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Research Progress on the Causes of Failure and Revision of High Tibial Osteotomy

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DOI: 10.23977/medsc.2023.040616 | Downloads: 5 | Views: 356

Author(s)

Wan Qingming 1,2, Han Jin 1,2, Xu Chen 1,2, Huang Xiaoqiang 3

Affiliation(s)

1 Xi'an Medical University, Xi'an, Shaanxi, 710068, China
2 Department of Orthopedics, Honghui Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, 710054, China
3 Department of Orthopedics, Xi'an Fifth Hospital, Xi'an, Shaanxi, 710082, China

Corresponding Author

Huang Xiaoqiang

ABSTRACT

In order to summarize the reasons for the failure of tibial high osteotomy and the research progress of revision surgery. We consulted the literature on HTO in recent years widely, and summarized the causes and solutions of surgical failure. Resultly, the reasons for HTO failure include improper selection of indications, insufficient surgical techniques and other factors. Applying computers and 3D printing can reduce its failures. There are two options for revision surgery after HTO failure, including UKA or TKA revision, with adequate preoperative evaluation prior to implementation. The biggest challenge in revision surgery is the management and reconstruction of bone defects. In conclusion, HTO is at risk of failure, which still needs to be treated with caution, and the renovation plan should be decided according to the reason for the failure.

KEYWORDS

High tibial osteotomy; Revision; osteoarthritis; Total knee replacement

CITE THIS PAPER

Wan Qingming, Han Jin, Xu Chen, Huang Xiaoqiang, Research progress of mNGS in the diagnosis and treatment of chlamydia psittaci pneumonia. MEDS Clinical Medicine (2023) Vol. 4: 110-117. DOI: http://dx.doi.org/10.23977/medsc.2023.040616.

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