## Abstract The goal of opening wedge high tibial osteotomy (HTO) is to reduce excessive loading on the medial compartment of the knee by correcting varus deformity, thereby reducing pain and improving function. Although surgical outcome is reportedly poor in cases of underβ or overcorrection, the
High valgus tibial osteotomy for osteoarthritis of the knee
β Scribed by S. Bhan; P. K. Dave
- Publisher
- Springer
- Year
- 1992
- Tongue
- English
- Weight
- 356 KB
- Volume
- 16
- Category
- Article
- ISSN
- 0341-2695
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β¦ Synopsis
We report a statistical analysis of the results of 65 tibial osteotomies for primary osteoarthritis of the knee followed up at 3 and 5 years. Preoperative walking ability and the severity of pain are the factors with which the long term prognosis can best be correlated. The preoperative range of motion and mild subluxation become important at 5 years, but these factors were not important at 3 years. Mild instability did not have any influence. The severity of the osteoarthritis in radiographs and the postoperative femoro-tibial angle did not have any important association with the result.
The results are therefore best predicted by preoperative pain and activity. The degree of correction did not affect the result.
π SIMILAR VOLUMES
S u m m a r y . We present a long term evaluation o f 100 high valgus tibial osteotomies with a mean follow up o f 11 years. Knees with slight or moderate osteoarthritis had the best results. Slight overcorrection was beneficial, but gross overcorrection was not. There were f e w complications and t