title: Bone allograft provides bone healing in the medial opening high tibial osteotomy.
abstract: Various materials are used to fill osteotomy defects created in the medial opening wedge high tibial osteotomy (MOWHTO). Our hypothesis was that a bone allograft would provide the osteotomy site bone healing within the expected time. We performed the MOWHTO using a cancellous bone allograft in 310 knees in 284 patients between 2000 and 2005. Internal fixation was achieved with a T-profile AO plate. Preoperative and postoperative radiographic measurements were taken and statistically processed. All patients were followed up for a period ranging from three to eight years, or 5.9 years on average. Implanted cancellous bone allografts <or=9 mm healed within 12 weeks in 90% of cases. With the properly selected patient and surgical technique, use of a cancellous bone allograft in MOWHTO represents a satisfactory choice in providing bone healing.
authors.affiliation: Clinic for Orthopaedic Surgery Lovran, Lovran, Croatia. veljko.santic@ri.t-com.hr
authors.forename: Veljko
authors.initials: V
authors.lastname: Santic
authors.forename: Anton
authors.initials: A
authors.lastname: Tudor
authors.forename: Branko
authors.initials: B
authors.lastname: Sestan
authors.forename: Dalen
authors.initials: D
authors.lastname: Legovic
authors.forename: Luka
authors.initials: L
authors.lastname: Sirola
authors.forename: Ivan
authors.initials: I
authors.lastname: Rakovac
mesh_terms: D000328:Adult; D000368:Aged; D001178:Arthroplasty / Q000295:instrumentation / Q000379:methods* / Q000534:rehabilitation; D001860:Bone Plates; D016025:Bone Transplantation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016268:Internal Fixators; D016916:Joint Deformities, Acquired / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D007719:Knee Joint / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D016348:Osseointegration; D020370:Osteoarthritis, Knee / Q000150:complications / Q000503:physiopathology / Q000601:surgery; D010027:Osteotomy / Q000295:instrumentation / Q000379:methods* / Q000534:rehabilitation; D011859:Radiography; D013977:Tibia / Q000601:surgery*; D014184:Transplantation, Homologous; D014945:Wound Healing