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A patellar tendon length conservation method: Biplanar retrotubercle open-wedge proximal tibial osteotomy
Ismail Turkmen1, Irfan Esenkaya2
1Department of Orthopaedics and Traumatology, Health Sciences University Umraniye Training and Research Hospital, Istanbul, Turkey.
Northern Clinics of Istanbul
|January 29, 2019
Summary
This study shows that medial biplanar retrotubercle open-wedge proximal tibial osteotomy effectively treats varus gonarthrosis. The surgical technique improves knee alignment and function, offering good clinical outcomes for patients.
Area of Science:
- Orthopedic Surgery
- Biomechanics
Background:
- Varus gonarthrosis, a degenerative joint disease, leads to medial compartment knee pain and malalignment.
- Proximal tibial osteotomy is a surgical option to correct alignment and alleviate symptoms.
Purpose of the Study:
- To evaluate the early clinical and radiological outcomes of medial biplanar retrotubercle open-wedge proximal tibial osteotomy.
- To compare these results with existing literature for treating varus gonarthrosis.
Main Methods:
- A cohort of 23 knees in 22 patients with medial gonarthrosis and varus alignment underwent the procedure.
- Clinical assessments included the Hospital for Special Surgery (HSS) score, and radiological assessments measured the femorotibial anatomical axis angle and Insall-Salvati index.
Main Results:
- Significant improvements were observed in HSS scores (68.7 to 86.48) and femorotibial anatomical axis angles (186.39° to 175°).
- The Insall-Salvati index showed no significant change, indicating stable patellar tendon length.
- Mean follow-up was 30.19 months.
Conclusions:
- Medial biplanar retrotubercle open-wedge proximal tibial osteotomy is a viable surgical treatment for varus gonarthrosis.
- The technique effectively corrects frontal and sagittal plane deformities, leading to good clinical results and maintaining patellar tendon stability.
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