1Assistant Professor, Dept. of Orthopedics, Navodaya Medical College, Raichur, Karnataka
2Associate Professor, Dept. of Pathology, Navodaya Medical College, Raichur, Karnataka
3Senior Resident, Dept of Orthopedics, Navodaya Medical College, Raichur, Karnataka
Online published on 6 November, 2014.
High tibial osteotomy is an accepted treatment for unicompartmental Osteoarthritis of the knee. Encouraged by the results of this procedure by Various surgeons which is technically simple and considering the Prohibitive cost, sophisticated instrumentation, the technical expertise of Replacement arthroplasties, an attempt has been made to evaluate selection Criteria and the results of high tibial osteotomy in the management of osteoarthritis of knee as a temporary alternative procedure.
Between May 2009 to September 2011, twenty knees in twenty patients Were treated by high tibial osteotomy at out institution.
At a mean follow up of 15.9 months (range, 6–24 months) after the operation, the clinical results for 20 knees in 20 patients were analyzed. According to Coventry's criteria the subjective results was good in 17 patients (85%) fair in 2 patients (10%), and poor in 1 patient (5%). Two patients developed superficial wound infection.
High tibial osteotomy is a durable time - buying procedure for patients with unicompartmental osteoarthritis of knee and better postoperative care could be carried out by rigid internal fixation with buttress plate and screws. Satisfactory selection criteria are essential for the successful outcome of high tibial osteotomy.
High Tibial Osteotomy, Osteoarthritis Knee