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CASE 2<br />
GRADE II MEDIAL OA IN ACTIVE 55 YRS OLD MAN<br />
HTO<br />
Ronald Van Heerwaarden<br />
The Ne<strong>the</strong>rlands<br />
1. The natural history of medial compartment overload <strong>in</strong> <strong>the</strong> presence of cartilage degeneration as well as<br />
<strong>the</strong> jo<strong>in</strong>t preservation effect of an unload<strong>in</strong>g High Tibial Osteotomy are evidence based knowledge.<br />
2. Current HTO techniques <strong>in</strong>clud<strong>in</strong>g accurate re-alignments without overcorrection, cartilage unload<strong>in</strong>g<br />
through MCL release and immediate full weight bear<strong>in</strong>g create predictable good outcomes.<br />
3. Evidence based jo<strong>in</strong>t preservation techniques like HTO and new techniques like knee jo<strong>in</strong>t distraction<br />
should be a (future) rout<strong>in</strong>e treatment option for a knee surgeon.<br />
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