Total knee replacement after High tibial osteotomy is sometimes challenging, Prior incisions, meta-diaphyseal deformity, interfering hardware, Patella Baja add to the problems. Here is an example of a 20 degree valgus following an HTO 5 years back. any suggestions or comments please.
Here are the postop pics with a metaphyseal osteotomy. Only the interfering screws were removed. Prior lateral skin incision were extended proximally in the midline from the junction of the lateral transverse arm and vertical arm with nil skin problems.
wht are the things to be kept in mind to avoid an HTO from going wrong (during the surgery and in pre op planning?)...
ReplyDeletewe did a a corrective osteotomy below thwe base plate so as not to stress the stem baseplate junction. Only the interfering screws were removed. The incision which was lateral was used extending proximally from junction beteween the vertical and transverse lateral part of incision. Pateint is touch wt bearing for 6 weeks.
ReplyDeleteHappy Onam Sir
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