Does a Previous High Tibial Osteotomy (HTO) Influence the Long-term Function or Survival of a Total Knee Arthroplasty (TKA)?

Document Type: CURRENT CONCEPTS REVIEW

Author

Research performed at the Department of Orthopaedic Surgery, La Paz University Hospital-idiPaz, Madrid, Spain

Abstract

 High tibial osteotomy (HTO) is a well established technique for the treatment of medial osteoarthritis of
the knee with varus malalignment. The outcome of total knee arthroplasty (TKA) after HTO remains uncertain.
The aim of this paper is to revise the literature with the aim of answering the following question: Does a previous (HTO)
influence the long-term function or survival of a TKA?. The search engine was MedLine. The keywords used were: total knee arthroplasty after high tibial osteotomy. One hundred and ten articles were found. Of those, only 19 were selected and reviewed because they were strictly focused on the topic and the question of this article. The reports published so far have a low grade of evidence (levels III and IV). Most of them are prospective case series (level IV). One is a systematic review of level III studies reported in 2009. Two recent studies based in a great number of cases (registers) showed similar survival in the 2 groups: around 92% at 10 years, and 88% at 15 years. The review of the literature suggests that a previous HTO does not influence the function or survival of a TKA in the long-term.

Keywords


1. Amendola A, Rorabeck CH, Bourne RB, Apyan PM. Total
knee arthroplasty following high tibial osteotomy for
osteoarthritis. J Arthroplasty. 1989; 4(Suppl):S11-7.
2. Takai S, Yoshino N, Hirasawa Y. Revision total knee
arthroplasty after failed high tibial osteotomy. Bull
Hosp Jt Dis. 1997; 56(4):245-50.
3. Meding JB, Keating EM, Ritter MA, Faris PM. Total
knee arthroplasty after high tibial osteotomy. Clin
Orthop Relat Res. 2000; 375:175-84.
4. Haddad FS, Bentley G. Total knee arthroplasty after
high tibial osteotomy: a medium-term review. J
Arthroplasty. 2000; 15(5):597-603.
5. Meding JB, Keating EM, Ritter MA, Faris PM. Total
knee arthroplasty after high tibial osteotomy. A
comparison study in patients who had bilateral
total knee replacement. J Bone Joint Surg Am. 2000;
82(9):1252-9.
6. Karabatsos B, Mahomed NN, Maistrelli GL. Functional
outcome of total knee arthroplasty after high tibial
osteotomy. Can J Surg. 2002; 45(2):116-9.
7. Haslam P, Armstrong M, Geutjens G, Wilton TJ. Total
knee arthroplasty after failed high tibial osteotomy
long-term follow-up of matched groups. J Arthroplasty.
2007; 22(2):245-50.
8. van Raaij TM, Bakker W, Reijman M, Verhaar JA. The
effect of high tibial osteotomy on the results of total
knee arthroplasty: a matched case control study. BMC
Musculoskelet Disord. 2007; 8:74-80.
9. Kazakos KJ, Chatzipapas C, Verettas D, Galanis V,
Xarchas KC, Psillakis I. Mid-term results of total knee
arthroplasty after high tibial osteotomy. Arch Orthop
Trauma Surg. 2008; 128(2):167-73.
10. Mont MA, Antonaides S, Krackow KA, Hungerford
DS. Total knee arthroplasty after failed high tibial
osteotomy. A comparison with a matched group. Clin
Orthop Relat Res. 1994; 299:125-30.

11. Noda T, Yasuda S, Nagano K, Takahara Y, Namba Y,
Inoue H. Clinico-radiological study of total knee
arthroplasty after high tibial osteotomy. J Orthop Sci.
2000; 5(1):25-36.
12. Madan S, Ranjith RK, Fiddian NJ. Total knee
replacement following high tibial osteotomy. Bull
Hosp Jt Dis. 2002-2003; 61(1-2):5-10.
13. van Raaij TM, Reijman M, Furlan AD, Verhaar JA.
Total knee arthroplasty after high tibial osteotomy. A
systematic review. BMC Musculoskelet Disord. 2009;
10:88-97.
14. Erak S, Naudie D, MacDonald SJ, McCalden RW,
Rorabeck CH, Bourne RB. Total knee arthroplasty
following medial opening wedge tibial osteotomy:
technical issues early clinical radiological results.
Knee. 2011; 18(6):499-504.
15. Amendola L, Fosco M, Cenni E, Tigani D. Knee joint
arthroplasty after tibial osteotomy. Int Orthop. 2010;
34(2):289-95.
16. Efe T, Heyse TJ, Boese C, Timmesfeld N, Fuchs-
Winkelmann S, Schmitt J, et al. TKA following high
tibial osteotomy versus primary TKA--a matched pair
analysis. BMC Musculoskelet Disord. 2010; 11:207-13.
17. Meding JB, Wing JT, Ritter MA. Does high tibial
osteotomy affect the success or survival of a total
knee replacement? Clin Orthop Relat Res. 2011;
469(7):1991-4.
18. Niinimäki T, Eskelinen A, Ohtonen P, Puhto AP, Mann
BS, Leppilahti J. Total knee arthroplasty after high
tibial osteotomy: a registry-based case-control study
of 1,036 knees. Arch Orthop Trauma Surg. 2014;
134(1):73-7.
19. Badawy M, Fenstad AM, Indrekvam K, Havelin LI,
Furnes O. The risk of revision in total knee arthroplasty
is not affected by previous high tibial osteotomy. Acta
Orthop. 2015; 86(6):734-9.