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Paper Information

Journal:   IRANIAN JOURNAL OF MEDICAL SCIENCES (IJMS)   JUNE 2007 , Volume 32 , Number 2; Page(s) 66 To 73.
 
Paper: 

HIGH TIBIAL VALGUS OSTEOTOMY AND FUNCTIONAL OUTCOME

 
 
Author(s):  SHAH CHERAGHI GH.H.*, ZARE P., JAVID M., MAHMOUDIAN B.
 
* SHIRAZ MEDICAL UNIVERSITY, SHIRAZ, IRAN
 
Abstract: 
Background: This is a case series of 76 knees of 62 patients who underwent upper tibial valgus osteotomy for treatment of medial compartment osteoarthritis during a 20-year period and who were followed for a mean of 7.6 years.
Methods: The patients were evaluated by validated outcome assessment systems of general health status short form (SF- 36), the Western Ontario McMaster osteoarthritis index (WOMAC), McMaster Toronto arthritis patient preference questionnaire (MACTAR) and also knee society clinical rating system (KSS). Two control groups - one consisting of 60 patients with similar age with osteoarthritis who had not receivedany surgical treatment and another 60 patients who had received knee replacement for osteoarthritis-were also studied. The results were compared among these three groups.
Results/Conclusion: Tibial osteotomy caused improvement in SF-36 and WOMAC scores compared to the non-operated control group, but it did not do so when it was compared with knee arthroplasty. The mean±SD KSS was 103.37±12.19 with a failure rate (defined as candidacy for knee arthroplasty) of 28.94%. Improvement in patients’ pain level, social activity, housework activities and self-esteem was observed. Stair navigation, surface walking, getting on and off a car were not significantly better than the non-operated group.
 
Keyword(s): OSTEOARTHRITIS, KNEE, OSTEOTOMY, TREATMENT OUTCOME, KNEE REPLACEMENT ARTHROPLASTY
 
References: 
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