Open Wedge High Tibial Osteotomy versus High Fibular Osteotomy in Management of Osteoarthritis Knee

Shamma , Ahmed; El Nahas , Mohammed; Ibrahim , Loay Hassanin Mahmoud

Article Details

Open Wedge High Tibial Osteotomy versus High Fibular Osteotomy in Management of Osteoarthritis Knee

Authors:

Shamma , Ahmed | El Nahas , Mohammed | Ibrahim , Loay Hassanin Mahmoud

Publisher:

Pan Arab League of Continuous Medical Education

Main Topics:

Medicine

Journal:

The Egyptian Journal of Hospital Medicine 2019 Vol.76 Issue 5, pp.4085-4091

Document Type:

Article

Publication Date:

7/2019

Document Language:

English

Document ID (Org No.):

138791

Frequency:

Quarterly

eISSN:

20907125

pISSN:

16872002

Descriptors:

Keywords:

Abstract:

 Background: osteoarthritis is the most common inflammatory joint condition and is expected to have an increasing prevalence in middle-aged and elderly patients.Objectives: to evaluate the functional outcome of open wedge High Tibial Osteotomy (HTO) versus High Fibular Osteotomy (HFO) with segment resection in management of medial compartment osteoarthritis of the knee.Patients and Methods: we compared 10 cases of HTO and 10 cases of HFO complain with uni-compartment knee osteoarthritis.Results: success in HTO depends on good technique. The determination of the exact localization of the osteotomy site, not to fracture lateral cortex, frequent assessment of the correction angle at every step of the operation, avoidance of overcorrection, the selection of an appropriate Puddu plate size fit for the osteotomy gap. During follow up, mean improvements obtained in KSS scores was 26.70. According to this assessment scale, preoperative score was deemed worse, and postoperative scores was good. HFO relieves pain and improves joint function in human knee osteoarthritis. This new surgery is simple, safe and affordable. Pain relief after surgery occurs in almost all patients. HFO may delay or replace TKA in a subpopulation of patients with knee osteoarthritis.Conclusion: HFO is a simple, safe, fast and affordable surgery to relieve pain and improve joint function and the medial joint space in human knee osteoarthritis.

Article Details

Open Wedge High Tibial Osteotomy versus High Fibular Osteotomy in Management of Osteoarthritis Knee

Authors:

Shamma , Ahmed | El Nahas , Mohammed | Ibrahim , Loay Hassanin Mahmoud

Publisher:

Pan Arab League of Continuous Medical Education

Main Topics:

Medicine

Journal:

The Egyptian Journal of Hospital Medicine 2019 Vol.76 Issue 5, pp.4085-4091

Document Type:

Article

Publication Date:

7/2019

Document Language:

English

Document ID (Org No.):

138791

Frequency:

Quarterly

eISSN:

20907125

pISSN:

16872002

Descriptors:

ORTHOPAEDICS

OSTEOTOMY

SURGICAL OPERATIONS

JOINT DISEASES

KNEES

High Tibial Osteotomy

High Fibular Osteotomy

Osteoarthritis Knee

Issues

Article Details

Authors: Shamma , Ahmed | El Nahas , Mohammed | Ibrahim , Loay Hassanin Mahmoud

Publisher: Pan Arab League of Continuous Medical Education

Main Topics: Medicine

Journal: The Egyptian Journal of Hospital Medicine 2019 Vol.76 Issue 5, pp.4085-4091

Document Type: Article

Publication Date: 7/2019

Document Language: English

Document ID (Org No.): 138791

Frequency: Quarterly

eISSN: 20907125

pISSN: 16872002

Descriptors:

Issues

Authors:

Shamma , Ahmed | El Nahas , Mohammed | Ibrahim , Loay Hassanin Mahmoud

Publisher:

Pan Arab League of Continuous Medical Education

Main Topics:

Medicine

Journal:

The Egyptian Journal of Hospital Medicine 2019 Vol.76 Issue 5, pp.4085-4091

Document Type:

Article

Publication Date:

7/2019

Document Language:

English

Document ID (Org No.):

138791

Frequency:

Quarterly

eISSN:

20907125

pISSN:

16872002