Evaluation of functional outcome of high tibial osteotomy in medial compartment osteoarthritis of knee fixed with orthofix and puddu plate: A comparative study
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 3
Abstract
Introduction: Osteoarthritis of knee joint is the most common form of arthritis, affecting a huge population of about 237 million (3.3% of the population). Among those over 60 years old, about 10% of males and 18% of females are affected. Medial compartment is a common disease, caused by additional force on the medial compartment as a result of varus malalignment. The high tibial osteotomy (HTO) is one possibility for the treatment of varus gonarthrosis. Especially for younger and active patients this method can produce long-term relief, which often significantly delays the need for knee arthroplasty. Various techniques for valgus HTOs are described. High tibial osteotomy (HTO) is a widely performed procedure to treat medial knee arthrosis. Materials and Methods: This was a prospective study of 30 patients in the age group between 50 years and 70 years of medial compartment osteoarthritis of knee joint treated by opening wedge osteotomy fixed with orthofix and puddu plate. The study was conducted in the Department of Orthopaedics, SRMS IMS, Bareilly in between September 2016 to march 2018.Patients were randomly allocated in two groups by a computer generated selection system. Their functional results were analysed using knee soceity score. Results: Statistical analysis was performed to compare the demographic characteristics between two groups. The groups were compared with regards to age and sex, grade of osteoarthritis, time of consolidation and functional outcome. Majority of patients were males accounting to 73.33% n=22). Mean age of patients was 61.5years. Minimum age in this series was 52 years and maximum age in this series was 70 years. An unilateral Osteotomy was done in a single setting even when bilateral procedures were required. In our study bilateral osteotomy was done in 12 (40%) patients out of 30 patients. 18 Patients were treated unilaterally (60%).Among unilaterally treated patients majority of these were treated on right knee. Conclusion: Shorter follow-up period is the main shortcoming of our study. However, early results obtained indicate that medial open-wedge osteotomies in medial compartment osteoarthritis of knee fixed using Puddu plates and ortho fix could be done safely and effectively with considerable success with encouraging outcomes, and this technique could be a good alternative for unicompartmental total knee arthroplasty.
Authors and Affiliations
Apser Khan, Syed Ifthekar
Keywords
Related Articles
- EP ID EP487649
- DOI 10.22271/ortho.2018.v4.i3h.72
- Views 92
- Downloads 0
Comparative study between proximal femoral nail and dynamic hip screw with trochanteric stabilizing Plate (TSP) in unstable intertrochantric femur fractures
Background: Unstable fractures accounts for approximately 50 to 60% of all intertrochanteric fractures. Failure rates of (DHS) dynamic hip screw for unstable fracture patterns are as high as 50%. Proximal femoral nail is...
Open reduction and internal fixation by extensile lateral approach in displaced intra-articular fracture Calcaneum: A study of 44 cases
Introduction: Intra-articular fractures of calcaneum pose a challenge for all orthopaedic surgeons due to different treatment options and their varied eventual functional outcome. The aim of this study is to evaluate the...
Credibility of locking plate in treatment of distal end radius fractures with intra articular extension
Background: The management of distal end radius has undergone an extraordinary evolution over the preceding twenty years. The technical advance of palmar locking plating has again changed the management of this fracture...
Femoral neck fatigue fracture on morbid obesity: A case report
Introduction: Fatigue fractures are a type of stress fractures, and are due to abnormal stresses on normal bone. They most frequently occur in weight-bearing bones. The femoral neck localisation is rare. Objective: The a...
A prospective RCT comparing the outcome of above-knee and below-knee pop cast application for isolated tibial shaft fractures in children
Purpose: Above-Knee Cast has been standard treatment for treating tibial fractures in children. We conducted this study to evaluate the time of union, complication and cost of treatment between above- Knee and Below-Knee...