What is it about?

Despite only few references can be found on literature regarding failed osteotomies treated with recorrecive osteotomies, we present a young patient with 22° recurrent varus as result of a failed lateral Closing-wedge HTO. For such magnitude values we choose Dome-type HTO using angular stable plate fixator which permits large varus corrections and offer great potential to prevent tibial slope changes. In this manuscript, we show that in the last follow-up the Knee Society Score almost reach 100 points both on knee rating and functional assessment.

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Why is it important?

To our knowledge, this case report is the first in English language to describe a revision HTO using a Dome – Type technique to treat failure of a primary Closing – wedge HTO and illustrates that there is another surgical option besides total knee replacement in young patients.


Speaking quite honestly this study is of interest to patients seeking an alternative to Total knee prosthesis when they still have initial osteoarthritis of the knee. This procedure gives patients the possibility of maintaining their physical activity for many years.

Diogo Ferraz Gama

Read the Original

This page is a summary of: Dome-Shaped Osteotomy for Revision of Failed Closing-Wedge High Tibial Osteotomy, Orthopaedic Journal of Sports Medicine, July 2019, SAGE Publications, DOI: 10.1177/2325967119857047.
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