Volume : 6, Issue : 9, September - 2017

STUDY OF MEDIAL OPEN WEDGE OSTEOTOMY FOR OSTEOARTHRITIS KNEE

Dr Vivek Kumar, Dr Tushar Kakadiya, Dr Nirav Soni, Dr. Janak A Rathod, Dr. Abhinav Bhardwaj, Dr. Seema

Abstract :

<p>&nbsp;<b style="text-align: justify;"><span lang="EN-IN" style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-bidi-font-style:&#10;italic">INTRODUCTION</span></b><span lang="EN-IN" style="text-align: justify; font-family: &quot;Times New Roman&quot;, serif;">: </span><span lang="EN-IN" style="text-align: justify; font-family: &quot;Times New Roman&quot;, serif;">Osteoarthritis of the knee in relatively younger patients is a major disabling condition. If the axis of the varus angle is realigned in young and active patients having arthritic process limited to medial compartment with open wedge HTO to unload the medial compartment, patients get significant pain relief and surgery adds life to the knees. In our institute we use Dr Patwa&rsquo;s lock step plate. The new Dr. Patwa&rsquo;s medial open wedge lock step plate has been designed to achieve optimal stability without the interference of bone healing. The principle of the locking compression plate system (LCP) meets our requirements. The locking-head screws provide a stable fixation without compression between plate and bone.</span></p> <p class="Default" style="text-align:justify;line-height:200%"><b><span lang="EN-IN" style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-bidi-font-style:&#10;italic">AIMS &amp; OBJECTIVES</span></b><span lang="EN-IN" style="font-family:&#10;&quot;Times New Roman&quot;,&quot;serif&quot;;mso-bidi-font-style:italic">: </span><span lang="EN-IN" style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">To critically evaluate the clinical outcome of the medial open wedge osteotomy done at our institute. To compare both the clinical and functional outcomes of medial open wedge osteotomy performed at our setup with similar data else where. To analyse the complications, if any and assess the causes and solutions for it, at our constrained setup. <o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify;line-height:200%"><b><span lang="EN-IN">MATERIALS AND METHODS</span></b><span lang="EN-IN">: </span><span lang="EN-IN">The study consists of 35 knees of medial open wedge osteotomy with the use of Dr. Patwa&rsquo;s lock step plate for medial compartment.<o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify;line-height:200%"><span lang="EN-IN">Result: </span><span lang="EN-IN" style="font-size:11.5pt;line-height:&#10;200%">In our series of medial open wedge osteotomy we could get 91% excellent result and 6% good result and 3% fair result.</span><span lang="EN-IN"><o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify;line-height:200%"><b><span lang="EN-IN">CONCLUSION</span></b><span lang="EN-IN">: Medial open wedge osteotomy using our step plate is an answer to medial compartment arthrosis.<o:p></o:p></span></p>