High Tibial Osteotomy (HTO) has several advantages over Unicondylar Knee Replacement (UKR)

High Tibial Osteotomy (HTO) has several advantages over Unicondylar Knee Replacement (UKR) for treating medial compartment osteoarthritis:

1. _Preservation of joint_: HTO maintains the natural joint, whereas UKR replaces the damaged compartment with an artificial implant.

2. _Less invasive_: HTO is a less invasive procedure compared to UKR, with smaller incisions and less tissue damage.

3. _Faster recovery_: HTO typically has a faster recovery time, with patients returning to normal activities within 3-6 months, whereas UKR may take 6-12 months.

4. _Better range of motion_: HTO allows for more natural knee movement and range of motion, whereas UKR may have some limitations.

5. _Lower risk of complications_: HTO has a lower risk of complications, such as infection, blood clots, and implant failure, compared to UKR.

6. _No risk of implant wear_: HTO eliminates the risk of implant wear and tear, which can occur with UKR over time.

7. _More natural feeling_: HTO allows for a more natural feeling knee, whereas UKR may have a slightly artificial feel.

8. _No need for future revisions_: HTO can be a more definitive procedure, whereas UKR may require future revisions or replacements.

9. _Cost-effective_: HTO can be more cost-effective compared to UKR, especially in younger patients.

10. _Better for active patients_: HTO is often preferred for active patients, as it allows for more natural knee function and movement.

However, the decision between HTO and UKR depends on individual patient factors, such as age, activity level, and severity of osteoarthritis.