Osteotomies: The surgical details you want to know. In ESSKA Instructional Course Lecture Book: 18th ESSKA Congress, Glasgow, United Kingdom, 2018. (Book Chapter)
- Sports Medicine Research Laboratory
A surgical plan for deformity correction can protect the patient undergoing osteotomies around the knee, and the surgeon as well in case complications arise. Bulletpoints can be used as a list of things to do or not to forget when performing high tibial osteotomy (HTO) and distal femoral osteotomy (DFO). To enhance gap healing in open wedge HTO bone graft augmentation can be used with an added pain reduction effect as compared to no gap filling. Risks and complications of osteotomies are mentioned as well as the sense and nonsense of measures to decrease risks and prevent complications. Decision criteria to choose between HTO and unikondylar prosthesis (UKP) are made clear using constitutional deformity, ligament balance and grade of osteoarthritis.