Cómo minimizar los cambios radiológicos laterales en la osteotomía valguizante de adición medial de rodilla
- A. Núñez García 1
- P. Menéndez Martínez 1
- F. Viloria Recio 1
- M. Medina Santos 1
- P. Durán Gómez-Rico 1
- F. Canillas del Rey 1
- 1 HOSPITAL CENTRAL DE LA CRUZ ROJA, SAN JOSÉ Y SANTA ADELA. MADRID.
ISSN: 0304-5056
Any de publicació: 2015
Volum: 50
Número: 262
Pàgines: 118-122
Tipus: Article
Altres publicacions en: Revista española de cirugía osteoarticular
Resum
Objectives: we investigated changes in patellar height and tibial inclination angle after open-wedge high tibial osteotomy, the effect of these changes on patient satisfaction and the correlation with the graft position. Methods: retrospective study of 10 knees who underwent open-wedge proximal tibial osteotomy with allograft and medial plate for medial compartment. Were measured pre- and postoperatively tibial inclination angle, and patellar height (Caton Index), and we study the correlation of these changes with the location of the graft. Clinical evaluations were made using the Lysholm and WOMAC score. Results: the mean age was 49.5 years, the mean follow up was 32,2 months. The mean increase in the tibial inclination angle was 1,45 ° (p<0.05) and the mean of decrease in patellar height was 0.15 Units Caton Index (p<0.05). There weren’t correlation between radiological changes and patients satisfaction. The graft localization was posterior in 80% of patients. Conclusion: the open-wedge tibial osteotomy has good results and high clinical satisfaction. Changes in the tibial slope and the patellar height are lower if the graft position is posterior.