A Short Term Follow Up Comparison of Genu Varum Corrective Surgery Using Open and Closed Wedge High Tibial Osteotomy
- Author:
Ali Tabrizi
;
Jafar soleimanpour
;
Ali Sadighi
;
Ali Jafari Zare
- Publication Type:Journal Article
- Keywords:
High Tibial Osteotomy, Open Wedge Osteotomy, Closed Wedge Osteotomy
- From:Malaysian Orthopaedic Journal
2013;7(1):7-12
- CountryMalaysia
- Language:English
-
Abstract:
Introduction: Knee deformity associated with osteoarthritis
(OA) is one of the most common complications seen in
patients referred to orthopaedic surgeons. High tibial
osteotomy (HTO) is an accepted method for treatment of
medial knee osteoarthritis with varus deformity. The aim of
this study was to compare results of osteotomy methods in
patients with genu varum (GV) deformity. Methods: In this
cohort study, the sample consisted of 32 patients with genu
varum deformity (42 knees) who were divided into two
groups and matched according to age and gender. The
patients were treated with open or closed wedge osteotomy.
After surgery, they were followed-up and compared for 6
months. Results: The sample consisted of 25 women
(87.2%) and 7 men (21.8%). Ten patients (31.2%) presented
with bilateral deformity. The incidence of complications was the same for both procedures (12.5%); this included one
peroneal nerve injury following closed wedge surgery.
Overall, patient satisfaction was 87.5% and 75% for the open and closed wedge methods respectively. Operative time,
days to full weight bearing, and days to return to routine
activities were significantly shorter for patients treated with the open wedge method (p<0.001). Conclusion: Open
wedged HTO is associated with shorter operating time,
shorter recovery time, higher patient satisfaction, and
probable lower risk of neurological injury.
- Full text:W020160108588961687214.pdf
