Document Detail

Minimally invasive open wedge high tibial osteotomy with press-fit tricortical bone graft.
MedLine Citation:
PMID:  20120671     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Numerous operative procedures has been described for high tibial osteotomy (HTO), however the HTO without implant fixation has never been reported.
OBJECTIVE: The objective of this study was to propose a new technique and evaluate the preliminary results.
MATERIAL AND METHOD: Prospective review study on a series of case, at the Hospital. Seventeen patients (10 females, 7 males), and a total of 18 knees with a mean age at the operative time of 53 years (range, 35 to 64 years) were available for follow-up evaluation at a minimum of 24 months. The open-wedge HTO with press-fit tricortical bone graft was performed by one surgeon.
RESULTS: The average time to union was 8.5 weeks (range, 6 to 12). There was one case of delayed union (5.5%). No nonunion, grafts collapse or dislodge were found. The average preoperative varus deformity was 8 degrees (range 6 to 11) and postoperative valgus was 8 degrees (range, 6 to 13). The pre and postoperative average pain level were 8.7 (range, 7 to 10) and 3.6 (range, 0 to 7), respectively. The average satisfaction score of the patients was 77% (range 50-100%). The average Knee Society Score was 82.3 +/- 6.4.
CONCLUSION: Considering its less morbidity, excellent cosmesis, no need for second operation to remove the implant, excellent cost effectiveness and no complications from internal fixation, this new technique offers an attractive alternative in HTO.
Bancha Chernchujit; Thongchai Suntharapa; Sunyarn Niampoog; Yongyuth Siripakarn
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the Medical Association of Thailand = Chotmaihet thangphaet     Volume:  92 Suppl 6     ISSN:  0125-2208     ISO Abbreviation:  J Med Assoc Thai     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2010-02-03     Completed Date:  2010-04-01     Revised Date:  2014-07-30    
Medline Journal Info:
Nlm Unique ID:  7507216     Medline TA:  J Med Assoc Thai     Country:  Thailand    
Other Details:
Languages:  eng     Pagination:  S104-8     Citation Subset:  IM    
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MeSH Terms
Bone Transplantation
Follow-Up Studies
Knee Joint / surgery*
Middle Aged
Osteotomy / adverse effects,  methods*
Prospective Studies
Surgical Procedures, Minimally Invasive / adverse effects,  methods*
Tibia* / surgery,  transplantation
Treatment Outcome

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