Summary
In a prospective series of 52 knees selected for high tibial osteotomy because of early medial arthrosis, special care was taken to obtain a final over-correction in valgus. The operative procedure and the pre- and post-operative radiographic examinations were standardized and the follow up was 1–3 years. 49 of the 52 knees had obtained a normal or over-corrected mechanical axis. 45 of these had improved painfree walking distance, and 31 were painfree. In 45 knees the arthrotic condition had not progressed, and in 5 of these there were signs of cartilage restitution.
It is concluded that precise correction of medial gonarthrosis can be achieved, and this provides a rational basis for definitive treatment of early stages of this condition; for the majority an endoprothesis operation should not be needed in the future.
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Financial support has been obtained from Stiftelsen Konsul Thure Carlssons Minne, Stiftelsen för Bistånd åt Vanföra i Skåne, Alfred Österlunds Stiftelse, and Swedish Medical Research Council, project No. B81-17X-02031-15C.
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Tjörnstrand, B., Egund, N., Hagstedt, B. et al. Tibial osteotomy in medial gonarthrosis. Arch. Orth. Traum. Surg. 99, 83–89 (1981). https://doi.org/10.1007/BF00389742
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DOI: https://doi.org/10.1007/BF00389742