Orthonotes
Orthonotes
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v3.0 Fusion
v3.0 Fusion
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High Tibial Osteotomy (HTO) — Indications & Techniques

Indications: medial compartment OA with varus deformity in young active patients. Goal: shift weight-bearing axis laterally to unload medial compartment. Techniques: lateral closing wedge, medial opening wedge, dome osteotomy. Fixation: plates (TomoFix) or external fixators. Delays need for TKA in younger patients.

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Indications: medial compartment OA with varus deformity in young active patients. Goal: shift weight-bearing axis laterally to unload medial compartment. Techniques: lateral closing wedge, medial opening wedge, dome osteotomy. Fixation: plates (TomoFix) or external fixators. Delays need for TKA in younger patients.
MCQs

High-yield practice questions

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Question 1

What is the primary indication for performing a high tibial osteotomy (HTO)?

Question 2

Which technique is most commonly used in high tibial osteotomy?

Question 3

What is the target mechanical axis correction point after high tibial osteotomy, as defined by Fujisawa?

Question 4

What is a major contraindication for performing high tibial osteotomy?

Question 5

What is the main goal of performing a high tibial osteotomy?

Question 6

What is the recommended range of flexion for a patient to be considered a good candidate for high tibial osteotomy?

Question 7

What type of fixation is commonly used in medial opening wedge high tibial osteotomy?

Question 8

In high tibial osteotomy, what is the significance of the hip-knee-ankle (HKA) angle?

Question 9

What is the expected outcome of a well-performed high tibial osteotomy in younger patients?

Question 10

Which of the following is NOT a selection criterion for high tibial osteotomy?