HIGH TIBIAL CLOSED WEDGE OSTEOTOMY FOR MEDIAL COMPARTMENTAL KNEE ARTHROSIS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2016, Vol 5, Issue 1
Abstract
AIMS To study the outcome of high tibial osteotomy in medial compartment arthritis. SETTINGS AND DESIGN Prospective as well as retrospective study of thirty six patients with unicompartmental osteoarthritis of the knee presenting to our hospital from the year 2013 to 2015, who were treated with high tibial osteotomy. METHODS AND MATERIAL The study material includes data collection, clinical examination and investigations of thirty six patients who underwent high tibial osteotomy. Out of thirty six patients, twenty four patients were women and twelve patients were men with a ratio of 2:1. The mean age at the time of surgery was 54.44years with a range of 33 years to 73 years. Right side unicompartmental osteoarthrosis is seen in seventeen patients (41.67%) and nineteen patients (58.33%) had left side involvement. RESULTS A 75% patients had 90% to 100% of pain relief. Two fold increase in the number of patients with pain free unlimited walking distance. All patients had an improvement in their knee score. Over 90% of patients were free of complications. CONCLUSIONS High tibial osteotomy remains a useful and efficient procedure. The improvement in the post op scoring encourages us to continue recommending HTO in the most painful early and medium stages of medial compartment osteoarthritis. HTO is thus very beneficial in cases of a good patient selection and good operative technique has been achieved
Authors and Affiliations
Satya Koduru, Srinivas Thota, Siddhartha Potluri
Keywords
Related Articles
- EP ID EP128478
- DOI 10.14260/jemds/2016/16
- Views 66
- Downloads 0
TRANS-RADIAL CORONARY ANGIOGRAPHY- A STUDY OF CAUSES OF PROCEDURAL FAILURE IN A TERTIARY CARE HOSPITAL IN SOUTH BENGAL
BACKGROUND The trans-radial approach for performing coronary angiography was practiced for long time. This procedure has some advantages over femoral approach. Due to technical complexity this route is rarely selected fo...
A CLINICAL STUDY OF ABDOMINAL SURGICAL SITE INFECTION
BACKGROUND Infections which develop at or near surgical site within 30 days of surgery if no prosthesis is used, and within one year if prosthesis is used are defined as ‘Surgical Site Infections’. This study was conduct...
CONTRAST INDUCED NEPHROPATHY IN PATIENTS UNDERGOING ELECTIVE PCI IN A TERTIARY CARE CENTRE IN COASTAL KERALA
BACKGROUND Contrast induced nephropathy after PCI is associated with significant morbidity and mortality after PCI. Patients undergoing PCI who had risk factors for renal compromise are at higher risk. The aim of this st...
COMPARATIVE STUDY OF FENTANYL, BUTORPHANOL AND NALBUPHINE IN ATTENUATION OF HAEMODYNAMIC RESPONSES IN LAPAROSCOPIC CHOLECYSTECTOMY
BACKGROUND Numerous attempts have been made in the past to attenuate the haemodynamic responses occurring during laparoscopic cholecystectomy. The present study compared the effect of three opioids namely Butorphanol, Fe...
CLINICO-MYCOLOGICAL STUDY OF DERMATOPHYTIC SKIN INFECTIONS IN A TERTIARY CARE CENTRE
BACKGROUND Skin infections are the most common infections occurring in developing countries, of which dermatophytosis are of particular concern in tropics. The prevalence of dermatophytic infections varies with different...