Open wedge tibial osteotomy by callus distraction in gonarthrosis: Operative technique and early results in 36 patients

Abstract

Proximal tibial osteotomy is indicated in cases of medial gonarthrosis with varus deformity in the active, younger patient. We report our experience of the hemicallotasis technique in 36 patients and the early clinical results after a median follow-up of 14 (11–16) months. The median patient age was 54 (33–64) years. The median hip-knee-ankle (HKA) angle was 172 (161–179)o preoperatively, 184 (178–187) after completed correction and 183 (175–190)o at follow-up. The median fixation time was 88 (61–146) days. Complications were minor. Superficial pin-site inflammation/infections occurred in one fifth of the pins. The HSS score increased from a median 71 preoperatively to 94 at follow-up, the Lysholm score from 56 to 91 and the Tegner activity score from 6 to 10. The Nottingham Health Profile showed significant improvements as regards pain and physical mobility.