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Research Paper | Orthopaedic Surgery | India | Volume 12 Issue 11, November 2023
Efficacy of Proximal Tibial Osteotomy in Treating Medial Knee Gonarthrosis in Middle-Aged Patients: A Detailed Case Series Analysis
Dr. Shivraj A.C. | Dr. Sushil Kasnale 
Abstract: This case series analyzes the outcomes of high tibial osteotomy in five middle-aged patients with medial knee osteoarthritis. The study focuses on the procedures efficacy in addressing varus deformity and pain relief, including detailed preoperative and postoperative assessments. The results indicate significant improvement in symptoms and alignment, highlighting the procedure's potential as a treatment modality for this patient demographic. Introduction: Osteoarthritis of knee is a chronic debilitating disease causing considerable disability. Osteoarthritis commonly affect the medial compartment of knee giving rise to varus deformity in majority of cases. Significant varus deformity further aggravates pathology due to medialisation of load bearing axis. High tibial osteotomy is a valuable treatment modality for correcting malalignment. Thus producing postoperative valgus alignment of the limb with shifting of load bearing axis of lower limb laterally and thereby relieving the symptoms associated with medial unicompartmental knee osteoarthritis. Materials and Methods: We reported total of 5 cases who were of middle aged(33 - 55 years) presented with knee pain(VAS 7-8) and isolated medial osteoarthritis with good range of motion and without ligamentous instability. All these patients were diagnosed with medial compartment of knee osteoarthritis based on radiological assessment, Ahlback's grade I and II .We performed medial opening wedge high tibial osteotomy with iliac crest graft using tomofix plates in all five patients. Results: This procedure resulted in significant pain relief (two patients -VAS 3, two patients -VAS 2, one patient-VAS 1) and correction of deformity in all the patients. Conclusion: Medial opening wedge High tibial osteotomy is a good option in the treatment of uni-compartmental osteoarthritis knee.It relieves pain and improves functional outcome and prevents further progression of osteoarthritis.
Keywords: High Tibial osteotomy, Medial open wedge osteotomy, Medial compartment osteoarthritis,knee osteoarthritis, varus deformity
Edition: Volume 12 Issue 11, November 2023,
Pages: 1627 - 1630