Results of corrective tibial osteotomy in osteoarthrosis of the medial part of the knee joint
Keywords:proximal tibial osteotomy, open angle, medial osteoarthritis
Purpose: The present work was to study the results of corrective osteotomy in osteoarthrosis of the medial compartment of the knee joint. Methods: Forty-eight patients were treated; they underwent high valgus corrective osteotomies for medial arthrosis of the knee joint. In order to assess the treatment results, Lysholm knee, visual analogous and IKDC-2000 scales were used before the operation, as well as 6, 12 and 24 months after it. Results: Excellent and good results were achieved in 67.5 % of cases. Eighty-six per cent of patients developed better clinical results 24 months later versus their preoperative state. After the above period, 67.5 % of patients returned to the level of their initial sports activity. In one case, an articular fracture in the lateral part of the tibial plateau was observed as a surgical complication. One patient revealed an early infection of the area of osteotomy (on day 14 after the operation). Conclusions: Proximal tibial osteotomy along the medial surface with an open edge and use of a plate of Puddu type proved to be an effective procedure. The obtained results show that the best result of the oeration in the majority of patients was achieved within 12-24 months. This fact is a ground for removing implants not earlier than month 24 after the operation.
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