Results and Survival at Mid-term Follow-up of a Series of 15 High Tibial Lateral Closing Wedge Osteotomies in the Treatment of Unicompartimental Medial Osteoarthritis
|Souna B Seyni*, Amadou S, Farikou I, Zirbine AS, Abdoul Wahab M and Moumouni H|
|Service d’orthopédie-traumatologie CHU Lamordé, Niamey, Niger|
|Corresponding Author :||Souna B Seyni
service d’orthopédie-traumatologie CHU
bLamorde, Niamey, Niger
Tel: 00227 93 80 01 42
E-mail: [email protected]
|Received October 20, 2014; Accepted January 20, 2015; Published January 24, 2015|
|Citation: Seyni SB, Amadou S, Farikou I, Zirbine AS, Wahab AM, et al. (2015) Results and Survival at Mid-term Follow-up of a Series of 15 High Tibial Lateral Closing Wedge Osteotomies in the Treatment of Unicompartimental Medial Osteoarthritis. J Trauma Treat 4:234. doi:10.4172/2167-1222.1000234|
|Copyright: © 2015 Seyni SB, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
The osteotomy of the proximal tibia remains widely practiced by orthopedic surgeons in treating unicompartmental knee osteoarthritis. A retrospective study was carried out on a group of 15 patients who were operated in our Orthopedics and Traumatology Department over a period of six years. Patients underwent valgus closing wedge osteotomy of the proximal tibia in the treatment of femoro-tibial medial knee osteoarthritis. The purpose of this study was to evaluate the results and the medium-term survival of this series of 15 osteotomies. We recorded 13.3% of superficial infections of the surgical wound and 6.6% nonunion. Despite radiological signs of deterioration of the knees, the percentage excellent results in more than 10 years of follow up on the entire series were 66.6%.
This study demonstrated that, well performed, wedge closing wedge osteotomy of the proximal tibia significantly delays the age of the prosthetic knee replacement or even prevents the patient from a total knee replacement.