A functional outcome of medial open wedge high tibial osteotomy for medial compartmental osteoarthritis knee: Prospective study

Abstract

Background: Knee osteoarthritis ranks among the most common disability in adults and the prevalence is projected to increase sharply over next two decades. The common problem is the medial compartment osteoarthritis of knee which leads to varus deformity and progresses to disability.When the disease progresses high tibial osteotomy, unicompartmental arthroplasty and total knee arthroplasty are the surgical options used Material and Methods: Twenty cases of medial joint osteoarthritis knee were operated by high tibial open wedge osteotomy fixed with ‘T’ plate between from April 2019 to November 2020Results: The mean follow up period was 20 months. The results were analysed using visual analogue pain scale, knee society score, Japanese orthopaedic association knee rating scale. The outcome was excellent in 15%, good in 65%, fair in 15% and poor in 5 % by Knee society score and outcome was excellent in 15%, good in 70%, fair in 10% and poor in 5% by JOA knee rating scale.Conclusion: High tibial osteotomy is a good treatment of choice for medial compartment osteoarthritis of knee in the young individuals.