J Knee Surg 2015; 28(06): 441-449
DOI: 10.1055/s-0035-1558856
Special Focus Section
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Role of Osteotomy in Posterolateral Instability of the Knee

Benjamin Herman
1   Department of Surgery, University of Western Ontario, Fowler Kennedy Sport Medicine Clinic, London, Ontario, Canada
,
Robert Litchfield
1   Department of Surgery, University of Western Ontario, Fowler Kennedy Sport Medicine Clinic, London, Ontario, Canada
,
Alan Getgood
1   Department of Surgery, University of Western Ontario, Fowler Kennedy Sport Medicine Clinic, London, Ontario, Canada
› Author Affiliations
Further Information

Publication History

07 April 2015

26 May 2015

Publication Date:
17 September 2015 (online)

Abstract

Injuries to the posterolateral corner (PLC) can be difficult injuries to successfully treat and are often associated with other injuries around the knee. Patients with varus malalignment can be even more difficult to manage when they have a PLC injury, resulting in double or triple varus and subsequent varus thrust during gait. A high tibial osteotomy (HTO) is a useful and necessary operation in patients with varus malalignment and a PLC injury, particularly in the chronic setting. The biomechanics, indications, surgical approach, and outcomes of HTO in the setting of PLC injury are reviewed in this article.