Outcome of total knee arthroplastyfollowing closing wedge high tibialosteotomy: a review of 40 cases

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Published Sep 5, 2018
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Vol. 96 No. 5 (2018): Issue May 2018

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Nader Naouar
Hamdi Kaziz
Thabet Mouelhi
Mohamed Amine Triki
Karim Bouattour
Mohamed Laziz Ben Ayeche

Abstract

Introduction: Total knee replacement after high tibial osteotomy becomes more and more indicated. This intervention needs to identify some
pearls and pitfalls. The aim of our study was to evaluate results of total knee arthroplasty after closing wedge high tibial osteotomy.
Patients and method: Fourty total knee arthroplasty following closing wedge high tibial osteotomy were identified. Demographic features, tibiofemoral
alignment and radiolucent lines were documented on postoperatively. Clinical and functional evaluations were performed preoperatively
and postoperatively according IKSS score.
Results: The average duration of follow-up was 11, 5 years. The mean function score increased from 39 points to 70, 4 points postoperatively.
The mean knee score increased from 40 points to 84, 9 points postoperatively. The mean average tibio-femoral angle was 177,7° in preoperatively
and 178° (min 176°, max 185°) at the last follow-up.
Conclusion: The closing wedge high tibial osteotomy does not compromise subsequent total knee replacement. Knowing pearls and pitfalls lead
to better outcome.

Keywords:

Knee; arthritis; tibial osteotomy; arthroplasty; outcome.

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