Surgeon Age as The Major Factor in Recommendation of Uni-Compartmental Knee Replacement Versus High Tibial Osteotomy: A Case Study in Orthopaedic Decision Making

Details

Author(s):
  • Mark Kelman
Publish Date:
June 1, 2012
Publication Title:
32 Iowa Orthopaedic Journal 22
Format:
Journal Article
Citation(s):
  • Frederick R. Dietz, Mark G. Kelman, Surgeon Age as the Major Factor in Recommendation of Uni-Compartmental Knee Replacements versus High Tibial Osteotomy: A Case Study in Orthopaedic Decision Making, 32 Iowa Orthopaedic Journal 22 (2012).

Abstract

This case report concerns surgical decision
making. The subject is a 59 year old male orthopaedic
surgeon with medial compartment knee
arthritis. Both high tibial valgus osteotomy and
uni-compartmental knee replacement would be
appropriate with similar outcomes reported in the
literature. Surprisingly, almost all young surgeons
recommended a uni-compartmental knee replacement
and almost all older surgeons recommended
a high tibial osteotomy. We discuss the reasons
that surgeon age, which is clearly irrelevant to the
optimal decision, is the dominant determinant of
surgical recommendation for this patient.