RESEARCH ARTICLE


Computer-Assisted Navigation in High Tibial Osteotomy: A Systematic Review of the Literature



Natasha E Picardo*, 1, Wasim Khan 2, David Johnstone 3
1 Bone Tumour Unit, Royal National Orthopaedic Hospital, Stanmore, Middlesex, HA7 4LP, UK
2 University College London Institute of Orthopaedics and Musculoskeletal Sciences, Royal National Orthopaedic Hospital, Stanmore, Middlesex, HA7 4LP, UK
3 Stoke Manderville Hospital, Aylesbury, Buckinghamshire, HP21 8AL, UK


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Creative Commons License
© Picardo et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the Bone Tumour Unit, Royal National Orthopaedic Hospital, Stanmore, Middlesex, HA7 4LP, UK; Tel: 0208 909 5532; Fax: 0208 909 5100; E-mail: emmapicardo@yahoo.co.uk


Abstract

High tibial osteotomy (HTO) is a procedure which aims to change the mechanical axis of the lower limb, transferring the body weight across healthy articular cartilage. Several studies have shown that accurate correction is the leading predictor for success.

In this article, we systematically review the computer-assisted techniques that have been used in attempts to increase the accuracy of the surgery and improve postoperative outcomes. The results of the cadaveric and clinical studies to date are presented and the benefits and pitfalls of navigation are discussed.

Keywords: Computer-assisted surgery, high tibial osteotomy, kinematic navigation system, knee, mechanical axis, medial gonarthrosis, navigation, varus deformity.