{"id":786,"date":"2024-10-10T16:20:00","date_gmt":"2024-10-10T13:20:00","guid":{"rendered":"https:\/\/llscenter.com\/?p=786"},"modified":"2024-10-10T14:27:49","modified_gmt":"2024-10-10T11:27:49","slug":"what-is-high-tibial-osteotomy-what-you-need-to-know","status":"publish","type":"post","link":"https:\/\/llscenter.com\/de\/what-is-high-tibial-osteotomy-what-you-need-to-know\/","title":{"rendered":"Was ist eine hohe Tibiaosteotomie? Was Sie wissen m\u00fcssen"},"content":{"rendered":"<div data-elementor-type=\"wp-post\" data-elementor-id=\"786\" class=\"elementor elementor-786\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-680e118 e-flex e-con-boxed e-con e-parent\" data-id=\"680e118\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-90c2d7e e-con-full e-flex e-con e-child\" data-id=\"90c2d7e\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a7209eb elementor-widget elementor-widget-heading\" data-id=\"a7209eb\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Gibt es eine Altersgrenze f\u00fcr die Operation zur Gliedma\u00dfenverl\u00e4ngerung?<\/h1>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f679bd8 elementor-align-center elementor-widget elementor-widget-breadcrumbs\" data-id=\"f679bd8\" data-element_type=\"widget\" data-widget_type=\"breadcrumbs.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<p id=\"breadcrumbs\"><span><span><a href=\"https:\/\/llscenter.com\/de\/\">Anasayfa<\/a><\/span><\/span><\/p>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-6074ec8 e-flex e-con-boxed e-con e-parent\" data-id=\"6074ec8\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-8b99d60 e-con-full e-flex e-con e-child\" data-id=\"8b99d60\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-9e6a410 e-con-full e-flex e-con e-child\" 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data-settings=\"{&quot;headings_by_tags&quot;:[&quot;h1&quot;,&quot;h2&quot;,&quot;h3&quot;,&quot;h4&quot;,&quot;h5&quot;,&quot;h6&quot;],&quot;exclude_headings_by_selector&quot;:[],&quot;marker_view&quot;:&quot;numbers&quot;,&quot;minimize_box&quot;:&quot;yes&quot;,&quot;minimized_on&quot;:&quot;tablet&quot;,&quot;hierarchical_view&quot;:&quot;yes&quot;,&quot;min_height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;min_height_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;min_height_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\" data-widget_type=\"table-of-contents.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-toc__header\">\n\t\t\t<h4 class=\"elementor-toc__header-title\">\n\t\t\t\tInhaltsverzeichnis\t\t\t<\/h4>\n\t\t\t\t\t\t\t<div class=\"elementor-toc__toggle-button 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data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>High tibial osteotomy is an orthopedic <strong>knee realignment surgery<\/strong> that includes the alignment of the knee joint. The intention of this procedure is pain reduction, functional improvement of the knee, and the reduction of disability in that particular knee by shifting its weight-bearing part away from the area where damage to the cartilage occurs. This article will provide information in detail about this surgical operation. We hope this will give any person who is presented with the decision whether or not to have an <strong>HTO procedure<\/strong> enough information on which to base a decision.<\/p><p><strong>What is high tibial osteotomy<\/strong> operation? This operation anatomically realigns the knee. The primary indications for an HTO include alleviating unicompartmental pain due to osteoarthritis, restoration of functional <strong>knee realignment surgery<\/strong>, correction of malalignment with a concomitant ligamentous insufficiency, and\/or treatment of a bony deformity that may preclude ligamentous reconstruction. There are obvious differences between HTOs for possible multicompartmental disease, HTOs combined with either cartilage repair or osteochondral transfer procedures, and HTO in the varus knee. The terminology and surgical techniques have changed over time, and it is easily confusing for any patient considering an HTO. Patient education is indeed the key to any successful surgical intervention.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-64f0b45 elementor-widget elementor-widget-heading\" data-id=\"64f0b45\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">What are the Advantages of High Tibial Osteotomy?<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2828120 elementor-widget elementor-widget-text-editor\" data-id=\"2828120\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Indications of high tibial osteotomy include young patients with acute knee arthritis and varus deformity. Varus deformity is a condition of the knee where it takes on a deformity that is usually bent inward, bowing the legs and thus increasing pressure upon the medial compartment of the knee. Indication for the performance of HTO is in cases of early or moderate knee arthritis with still-intact cartilage, consisting of 4 to 6 on the Kellgren-Lawrence scale with modification. Patients with such characteristics, when there is varus deformity, are encouraged to undergo HTO in order to gain a new alignment.<\/p><p><strong>High tibial osteotomy guide<\/strong>: A person who receives HTO will get several benefits, including-<\/p><ol><li>Reducing deformity. The <strong>HTO procedure<\/strong> can reconstruct the anatomy and alignment of the knee from its natural condition. Accurate alignment in the knee joint will remove additional forces from the interior and separate the compartment joints.<\/li><li>Pain relief. Because the pressure on the injured joint is reduced, the pain felt by the patient will decrease. Some clinical studies have shown pain relief in the knee after osteotomy.<\/li><li>Can delay the need for knee replacement. <strong>HTO procedure <\/strong>can act as a temporizing treatment for patients with unicompartmental arthritis. It is said that osteotomy is associated with a longer time to TKA compared to the natural progression of arthritis.<\/li><li>Avoid complications due to prosthetic care. <strong>HTO procedure <\/strong>can improve the quality of life for people who undergo knee osteotomy <strong>knee realignment surgery<\/strong>. Patients with osteoarthritis who have long-term improvement from osteotomy often have an overall better quality of life than people who do not have HTO. Preoperative assessment plays an important role in determining whether patients should undergo HTO or not. Sometimes, because the varus deformity is small, it may not be indicated for HTO, and conservative treatments may be given instead.<\/li><\/ol>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0b9641f elementor-widget elementor-widget-heading\" data-id=\"0b9641f\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">What are the Surgical Techniques for High Tibial Osteotomy?<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dbcaf61 elementor-widget elementor-widget-text-editor\" data-id=\"dbcaf61\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Key steps prior to<strong> knee realignment surgery<\/strong> are general assessments, informed patient consent, and choosing the most appropriate imaging modalities. Although long-leg radiography was the standard image in nearly all studies and the only available image in the initial projects, CT was reformulated for planning in HTO at a later date to detect individual antecurvation of the tibia. Furthermore, MRI and cone-beam CT images have been indicated, especially when investigating meniscus injuries and improving patient care by analyzing the weight-bearing line or mechanical axis.<\/p><p>Determination of correction based on the <strong>high tibial osteotomy guide<\/strong> gives rise to the decision about the surgical procedure, including the different tibial procedures in terms of the osteotomy as well as the direction of the correction. There are different osteotomy techniques available, such as medial-positive osteotomy or oblique osteotomy. With respect to the different angles, the medial-positive osteotomy and valgising the knee can be performed with different techniques.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-416b83c elementor-widget elementor-widget-heading\" data-id=\"416b83c\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">High Tibial Osteotomy Explained: Surgical Procedures <\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d141dc5 elementor-widget elementor-widget-text-editor\" data-id=\"d141dc5\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>OWHTO and LCWHTO are the most common osteotomy techniques for extravertebral HTO, but there is no clear evidence showing which method is preferable in elevation with regard to the purpose of the deformity and type of correction. The techniques were performed percutaneously with a drill from the medial or lateral entry point after the osteotomy gap distractor was used. Most often, an OWHTO is stated as a \u201chigh osteotomy\u201d and an LCWHTO as a \u201clow osteotomy.\u201d The exposure of distal fixation can be attended by one long skin incision that shares the wrist of the leg and tibia tracking. Most orthopedic surgeons will utilize a tourniquet. OWHTO is the most performed osteotomy in Europe and also in the USA. The flexibility of the technique is due to the variability of its performance. As <strong>Hohe Tibiaosteotomie erkl\u00e4rt<\/strong>, the operation shall comprise patient evaluation, surgical technique, postoperative management, outcomes, regeneration processes, and finally, the case. The patients in all studies underwent complete clinical assessment, including physical examination and radiographic assessment as a minimum.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-359df67 elementor-widget elementor-widget-heading\" data-id=\"359df67\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">How to Recover After High Tibial Osteotomy?<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1c0e750 elementor-widget elementor-widget-text-editor\" data-id=\"1c0e750\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Erholung nach <strong>Hohe Tibiaosteotomie erkl\u00e4rt<\/strong>: Es ist oft ein langsamer und manchmal frustrierender Prozess. Viele Patienten k\u00f6nnen sechs Wochen lang ihr Gewicht nicht oder nur eingeschr\u00e4nkt tragen. Danach wird das operierte Bein langsam wieder voll belastet. Zu Beginn der Rehabilitation stehen Schmerzkontrolle, Schwellungskontrolle, Einschr\u00e4nkungen bei der Beinpositionierung und der Schutz der Operation im Mittelpunkt, die eher als Pseudarthrose identifiziert wird. Zwischen der sechsten und zw\u00f6lften Woche werden die meisten Patienten untersucht und erhalten gr\u00fcnes Licht f\u00fcr den Beginn ihrer Rehabilitation und ihrer Aktivit\u00e4ten unter physiotherapeutischer Aufsicht. Viele orthop\u00e4dische Chirurgen verwenden ein auf ihre Patienten zugeschnittenes Rehabilitationsprotokoll. Da immer mehr orthop\u00e4dische Chirurgen rekonstruktive Eingriffe durchf\u00fchren, wird die Verwendung von Rehabilitationsprotokollen zunehmend standardisiert. Bislang gibt es keine randomisierten kontrollierten Studien zu verschiedenen Rehabilitationsprogrammen und der optimalen Rehabilitation nach einer Osteotomie.<\/p><p>Patienten mit hohen Tibiaosteotomien erhalten ihre Rehabilitationsprogramme von ihrem Chirurgen. Es wird angenommen, dass das Rehabilitationsprogramm aufgrund der verschiedenen Operationstechniken f\u00fcr hohe Tibiaosteotomien individuell angepasst werden sollte. Der R\u00fcckgriff auf Programme wie Heimprotokolle ohne Physiotherapie kann die erfolgreiche Genesung des Patienten mit einer hohen Heilungsrate f\u00f6rdern. Schmerzen k\u00f6nnen den Genesungsprozess erschweren. Sie k\u00f6nnen mit verschreibungspflichtigen oder rezeptfreien Schmerzmitteln behandelt werden. Es gibt auch viele Programme mit Physiotherapie f\u00fcr angeleitete Bewegungs\u00fcbungen und Kr\u00e4ftigungs\u00fcbungen, die ebenfalls erfolgreich waren. Es ist wichtig, Patienten nach einem geschlossenen Keil oder einer Kuppeloperation nicht zu vergessen. Obwohl diese Patienten Gewicht tragen, leiden sie in der Regel monatelang unter erheblichen Knochenschmerzen, w\u00e4hrend die Knochen zusammenwachsen. Es ist wichtig, dass Chirurgen und Patienten Ziele und Meilensteine f\u00fcr den Genesungsprozess festlegen. W\u00e4hrend dieser Zeit k\u00f6nnen Komplikationen auftreten, die den Rehabilitationsverlauf beeintr\u00e4chtigen k\u00f6nnen. Nach dem \u00f6ffnenden Keil wurden im Vergleich zu den herk\u00f6mmlichen schlie\u00dfenden Verfahren deutlich weniger Komplikationen berichtet. Schwellungen oder Erg\u00fcsse im Gelenk gehen in der Regel zur\u00fcck. Auch Physiotherapie und Krafttraining haben Erfolge gezeigt. Daher ist es wichtig, nach 12 Wochen Rehabilitationsziele festzulegen, die f\u00fcr die R\u00fcckkehr zu normalen Aktivit\u00e4ten erreicht werden m\u00fcssen. In dieser entscheidenden Phase ist die Korrektur der Deformit\u00e4t wichtig.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1348b85 elementor-widget elementor-widget-heading\" data-id=\"1348b85\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">What are the Risks Associated with HTO Procedure?<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-58d2ac1 elementor-widget elementor-widget-text-editor\" data-id=\"58d2ac1\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>The performance of a knee realignment surgery has been refined over the years, and surgeons are well aware of the potential risk profile. There are many potential complications associated with a high tibial osteotomy, especially at the standard medial opening site. The most common factors potentially contributing to the complications are patient-specific factors and the quality of the osteotomy displacement, fixation tools, and preoperative planning. The biggest risk occurs when the surgeon stops evaluating the patient after one year without a clinically successful outcome evaluation. Most of the complications could have been found in a few months postoperatively if only more aggressive routine postoperative examinations were performed. The administration of informed consent and a detailed schedule for consequences is essential to clinically successful outcomes.<\/p>\n<p>Complications of the <strong>knee realignment surgery<\/strong> include malunion, nonunion, lateral cortical fracture, peroneal nerve palsy, intra-articular complications, and joint penetration with hardware. To avoid complications, removal of hardware must be performed to improve soft tissue balancing and to perform total knee arthroplasty in the following situations: no painful hardware status and no contraindications. Proper patient case selection, a meticulous osteotomy technique, and bone healing enhancement reduce the probability of complications. The most challenging situation, nonunion with knee pain evolution, requires immediate precise examination of the patient&#8217;s comorbidities, alcohol and nicotine intake, and technique blunders before planning revision. Careful examination of possible complications is critical to understanding why the patient has not succeeded.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-9bcdde5 e-flex e-con-boxed e-con e-parent\" data-id=\"9bcdde5\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-664766f e-con-full e-flex e-con e-child\" data-id=\"664766f\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f8cca20 elementor-post-navigation-borders-yes elementor-widget elementor-widget-post-navigation\" data-id=\"f8cca20\" data-element_type=\"widget\" data-widget_type=\"post-navigation.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-post-navigation\">\n\t\t\t<div class=\"elementor-post-navigation__prev elementor-post-navigation__link\">\n\t\t\t\t<a href=\"https:\/\/llscenter.com\/de\/is-there-an-age-limit-limb-lengthening-surgery\/\" rel=\"prev\"><span class=\"post-navigation__arrow-wrapper post-navigation__arrow-prev\"><i class=\"fa fa-chevron-left\" aria-hidden=\"true\"><\/i><span class=\"elementor-screen-only\">Prev<\/span><\/span><span class=\"elementor-post-navigation__link__prev\"><span class=\"post-navigation__prev--label\">Vorherige<\/span><span class=\"post-navigation__prev--title\">Gibt es eine Altersgrenze f\u00fcr die Operation zur Gliedma\u00dfenverl\u00e4ngerung?<\/span><\/span><\/a>\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-post-navigation__separator-wrapper\">\n\t\t\t\t\t<div class=\"elementor-post-navigation__separator\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"elementor-post-navigation__next elementor-post-navigation__link\">\n\t\t\t\t<a href=\"https:\/\/llscenter.com\/de\/high-tibial-osteotomy-vs-knee-replacement-which-is-right-for-you\/\" rel=\"next\"><span class=\"elementor-post-navigation__link__next\"><span class=\"post-navigation__next--label\">N\u00e4chste<\/span><span class=\"post-navigation__next--title\">Hohe Tibiaosteotomie vs. Knieersatz: Was ist das Richtige f\u00fcr Sie?<\/span><\/span><span class=\"post-navigation__arrow-wrapper post-navigation__arrow-next\"><i class=\"fa fa-chevron-right\" aria-hidden=\"true\"><\/i><span class=\"elementor-screen-only\">N\u00e4chste<\/span><\/span><\/a>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Informieren Sie sich \u00fcber die M\u00f6glichkeiten einer Beinverl\u00e4ngerung, einschlie\u00dflich Techniken, Heilungsprozess und Kosten. Erfahren Sie, wie diese Operation Ihre Lebensqualit\u00e4t verbessern kann.<\/p>","protected":false},"author":2,"featured_media":788,"comment_status":"closed","ping_status":"open","sticky":false,"template":"elementor_header_footer","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-786","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>What is High Tibial Osteotomy? 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