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Published on: January 24, 2018
High tibial osteotomy in medial compartment osteoarthritis and varus deformity using the Taylor spatial frame: early
P M Robinson1, M C Papanna, B V Somanchi
1Limb Reconstruction Unit, Department of Orthopaedics, Salford Royal Hospital NHS Foundation Trust, Stott Lane, Salford, Greater Manchester, M6 8HD, UK, paulrobinson79@doctors.org.uk.
Abstract:
We report the early results of high tibial osteotomy (HTO) in medial compartment osteoarthritis (OA) and varus deformity using the Taylor spatial frame (TSF). Between October 2005 and April 2007, 9 patients with medial compartment OA and varus deformity underwent TSF application and medial opening wedge HTO. Pre- and post-operative Oxford knee scores, SF-12 and visual analogue pain scores were recorded along with radiographic outcomes. Median follow-up was 19 months (range 15-35). Mean age at operation was 49 years (range 37-59). The median time spent in the frame was 18 weeks (range 12-37). The mean preoperative Oxford knee score was 28.7. This improved to a mean of 35.4 post-operatively (P = 0.0142). 6 (67%) patients had a documented pin-site infection. With TKR as an end point, the survival rate of HTOs was 88.9% at a median of 19 months follow-up. This study demonstrates that in selected patients the TSF provides a viable treatment option for performing HTO in medial compartment OA with varus deformity.
