Thursday, September 2, 2010

High Tibial Osteotomy Complications - Opening Wedge Vs Closing Wedge

A  recent sturdy looked at the incidence of complications in the two types of high tibial osteotomy.

They found that outcomes were similar for both procedures and there was no statistically significant difference in the rate of complications.

They did note that one of the biggest predictors of complication was patient obesity.

 

Those considering a High Tibial Osteotomy should first investigate the use of an Unloader Knee Brace. This non-operative management also aims to reduce the load through the worn half of the knee but is essentially risk free. An unloader brace may buy you a few extra years and delay the need for major surgical interventions such as osteotomies and joint replacements.

 

For more on the osteotomy article click here.

 

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