Vol 4 | Issue 1 | Jan-Jun 2019 | page:27-34 | Saket Bonde, Parag Sancheti, Atul Patil, Madhav Borate, Ashok Shyam
Authors: Saket Bonde [1], Parag Sancheti [1], Atul Patil [1], Madhav Borate [1], Ashok Shyam1 [1].
[1] Sancheti Institute of Orthopaedics and Rehabilitation, Shivajinagar, Pune.
Address of Correspondence
Dr. Ashok Shyam,
16, Sancheti Institute of Orthopaedics and Rehabilitation, Shivajinagar, Pune.
Email: drashokshyam@gmail.com
Abstract
Objective: Young active patients with medial compartment osteoarthritis and a varus deformity can be treated with Medial opening wedge high tibial osteotomy. The aim of this article is to provide an updated systematic review on the clinical and functional outcomes, complications along with survivorship of medial opening wedge high tibial osteotomy. It also aims to evaluate its comparison and validity in overlapping indications with Unicondylar Arthroplasty.
Methods: Following keywords were used to search the PubMed/Medline database: osteoarthritis, surgery, knee, varus deformity, valgus osteotomy, high tibial osteotomy, medial opening wedge high tibial osteotomy, Unicondylar arthroplasty. Combined searches of the first 3 terms with each of the surgical procedures were conducted to identify relevant studies. Additional articles were identified by checking the reference.
Summary: Medial opening wedge high tibial osteotomy provides a good to excellent clinical and functional outcome with minor complications. It is a technically challenging procedure although it provides a good Range of Motion and physical activity. Unicondylar arthroplasty on the other hand is better for older patients as it has a shorter rehabilitation course and a comparatively faster functional recovery.
Keywords: high tibial osteotomy, opening, systematic review.
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| How to Cite this Article: Bonde S, Sancheti P, Patil A, Borate M, Shyam A. Outcomes and Complications of Medial opening Wedge High Tibial Osteotomy along with A Comparsion to Unicondylar Arthroplasty: A Systematic Review Article. Journal of Orthopaedic and Rehabilitation 2019 Jan-Jun; 4(1):27-34. |
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