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Subject Area

Orthopedics

Article Type

Original Study

Abstract

Objectives: To elucidate the outcome of medial opening wedge high tibial osteotomy accompanied with arthroscopic management of medial knee joint mechanical disorders in adult patients with varus knee. Background: Medial open wedge high tibial osteotomy improves alignment and weight distribution in patients with varus knee deformity with intraoperative ability to adjust correction through one bone cut, without disruption of proximal tibio-fibular joint or lateral compartment invasion. Methods: The study included adult patients with symptomizing varus knees. A medial opening wedge was stabilized with osteotomy plate combined with arthroscopic intra articular management of medial knee disorders. Results: The study was conducted on twenty-two symptomizing varus knee in adult both males 14 (63.6%) and females 8 (36.4%) with a mean age 41.1 ± 10.6 14 (Mean ± SD). The mean preoperative HSS (Hospital for Special Surgery knee rating scale) was 58.3 ± 2.57 with poor grading. The mean post-operative HSS was 77.1 ± 8.51. Satisfied results (excellent and good) were obtained in 15 knees (68.2%) while six had fair results and only one with poor results. Conclusion: Early outcomes of medial open wedge high tibial osteotomies with arthroscopic management of medial knee joint disorders are fairly successful and safe. Identified good prognostic factors were younger age, higher preoperative HSS score, bone grafting of osteotomy gaps, unharmed lateral hinge and mild degenerative meniscal or chondral lesions.

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