High tibial osteotomy in degenerative joint disease

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The long-term results of proximal tibial osteotomy in medial osteoarthritis of the knee are dependent on the relative weight of the patient and the femorotibial angle at the time of the bone union. Of little or no influence is the severity of preoperative osteoarthritis and varus angulation, age, sex, and preoperative clinical score. For valgus deformity from lateral gonarthrosis a distal femoral varus osteotomy results in good long-term results but the complication rate of surgery is high.

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