Research Articles

A Genu Varum Correction: A Comparison of Conventional Open Wedge High Tibial Osteotomy versus Open Wedge Osteotomy with Sagittal Plane Cutting

Abstract

Background: Open wedge high tibial osteotomy (OWHTO) is commonly utilized to correct genu varum. To decrease various complications of OWHTO, some modifications are needed.
Methods: In a parallel randomized controlled clinical trial, 42 patients were divided into two groups: conventional OWHTO (control group) and OWHTO with the cut in the sagittal plane or distal tubercle osteotomy (OWHTO/DTO) (intervention group). Evaluation of the following items was conducted pre- and post-operatively: Knee Society Score (KSS) questionnaire, incidence of postoperative complications, patellar height by Blackburne-Peel (BP) ratio and Insall-Salvati Index (ISI), posterior tibial slope (PTS), tibiofemoral angle (TFA), Q-angle, medial proximal tibial angle (MPTA), three joint alignment radiography, and union radiological parameters.
Results: The differences between preoperative and postoperative variables including the KSS, PTS, TFA, BP Index (BPI), ISI, MPTA, and Q-angle within the intervention and control groups were not statistically significant. In four cases (3 in the control group and 1 in the intervention group), the delayed union was observed but the complete union was achieved after a mean of 23 weeks. No nonunion was observed.
Conclusion: Our results showed equal effectiveness for OWHTO/DTO compared with the conventional OWHTO.

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IssueVol 5, No 1 (2019) QRcode
SectionResearch Articles
DOI https://doi.org/10.18502/jost.v5i1.3318
Keywords
Genu Varum; Osteotomy; Techniques
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Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Saeb M, Khabiri S saeed, Yaghoubi M, Mousapour A, Mardanpour K, Safari-Faramani R, Shafiee A, hojabrian A, Rahimipour S. A Genu Varum Correction: A Comparison of Conventional Open Wedge High Tibial Osteotomy versus Open Wedge Osteotomy with Sagittal Plane Cutting. J Orthop Spine Trauma. 2020;5(1):12-6.