Medial open wedge osteotomy using puddu plate for unicompartmental osteoarthritis of knee

Abstract

Introduction: Osteotomies around the knee have had a significant complication rate in the past and many surgeons abandoned these procedures although the favourable long term results were well known. The main problems were the intraoperative choice of the correction angle and the risk of a postoperative loss of correction. After many years of closed-wedge osteotomy, open wedge valgization osteotomy has become popular.Methodology: This is a prospective study of patients who attended the orthopaedic out pateint clinic in our hospital between September 2010 to October 2012. The patients were evaluated by clinical examination and weight bearing radiographsResults: Of the 13 knees operated, 4 had excellent outcome, 5 had good outcome, 2 had fair and 2 had poor outcome.Conclusion: Future Total knee replacement will not be a problem as the bone stock is preserved.