Haydarpasa Numune Education and Research Hospital, İstanbul, Turkey
Does flexion contracture really matter in medial open wedge high tibial osteotomy?
Author(s): Ozgur Erdogan* and Hakan Serhat Yanik
Objective: Several studies stated on medial open wedge tibial osteotomy but there is still some debate about the acceptable amount of pre-operative flexion contracture degree. Also, clinical effects of alteration of tibial slope after the procedure is not clear. This study aimed to investigate the mid-term clinical and radiological findings and complications of medial open wedge tibial osteotomy. Materials and methods: 44 knees of 42 patients were investigated retrospectively between January 2001 and February 2012. Tibial sagittal slope, mechanical tibiofemoral angle (mTFA), mechanical lateral distal femoral angle (mLDFA) and Medial Proximal Tibia Angle (MPTA) were measured, pre and post-operatively. Clinical outcome was evaluated with HSS (Hospital for Special Surgery) Knee Score, OKS (Oxford Knee Score) and KOSADLS (Knee Outcome Survey-Activities of Daily Living Scale). Results: The.. Read More»