Improved high tibial osteotomy for medial knee osteoarthritis.docVIP

 PAGE \* MERGEFORMAT 11 Improved high tibial osteotomy for medial knee osteoarthritis Author: Liu Xin-Ming, Li Wenhui, Chen Ju-wu Abstract [Objective] To improve wedge high tibial osteotomy for medial knee osteoarthritis of the feasibility and efficacy. [Methods] The curved lateral incision in the upper leg, free on the tibiofibular joint, revealing the upper tibia, at 2 cm under the tibial plateau at wedge osteotomy, Link high tibial osteotomy plate fixation. [Results] The patients were followed up 1 to 4 years, an average of 3.2 years. 1 case due to medical illness and functional long-term bed-ridden poor, and 1 case failed internal fixation changed to plaster external fixation. No infection and nonunion, and no tibiofibular joint instability. Reference sinus Baosight rating criteria, were excellent in 9 patients (11 knees), good in 2 patients (3 knees), can be 1 (one knee), good rate of 93.75%. [Conclusion] The improved high tibial osteotomy for medial knee osteoarthritis, a simple surgical, organizational trauma, surgery time is short, no postoperative external fixation, get out of bed early, rapid functional recovery, results were satisfactory. Keywords: Knee; osteoarthritis; tibial bone; osteotomy Since May 2001 ~ August 2005, using improved high tibial osteotomy for medial knee osteoarthritis in 13 cases (16 knees), results were satisfactory. A clinical data and methodology 1.1 General Information The group of 13 patients (16 knees) with medial knee osteoarthritis patients, 4 males (5 knees) and 9 females (11 knees); aged 42 to 63 years old, with an average 53.5 years of age, all combined with knee varus . The whole group of patients with preoperative weight-bearing X-ray film measurements of the shares on the tibial angle 178 ° ~ 189 °, an average of 184.6 °, knee varus 5 ° ~ 17 °, an average of 12 °. 1.2 surgical Using lateral upper leg, a small head of fibula anterior longitudi