Can Simultaneous Bilateral Medial Opening High Tibial Osteotomy Satisfy Bilateral Medial Osteoarthritis Patients with Varus Alignment?

Dong Won Suh, Seung Beom Han, Kuhoang Cheong, So Hyun Kim and Bong Soo Kyung

Joint Center, Barunsesang Hospital, Seongnam-si, Gyeonggi-do, Korea
Department of Orthopedic Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea

^*Correspondance to: Bong Soo Kyung 

 PDF  Full Text DOI: 10.25107/2474-1647.2397

Abstract

Purpose: To determine the feasibility of simultaneous bilateral High Tibial Osteotomy (HTO) with early weight bearing rehabilitation for bilateral medial osteoarthritis patients with varus alignment.
Methods: Clinical records and radiographic findings of 25 patients who underwent simultaneous bilateral HTO with early weight bearing rehabilitation from January 2015 to March 2016 at our institution were retrospectively reviewed. The crutch ambulation period and patient satisfaction were evaluated at postoperative one year. The union at postoperative one year and femorotibial angle at postoperative two months and one year were radiologically checked.
Results: Regarding patient satisfaction, of 25 patients, 17 (68%) indicated they were ‘satisfied’, 3 (12%) ‘unsatisfied’, and the remaining five ‘so-so’. Eleven (44%) patients could walk without any support within one month and other eleven (44%) patients within two months. The remaining three (12%) patients took three months to remove their crutch. All cases showed complete union at postoperative one year. A greater loss in the correction was identified in the bone substitute group than that in the allo-bone chip group.
Conclusion: Simultaneous bilateral medial opening HTO can be a good option for patients of bilateral medial osteoarthritis with varus alignment. This showed good patient satisfaction and acceptable discomfort.

Keywords

Osteoarthritis; Tibial osteotomy; Rehabilitation; Patient satisfaction

Cite the article

Suh DW, Han SB, Cheong K, Kim SH, Kyung BS. Can Simultaneous Bilateral Medial Opening High Tibial Osteotomy Satisfy Bilateral Medial Osteoarthritis Patients with Varus Alignment? Clin Surg. 2019; 4: 2397.