Comparative analysis of remote results of high corrective osteotomy of the tibia and unicondylar knee replacement in medial gonarthrosis

Maksim Golovakha, Igor Shishka, Oleg Banit, Yuriy Babich, Anatoliy Tverdovsky, Ivan Zabielin, Sergiy Krasnoperov, Veniamin Orlyansky

Abstract


Results of unicondylar knee replacement and high corrective osteotomy of the tibia in conditions of medial gonarthrosis were comparatively analysed. The above techniques are not competitive, because different groups of patients have the following indications: 1) high corrective osteotomy of the tibia in conditions of gonarthrosis with varus deformity in case of grade 2 of lesion of the medial part according to the Kellgren-Lawrence Grading Scale in young patients (not over 55), where the cartilage lesion in the lateral part of the knee joint cannot exceed Grade 2 by the Outerbridge classification; 2) unicondylar arthroplasty in conditions of gonarthrosis with varus deformity is indicated for a total defect of the medial part with full preservation of the lateral part of the knee joint.

Keywords


knee joint; osteoarthrosis; surgery

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DOI: https://doi.org/10.15674/0030-59872013120-24

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Copyright (c) 2014 Maksim Golovakha, Igor Shishka, Oleg Banit, Yuriy Babich, Anatoliy Tverdovsky, Ivan Zabelin, Sergiy Krasnoperov, Veniamin Orlyansky

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