteotomy (HTO) by exploring the supporting literature. The report aims to cover the following steps
• Formulating a research question.
• Searching the literature to answer the research question.
• Critically appraisal.
• Providing recommendations.
• Applying the results of the study to practice.
• Providing a conclusion answering the research question. Rationale for Question:
One of the most common joint disorders encountered today is osteoarthritis of the knee causing considerable pain immobility and deformity. The associated mal-alignment in the joint due to the deformity increases the progression …show more content…
2012). The prevalence and burden of knee osteoarthritis has seen a substantial rise recently. This has led to a recent increase in the number of publications on HTOs (McNamara et al. 2013). Surgeons are looking at HTO as a alternative viable option due to concerns of longterm survival of uni-compartmental and total knee arthroplasty in the younger population (McNamara et al. 2013). The advantages of osteotomy include the facts that prosthetic material is not used, the bone stock is preserved and unlimited activity is permitted (Stukenborg-Colsman et al. 2001), excellent pain relief and function improvement, often delaying the need for total knee replacement (TKR) (Dettoni et al. 2010).Satisfactory long-term outcomes following HTO have been documented (Bito et al. 2010).Various techniques, such as lateral closed-wedge, medial opening wedge, dome osteotomy and hemicallotosis with external fixator, etc. are available. Each technique has its own advantages and disadvantages (R. W. Brouwer et al. 2006; Magyar et al. 1999; Kaper et al. 2001; Insall et al. …show more content…
2010). However, opening-wedge HTO still has disadvantages that include loss of fixation, as well as nonunion and delayed union of osteotomy, patellofemoral complication common to both types of HTOs (Song et al. 2012; Takeuchi et al. 2010). Few surgeons favor a lateral closing wedge HTO (Coventry 1985) as the technique providse a relatively stable osteotomy ‘‘construct’’ that permits early weight bearing(McNamara et al. 2013). But it should be noted that the procedure is limited by complications like medial collateral ligament instability, patella infera, loss of correction, delayed union and nonunion, fracture, arthrofibrosis, bone stock loss and the risk of peroneal nerve palsy (Matthews et al. 1988; JACKSON & WAUGH 1961; Wright et al. 2005; Stoffel et al.