The Orthopedic clinics of North America
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Orthop. Clin. North Am. · Jul 1994
ReviewTibial osteotomy for genu varum. Indications, preoperative planning, and technique.
Valgus osteotomy of the proximal tibia remains the treatment of choice for the young active patient with a progressively symptomatic varus knee and mild to moderate secondary osteoarthritis. Although the natural history of the varus knee is not well established, it is widely accepted that patients with varus malalignment who develop meniscal injuries or progressive cartilage wear will inevitably develop more severe medial compartment osteoarthritis unless the abnormal mechanics of the knee are corrected.
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Orthop. Clin. North Am. · Jul 1994
ReviewNew concepts in high tibial osteotomy for medial compartment osteoarthritis.
Medial compartment osteoarthritis remains a clinical challenge for the orthopedic surgeon. Accurate preoperative planning is an integral part of management. MCOA with genu varum is not a single condition but a family of related deformities. ⋯ In total knee replacement, the important emphasis has been on achieving correct bony alignment and soft-tissue balance. With osteotomy, the emphasis has been on bony alignment. However, soft-tissue balance should also be considered an important element in preserving the knee in osteotomy surgery.