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Letters

High tibial osteotomy technique for knee osteoarthritis

Roy M. Preshaw
CMAJ October 29, 2018 190 (43) E1287; DOI: https://doi.org/10.1503/cmaj.70285
Roy M. Preshaw
Retired family physician, Vancouver, BC
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In the article “Management of osteoarthritis of the knee in younger patients,”1 Khan and colleagues cite a Cochrane review from 20142 to support the position that tibial osteotomy “improved pain and function, although available evidence was of limited quality” in disabling osteoarthritis. The authors may have been wearing rosecoloured glasses when they read this exhaustive review.

In fact, Brouwer and colleagues2 conclude that “no evidence shows whether an osteotomy is more effective than alternative surgical treatment such as unicompartmental knee replacement or nonoperative treatment. So far, the results of this updated review do not justify a conclusion on benefit of specific high tibial osteotomy technique for knee osteoarthritis.”

Footnotes

  • Competing interests: None declared.

References

  1. ↵
    1. Khan M,
    2. Adili A,
    3. Winemaker M,
    4. et al
    . Management of osteoarthritis of the knee in younger patients. CMAJ 2018;190:E729.
    OpenUrlFREE Full Text
  2. ↵
    1. Brouwer RW,
    2. Huizinga MR,
    3. Duivenvoorden T,
    4. et al
    . Osteotomy for treating knee osteoarthritis. Cochrane Database Syst Rev 2014;(12):CD004019.
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Canadian Medical Association Journal: 190 (43)
CMAJ
Vol. 190, Issue 43
29 Oct 2018
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High tibial osteotomy technique for knee osteoarthritis
Roy M. Preshaw
CMAJ Oct 2018, 190 (43) E1287; DOI: 10.1503/cmaj.70285

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High tibial osteotomy technique for knee osteoarthritis
Roy M. Preshaw
CMAJ Oct 2018, 190 (43) E1287; DOI: 10.1503/cmaj.70285
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