{"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\/tr\/what-is-high-tibial-osteotomy-what-you-need-to-know\/","title":{"rendered":"Y\u00fcksek Tibial Osteotomi Nedir? Bilmeniz Gerekenler"},"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\">Boy Uzatma Ameliyat\u0131nda Ya\u015f S\u0131n\u0131r\u0131 Var M\u0131d\u0131r?<\/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\/tr\/\">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\" data-id=\"9e6a410\" 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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\t\u0130\u00e7indekiler\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>y\u00fcksek tibial osteotomi a\u00e7\u0131kland\u0131<\/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>Kurtarma sonras\u0131 <strong>y\u00fcksek tibial osteotomi a\u00e7\u0131kland\u0131<\/strong>: Bu genellikle yava\u015f ve bazen sinir bozucu bir s\u00fcre\u00e7tir. Bir\u00e7ok hasta alt\u0131 hafta boyunca hi\u00e7 veya s\u0131n\u0131rl\u0131 a\u011f\u0131rl\u0131k ta\u015f\u0131r, ard\u0131ndan ameliyatl\u0131 baca\u011f\u0131na t\u00fcm a\u011f\u0131rl\u0131\u011f\u0131n\u0131 vermeye do\u011fru yava\u015f bir ilerleme olur. Rehabilitasyonun erken k\u0131sm\u0131 a\u011fr\u0131 kontrol\u00fcne, \u015fi\u015flik y\u00f6netimine, baca\u011f\u0131n konumland\u0131r\u0131lmas\u0131ndaki s\u0131n\u0131rlamalara ve daha \u00e7ok kaynamama olarak tan\u0131mlanan onar\u0131m\u0131n korunmas\u0131na odaklan\u0131r. Alt\u0131 ila on iki hafta aras\u0131nda, \u00e7o\u011fu hasta de\u011ferlendirilir ve fizik tedavi bak\u0131m\u0131 alt\u0131nda rehabilitasyonlar\u0131na ve aktivitelerine ba\u015flamalar\u0131 i\u00e7in &quot;ye\u015fil \u0131\u015f\u0131k&quot; verilir. Bir\u00e7ok ortopedi cerrah\u0131, hasta pop\u00fclasyonlar\u0131na \u00f6zg\u00fc bir rehabilitasyon protokol\u00fc kullan\u0131r. Daha fazla ortopedi cerrah\u0131 rekonstr\u00fcktif prosed\u00fcrler ger\u00e7ekle\u015ftirdik\u00e7e, rehabilitasyon protokollerinin kullan\u0131m\u0131 daha standart hale gelmektedir. Bug\u00fcne kadar farkl\u0131 rehabilitasyon programlar\u0131 ve osteotomiden sonra optimum rehabilitasyonun ne oldu\u011fu konusunda randomize kontroll\u00fc \u00e7al\u0131\u015fma yoktur.<\/p><p>Y\u00fcksek tibial osteotomisi olan hastalar rehabilitasyon programlar\u0131n\u0131 cerrahlar\u0131ndan al\u0131rlar. Y\u00fcksek tibial osteotomi i\u00e7in \u00e7e\u015fitli cerrahi tekniklerle rehabilitasyon program\u0131n\u0131n ki\u015fiselle\u015ftirilmesi gerekti\u011fine inan\u0131lmaktad\u0131r. Fizik tedavi kullanmadan ev tabanl\u0131 protokoller gibi programlara ba\u015fvurmak, hastan\u0131n y\u00fcksek bir kaynama oran\u0131yla ba\u015far\u0131l\u0131 iyile\u015fmesini art\u0131rabilir. A\u011fr\u0131, iyile\u015fme s\u00fcrecinde karma\u015f\u0131k bir sorun olabilir. Re\u00e7eteli ila\u00e7larla veya re\u00e7etesiz sat\u0131lan a\u011fr\u0131 kesicilerle y\u00f6netilebilir. Ayr\u0131ca, rehberli hareket aral\u0131\u011f\u0131 egzersizleri ve g\u00fc\u00e7lendirme i\u00e7in fizik tedavi kullanan ve ba\u015far\u0131l\u0131 olan bir\u00e7ok program da vard\u0131r. Kapal\u0131 kama veya kubbe ge\u00e7iren hastalar\u0131 unutmamak \u00f6nemlidir; bu hastalar a\u011f\u0131rl\u0131k ta\u015f\u0131salar da, kemikler birle\u015ftik\u00e7e genellikle aylarca \u00f6nemli kemik a\u011fr\u0131s\u0131 \u00e7ekerler. Cerrahlar ve hastalar\u0131n iyile\u015fme s\u00fcrecinde hedefler ve kilometre ta\u015flar\u0131 belirlemeleri \u00f6nemlidir. Bu s\u00fcre zarf\u0131nda rehabilitasyonu de\u011fi\u015ftirebilecek komplikasyonlar meydana gelebilir. Geleneksel kapatma prosed\u00fcrlerine k\u0131yasla, a\u00e7\u0131l\u0131\u015f kama sonras\u0131nda \u00f6nemli \u00f6l\u00e7\u00fcde daha az komplikasyon bildirilmi\u015ftir. Eklemdeki herhangi bir \u015fi\u015flik veya ef\u00fczyon genellikle azal\u0131r. Fizyoterapi ve g\u00fc\u00e7 geli\u015ftirme de ba\u015far\u0131l\u0131 oldu. Bu nedenle, normal aktivitelere d\u00f6n\u00fc\u015f i\u00e7in kar\u015f\u0131lanmas\u0131 gereken rehabilitasyon hedeflerini belirlemeye 12. haftada ba\u015flamak kritik \u00f6neme sahiptir. Bu kritik a\u015famada, deformite d\u00fczeltmesi \u00f6nemlidir.<\/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\/tr\/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\">\u00d6ncesi<\/span><span class=\"post-navigation__prev--title\">Boy Uzatma Ameliyat\u0131nda Ya\u015f S\u0131n\u0131r\u0131 Var M\u0131d\u0131r?<\/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\/tr\/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\">Sonraki<\/span><span class=\"post-navigation__next--title\">Y\u00fcksek Tibial Osteotomi mi Diz Protezi mi: Hangisi Sizin \u0130\u00e7in Uygun?<\/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\">Sonraki<\/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>Uzuv uzatma ameliyat\u0131n\u0131, tekniklerini, iyile\u015fme s\u00fcrecini ve maliyetlerini ke\u015ffedin. 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