JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES) ›› 2016, Vol. 54 ›› Issue (10): 85-89.doi: 10.6040/j.issn.1671-7554.0.2016.534

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Short-term curative effect of open wedge high tibial osteotomy in the treatment of medial compartment knee osteoarthritis

BAO Xuezhi1, ZHAO Peng2, LIU Peilai1, LU Qunshan1, LI Ming1, ZHANG Yuankai1, LI Deqiang1   

  1. 1. Department of Orthopaedics, Qilu Hospital of Shandong University, Jinan 250012, Shandong, China;
    2. Department of Orthopaedics, Central Hospital of Feicheng Mining Group, Taian 271608, Shandong, China
  • Received:2016-05-13 Online:2016-10-10 Published:2016-10-10

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Abstract: Objective To observe the short-term curative effect of high tibia osteotomy(HTO)in the treatment of knee medial compartment osteoarthritis. Methods A total of 20 patients(26 knees)treated during Jan. 2015 and Jan. 2016 were involved. The curative effect was evaluated using American knee society(AKS), Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC), visual analogue scale(VAS), medial proximal tibial angle(MPTA), and femorotibial angle(FTA). Results During the follow-up of 3-12 months, both knee joint pain and lower limb strength were significantly improved. Superficial infection occurred in 1 case and no other complications were observed. The postoperative AKS score, WOMAC score, VAS score, MPTA and FTA were significantly improved(P<0.05). Conclusion HTO can correct the abnormal force distribution of lower extremities, relieve or eliminate knee pain, and delay the progress of the knee joint degeneration, thus showing good short-term curative effect. The long-term efficacy needs to be further observed.

Key words: High tibial osteotomy, Knee, Osteotomy, Open wedge, Medial joint arthritis

CLC Number: 

  • R687.3
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