Abstract
In patients suffering from gonarthrosis, which is limited to the medial aspect of the knee joint, high tibial valgisation osteotomy appears to be an appropriate alternative to knee arthroplasty [6,9]. In 1958, Jackson described this procedure for axis correction of the proximal tibia [8] for the first time. This operation was modified 1965 by Coventry [3]. At first, it was used mainly for correction of valgus deformities. According to the knee baseline in valgus deformity, distal femur osteotomy may be recommended [1]. For a long time the indication for high tibial osteotomy was not subject to discussion [2]. Within the last years high tibial osteotomy was performed more and more seldom and seemed to be replaced by uni- or bicondulary knee arthroplasty. Taking into account the biomechanical basics and the very positive long-time results, which were achieved by the traditional osteotomy technique this change of treatment does not seem to be adequate.
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Hassenpflug, J., Prymka, M. (2004). High Tibial Osteotomy – Use of Navigation System. In: Navigation and Robotics in Total Joint and Spine Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-59290-4_60
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DOI: https://doi.org/10.1007/978-3-642-59290-4_60
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