Course Lecture Pearls: Advanced Knee-Patellofemoral-HTO_DFO vs. Arthroplasty_ Evidence-based Decision Making in the 35-55 Year-Old-Faculty Lecture

HTO_DFO vs. Arthroplasty_ Evidence-based Decision Making in the 35-55 Year-Old-Faculty Lecture_ Matthew J. Salzler, MD

Video Transcription

Video Summary

Matt Salzer presents an eight-minute overview comparing high tibial osteotomy (HTO), distal femoral osteotomy (DFO), and unicompartmental knee arthroplasty (UNI) for middle-aged patients. He highlights limited high-quality evidence, mostly level 3 studies, with mixed results on pain relief, function, and durability. Pain relief is similar for both, with some studies favoring HTO; function outcomes are inconclusive. UNIs may offer easier recovery and slightly better durability in high-volume centers but have complications that often require early surgery. HTOs have more complications overall, including rare severe ones. Both treatments eventually convert to total knee arthroplasty, with similar mid-term outcomes but uncertain long-term revision rates.

Keywords

high tibial osteotomy

distal femoral osteotomy

unicompartmental knee arthroplasty

middle-aged knee treatment

knee surgery outcomes