title: [High tibial osteotomy for the treatment of osteoarthritis of the knee].
abstract: OBJECTIVE
  To summarize clinical application of the high tibial osteatomy (HTO) with lateral closing-wedge for the treatment of pain of unicompartmental osteoarthritis of the knee.
  
  
  METHODS
  From February 2000 to February 2004,9 patients (3 males and 6 females, ranging in age from 52 to 58 years, with an average of 56 years) with unicompartmental osteoarthritis of the knee treated by HTO with lateral closing-wedge. The proximal tibiofibular joint was exposed, the anterior part of the capsule was incised, and to remove a laterally based wedge with saw cuts and osteotomes. Stepped staples were used for the fixation of tibial osteotomies after closing the defect of osteotomy.
  
  
  RESULTS
  The operative course was uneventful. There were no complications after operation. The postoperative follow-up period ranged from 2 to 5.5 years (mean, 3.5 years). The results were evaluated with functional assessment criterion of the osteoarthritis of the knee, among the 9 cases, excellent was in 5 cases, good in 3 cases, fair in 1 case.
  
  
  CONCLUSIONS
  HTO with lateral closing-wedge is an effective operative method for the treatment of pain of unicompartmental osteoarthritis of the knee, but except for older patients over 60 years.
authors.affiliation: Orthopaedics and Traumatology Hospital of Wenling City, Wenling 317500, Zhejiang, China. 668zgl@163.com
authors.forename: Gong-lin
authors.initials: GL
authors.lastname: Zhang
authors.forename: Ming
authors.initials: M
authors.lastname: Zhang
authors.forename: Guo-rong
authors.initials: GR
authors.lastname: Cai
authors.forename: Ao
authors.initials: A
authors.lastname: Guo
authors.forename: Wen-zheng
authors.initials: WZ
authors.lastname: Zhang
authors.forename: Yu-xiang
authors.initials: YX
authors.lastname: Hu
authors.forename: Fa-ming
authors.initials: FM
authors.lastname: Ding
mesh_terms: D005260:Female; D006801:Humans; D007719:Knee Joint / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D020370:Osteoarthritis, Knee / Q000601:surgery*; D010027:Osteotomy / Q000379:methods*; D013977:Tibia / Q000601:surgery*; D016896:Treatment Outcome