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Preserving the Knee: Understanding High Tibial Osteotomy HTO Surgery

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In this video, we discuss preservation surgeries for the knee, with a focus on the important procedure called high tibial osteotomy (HTO). We explain the common problems in the knee that lead to the need for preservation surgeries, such as wear and tear on the inner or outer part of the knee joint. HTO is an old surgery that was used before knee replacement implants were available, to correct alignment issues and shift the weight-bearing to the less damaged part of the joint. While knee replacement has become more common, HTO is still considered in younger patients to try and preserve the natural knee joint. We discuss the key indications for HTO, including medial joint space wear, severe bow-leg deformity, meniscus tears without injury, and ACL issues caused by tibial alignment problems.

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