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):
Publish Date:
June 1, 2012
Publication Title:
Iowa Orthopaedic Journal
Format:
Journal Article 32 Volume 22 Pages
Citation(s):
  • Frederick R. Dietz and 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.