Total knee arthroplasty after failed high tibial osteotomy.
Total knee arthroplasty performed after failed high tibial osteotomy is an important subgroup encompassing close to 10% of replacements performed and may be difficult in 20% to 40% of these patients. The problems in this group can be different from those encountered with primary of revision total knee arthroplasty. The authors present a review of the literature on this subject including assessments of variables affecting outcome. Preoperative clinical and radiographic factors to be considered are discussed and surgical technical factors are delineated.
Department of Orthopaedic Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland.
M A
MA
Mont
N
N
Alexander
K A
KA
Krackow
D S
DS
Hungerford
D006801:Humans; D007719:Knee Joint; D007720:Knee Prosthesis / Q000379:methods; D010003:Osteoarthritis / Q000601:surgery; D010027:Osteotomy / Q000009:adverse effects / Q000379:methods; D013977:Tibia / Q000601:surgery*; D017211:Treatment Failure