Corpus ID: 9497079

Opening Wedge High Tibial Osteotomy , Microfracture , and Bone Marrow Aspirate Concentrate for Treatment of Varus Deformity and Osteoarthritis of the Knee

  title={Opening Wedge High Tibial Osteotomy , Microfracture , and Bone Marrow Aspirate Concentrate for Treatment of Varus Deformity and Osteoarthritis of the Knee},
  author={Evan W. James and Keith T. Corpus and Austin T. Fragomen and S. Robert Rozbruch},
Osteoarthritis in the setting of varus deformity can be difficult to treat in young and middle aged patients. Treatment options typically include arthroplasty versus joint preservation techniques. In young and middle aged patients, unicompartmental or total knee arthroplasty is often considered a less desirable treatment option due to the increased likelihood of requiring revision arthroplasty later in life. Joint preserving techniques, which combine a high tibial osteotomy to restore a neutral… Expand
Subtalar distraction arthroplasty with bone marrow aspirate concentrate (BMAC), preliminary results of a new joint preservation technique.
Compared to pre-operative conditions, there is a decrease in subchondral sclerosis on X-ray in all cases post-operatively and improvement in the MDCS over time for all measured parameters. Expand
Biomechanical and Functional Improvements Gained by Proximal Tibia Osteotomy Correction of Genu Varum in Patients with Knee Pain
It is suggested that bilateral proximal tibial osteotomy may be effective in improving knee biomechanics during gait and correcting mechanical alignment in patients with bilateral genu varum to alleviate symptoms and potentially decrease further clinical deterioration. Expand


Chondral Resurfacing and High Tibial Osteotomy in the Varus Knee
With 91% survivorship at 7 years, microfracture/HTO seems to contribute to a delay of knee replacement in active patients with varus gonarthrosis. Expand
Medial Opening Wedge High Tibial Osteotomy for Medial Compartment Overload/Arthritis in the Varus Knee
OWHTO is a reliable procedure for medial knee arthritis/overload with correct indications, according to the outcomes reported, although the variables related to outcomes are slightly different. Expand
Osteochondral Autologous Transfer Combined With Valgus High Tibial Osteotomy
Combined OAT and valgus HTO is an option to successfully treat patients with deep osteochondral defects of the medial femoral condyle and concomitant varus malalignment and can be expected up to 8.5 years postoperatively. Expand
Open-Wedge High Tibial Osteotomy and Combined Abrasion/Microfracture in Severe Medial Osteoarthritis and Varus Malalignment: 5-Year Results and Arthroscopic Findings After 2 Years.
HTO in combination with a chondral resurfacing procedure is effective in the treatment of severe medial osteoarthritis and varus malalignment and patients were satisfied with the result after 5 years, including those with arthroplasty. Expand
Repair of articular cartilage and clinical outcome after osteotomy with microfracture or abrasion arthroplasty for medial gonarthrosis.
Repairs of articular cartilage at 1 year postoperatively was accelerated by abrasion arthroplasty, but not by microfracture, so the clinical utility of marrow stimulation techniques was not apparent in this study. Expand
High Tibial Osteotomy in Combination With Chondrogenesis After Stem Cell Therapy: A Histologic Report of 8 Cases.
Chondrogenesis with stem cells in combination with medial open-wedge HTO for varus deformity correction of the knee joint regenerates cartilage that closely resembles the native articular cartilage. Expand
Cartilage repair procedures associated with high tibial osteotomy in varus knees: clinical results at 11 years' follow-up.
Clinical outcomes at long-term follow-up of middle-aged active patients affected by a varus knee with medial unicompartmental osteoarthritis showed satisfactory results similar to those reported in the literature with no evidence of superiority of the addition of ACI to isolated HTO. Expand
Prospective outcomes of young and middle-aged adults with medial compartment osteoarthritis treated with a proximal tibial opening wedge osteotomy.
Performing proximal tibial opening wedge osteotomies to treat symptomatic medial compartment osteoarthritis in carefully selected patients leads to a significant improvement in subjective and objective clinical outcome scores. Expand
Biological knee reconstruction for combined malalignment, meniscal deficiency, and articular cartilage disease.
  • Joshua D Harris, K. Hussey, +4 authors B. Cole
  • Medicine
  • Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association
  • 2015
Statistically significant and clinically meaningful improvements in validated patient-reported clinical outcome scores at long-term follow-up were observed in 18 participants undergoing combined meniscal transplantation, osteotomy, and articular cartilage surgery. Expand
Valgus osteotomy for osteoarthritis of the knee.
  • P. Maquet
  • Medicine
  • Clinical orthopaedics and related research
  • 1976
Evidence is presented that a proximal tibial osteotomy, properly planned and performed, can give consistently sat-sfactory results even in osteoarthritic knees which have preoperative varus deformities greater that 15 degrees or are subluxated. Expand