Minimally invasive open wedge high tibial osteotomy with press-fit tricortical bone graft.
BACKGROUND
Numerous operative procedures has been described for high tibial osteotomy (HTO), however the HTO without implant fixation has never been reported.


OBJECTIVE
The objective of this study was to propose a new technique and evaluate the preliminary results.


METHODS
Prospective review study on a series of case, at the Hospital. Seventeen patients (10 females, 7 males), and a total of 18 knees with a mean age at the operative time of 53 years (range, 35 to 64 years) were available for follow-up evaluation at a minimum of 24 months. The open-wedge HTO with press-fit tricortical bone graft was performed by one surgeon.


RESULTS
The average time to union was 8.5 weeks (range, 6 to 12). There was one case of delayed union (5.5%). No nonunion, grafts collapse or dislodge were found. The average preoperative varus deformity was 8 degrees (range 6 to 11) and postoperative valgus was 8 degrees (range, 6 to 13). The pre and postoperative average pain level were 8.7 (range, 7 to 10) and 3.6 (range, 0 to 7), respectively. The average satisfaction score of the patients was 77% (range 50-100%). The average Knee Society Score was 82.3 +/- 6.4.


CONCLUSIONS
Considering its less morbidity, excellent cosmesis, no need for second operation to remove the implant, excellent cost effectiveness and no complications from internal fixation, this new technique offers an attractive alternative in HTO.
Chernchujit
Bancha
B
Department of Orthopedics, Faculty of Medicine, Thammasat University, Bangkok, Thailand. bancha61@yahoo.com
Suntharapa
Thongchai
T
Niampoog
Sunyarn
S
Siripakarn
Yongyuth
Y
D000328:Adult; D016025:Bone Transplantation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007719:Knee Joint / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D010027:Osteotomy / Q000009:adverse effects / Q000379:methods*; D011446:Prospective Studies; D013977:Tibia / Q000601:surgery / Q000637:transplantation; D016896:Treatment Outcome