Slovenská chirurgia 3/2020

Mid term results of knee mediocompartemental chondral damage treatment with high tibial corrective tibial osteotomy in active patient under 60 years of age

The aim of the study was to evaluate short and mid term clinical results of high tibial valgus osteotomy as treatment mediocompartmental osteoarthritis in young active patients under 60 years of age. A group of 30 patient undergone osteotomies in the interval 2011 - 2013. Mediocompartemental osteoarthritis was indication for operation . Patient were retrospectivelly evaluated with KOOS – Knee injurie and osteoarthritis outcome score (15) questionare 1 and 5 years after operation with expectation of clinical improvement after tibial osteotomy. Surgery improoved knee function with reflection in KOOS profile . In this age group we can achieve godd bone healing and acceptale mid term patient satisfaction even with non locking and biomechanically less favourable older implants. High tibial osteotomy is one of the treatment options of osteoarthrosis in patients younger than 60.

Keywords: knee osteoarthritis, varus deformity, close wedge tibial osteotomy, high tibial osteotomy complication, high tibial osteotomy survival time.