Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Abstract
Knee joint Osteoarthritis accounts for 3% of global "years lived with disabilities and entails a significant health and economic burden on the socio‐economic system. While the aetiology of Osteoarthritis is complex and multifactorial, biomechanics is one of the most important aspects in its pathogenesis. It affects the medial compartment often, resulting in Varus deformity. Significant Varus deformity aggravates the pathophysiology by medializing the weight‐bearing axis. Clinically, Interventions that change the excessive forces associated to the position of the loading axis operating on damaged tissues, such as articular cartilage, have been used in clinical trials to alleviate OA symptoms. High tibial osteotomy (HTO) is effective in correcting malalignment and alleviating the symptoms of medial unicompartmental osteoarthritis and it is a commonly accepted and performed surgery. This study aims to investigate effectiveness of HTO with proximal medial tibia locking plating and autologous bone grafting in patients with Unicompartmental OA of the knee To assess the effectiveness of the high tibial osteotomy with proximal medial tibial locking plating and autologous bone grafting in patients with unicompartmental osteoarthritis of knee. 30 patients were included in this study and assessed for a period of 2 years and functional (Knee Society score system) and was evaluated at 6th week, 3rd month and 6th month. From the current study which included an analysis of 30 knees that underwent High tibial medial opening wedge osteotomy, 27 subjects had excellent outcome and 3 subjects had good outcome. The mean KSS values preoperatively and postoperatively were 54.07±5.19 and 86.93±4.67 respectively. There was a statistically significant increase in the mean KSS value postoperatively with a p‐value < 0.001. The mean ROM values preoperatively and postoperatively were 80.53 ± 5.92 and 104.27 ± 7.42 respectively. There was a statistically significant increase in the mean ROM value postoperatively with a p< 0.001. High tibial medial opening wedge osteotomy is a good option in the treatment of unicompartmental osteoarthritis knee. It improves the functional outcome.
How to cite this article:
Sharon RanjithKudari, Dheeraj Krishna Lagadapati and Srinivasa Rao Akula. A Study on Functional Outcome of High Tibial Osteotomy for Unicompartmental Osteoarthritis of
Knee Joint.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.7.540.548
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.7.540.548