HIGH TIBIAL CLOSED WEDGE OSTEOTOMY FOR MEDIAL COMPARTMENTAL KNEE ARTHROSIS

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.