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National Journal of Clinical Orthopaedics
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National Journal of Clinical Orthopaedics

2021, Vol. 5 Issue 4, Part A
Correction of medial compartmental osteoarthritis knee joint by high tibial closed wedge osteotomy with tension band wiring and cortical screw fixation in a rural set up
Author(s): Deepak Datrange
Abstract: Introduction: Osteoarthritis of the Knee is a Chronic debilitating disease excessive pressure leads to breakdown of the cartilage matrix, architectural changes in the subchondral bone, further altering the joint geometry.
Aims and Objective: The effect of TBW with 2 cortical screws in cases of uni-compartmental O.A. Knee joint 32 cases were studied.
Result: Lateral wedge osteotomy done 1.5 cm distal to joint margin to avoid fracture of tibial plateau intraoperatively. Height of wedge is taken dependent on varus angle calculated from x-rays, for each degree 1 mm height of wedge is taken. 2 cortical screws fixed distal to osteotomy site.
Conclusion: It is a cost effective technique with use of minimum hardware and early post operative mobilization in patients who cannot afford Knee Arthroplasty in a rural set up.
Pages: 24-27  |  297 Views  4 Downloads
How to cite this article:
Deepak Datrange. Correction of medial compartmental osteoarthritis knee joint by high tibial closed wedge osteotomy with tension band wiring and cortical screw fixation in a rural set up. Nat J Clin Orthop 2021;5(4):24-27 DOI: https://doi.org/10.33545/orthor.2021.v5.i4a.322
National Journal of Clinical Orthopaedics
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