High tibial valgus osteotomy in unicompartmental medial osteoarthritis of the knee: a retrospective follow-up study over 13-21 years

Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
Alex SchallbergerRoland P Jakob

Abstract

High tibial osteotomy is a well-established method for the treatment of medial unicompartmental osteoarthritis of the knee. We analysed retrospectively the long-term outcome of open and closing wedge valgisation high tibial osteotomies. Out of 71 patients, 54 (76%) were available for the study. Survival rates and the influence of the osteotomy type were investigated. Secondary outcome measures were the course of radiological leg axis and osteoarthritis as well as score outcomes. During a median follow-up of 16.5 years (IQR 14.5-17.9; range 13-21), 13 patients (24%) underwent conversion to total knee arthroplasty; the other 41 patients (76%, survivor group) were studied by score follow-up as well as clinical and radiological examinations. Osteotomy survival was of 98% after 5 years, 92% after 10 years and 71% after 15 years. Comparison between open and closing wedge high tibial osteotomy showed no significant difference in survival and score outcome. The median Visual Analogue Score (VAS) was 0 (IQR 0-1; range 0-4), the Satisfaction Index was 80% (IQR 63-89; range 30-100), the median Knee Injury and Osteoarthritis Outcome Score was 71 (IQR 49-82; range 9-100) and the median Western Ontario and McMaster Universities Osteoarthriti...Continue Reading

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Related Concepts

Osteotomy
Retrospective Studies
Bone Structure of Tibia
Client Satisfaction
Knee Replacement Arthroplasty
Osteoarthritis, Knee
Body Fluid Compartments
Classification
Knee
Degenerative Polyarthritis

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