Arthritis of Knee is treated with Knee Reoconstruction and Repair with Modern High Tibial osteotomy.
Osteoarthritis of the Knee is one of India’s most common Orthopedic diseases. We have performed hundreds of knee repair surgeries called High Tibial Osteotomy (HTO). For folks who make high demand from their knees, want to walk long distances, or indulge in hiking or sports, the HTO is a boon. It is the surgery to repair and strengthen their knees. HTO surgeries are of many types. Using these different types of HTO judiciously, we have saved thousands of knees from replacement. In this section, we will look more into the History, rationale, planning, and algorithm for deciding which HTO is ideal for which type of knee arthritis will be discussed..
High Tibial osteotomy
This is a lecture delivered on modern High Tibial osteotomy. The two techniques are compared with the same type of Dome osteotomy but fixed using either an Ilzarov apparatus or a Tomofix Locking plate.
TCVO: A new type of Intra-articular High tibial Osteotomy
Many patients with severe varus deformities and knee osteoarthritis have an intra-articular deformity. It can be suspected when the deformity is large, when there is excess laxity in the joint seen while walking as a Lateral thrust, and upon examining for laxity. On x-rays; a large Mechanical Axis Deviation, a large Joint LIne Conversion Angle(JLCA), and a large Condylar Plateau Angle (CPA). The TCVO is an operation designed in Japan that involves an intra-articular osteotomy similar to a hemi-plateau elevation. This may be done as a Single intra-articular osteotomy or as a Double combined Intra- and extra-articular correction.https://ilizarov.org/wp-content/uploads/2023/09/Shambhu-Mondal-TCVO-I.mp4