title: Evaluation of Patellar Position before and After Medial Opening Wedge High Tibial Osteotomy: Radiographic and Computed Tomography Findings.
abstract: BACKGROUND
  Genovarum is a common orthopedic problem. Its optimal prompt treatment is an issue of importance.
  
  
  OBJECTIVE
  This study was conducted to determine the radiographic changes in patella bone before and after open wedge high tibial osteotomy.
  
  
  METHODS
  In this quasi-experimental study, 43 patients were enrolled and underwent open wedge high tibial osteotomy and the radiographic and CT-scan indices including Q-Angle, Congruence Angle, Insall-Salvati index, and TTTG were measured and compared before and after surgery.
  
  
  RESULTS
  The result revealed that all indices including Q-Angle, Congruence Angle, Insull-Salvati index, and TTTG were not significantly differed across the study (P > 0.05). There was no difference between DLFA values before and after the operation (P> 0.05), while MPTA values were significantly different before and after operation (p <0.001).
  
  
  CONCLUSIONS
  Totally it may be concluded that imaging indices are not differed after open wedge high tibial osteotomy and monitoring for them is not necessary and they would have no prognostic role.
authors.affiliation: Department of Orthopedics, Rasool-e-akram Hospital, Iran University of Medical Science, Tehran, Iran.
authors.forename: Mehdi
authors.initials: M
authors.lastname: Moghtadaei
authors.affiliation: Department of Orthopedics, Rasool-e-akram Hospital, Iran University of Medical Science, Tehran, Iran.
authors.forename: Babak
authors.initials: B
authors.lastname: Otoukesh
authors.affiliation: Department of Orthopedics, Rasool-e-akram Hospital, Iran University of Medical Science, Tehran, Iran.
authors.forename: Bahram
authors.initials: B
authors.lastname: Bodduhi
authors.affiliation: Department of Orthopedics, Rasool-e-akram Hospital, Iran University of Medical Science, Tehran, Iran.
authors.forename: Keyvan
authors.initials: K
authors.lastname: Ahmadi
authors.affiliation: Department of Orthopedics, Rasool-e-akram Hospital, Iran University of Medical Science, Tehran, Iran.
authors.forename: Ali
authors.initials: A
authors.lastname: Yeganeh
mesh_terms: D000328:Adult; D005260:Female; D056305:Genu Varum / Q000000981:diagnostic imaging* / Q000601:surgery*; D006801:Humans; D008297:Male; D010027:Osteotomy / Q000379:methods*; D010329:Patella / Q000000981:diagnostic imaging*; D011859:Radiography; D013977:Tibia / Q000601:surgery*; D014057:Tomography, X-Ray Computed
keywords: Genovarum; Imaging Indices; Orthopedic; Radiology; Surgery