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. 1985 Apr;54(1):46–52.

High tibial osteotomy in degenerate diseases of the knee

G F McCoy, H K Graham, C J McClelland
PMCID: PMC2448009  PMID: 4082355

Abstract

Between 1970 and 1981, 64 patients underwent 77 tibial osteotomies for degenerate diseases of the knee at the Withers Orthopaedic Centre in Belfast. Records on 11 patients (12 knees) were either missing or inadequate, leaving 53 patients who underwent 65 tibial osteotomies for study. There were 23 males and 30 females, ranging in age from 23 to 75 years (mean 59.8 years). The predominant diagnosis was osteoarthrosis and the indication for operation in all cases was pain. With a follow-up of from two to ten years (mean 4.8 years), 39 knees were assessed as good, 15 as fair (improved, but still symptomatic), and 11 as failures. Patients with valgus deformity did worse than those with varus deformity. The importance of adequate pre-operative assessment is stressed, the operation itself is outlined, and the end result is seen to correlate closely with the degree of correction obtained.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Aglietti P., Rinonapoli E., Stringa G., Taviani A. Tibial osteotomy for the varus osteoarthritic knee. Clin Orthop Relat Res. 1983 Jun;(176):239–251. [PubMed] [Google Scholar]
  2. COVENTRY M. B. OSTEOTOMY OF THE UPPER PORTION OF THE TIBIA FOR DEGENERATIVE ARTHRITIS OF THE KNEE. A PRELIMINARY REPORT. J Bone Joint Surg Am. 1965 Jul;47:984–990. [PubMed] [Google Scholar]
  3. Coventry M. B., Bowman P. W. Long-term results of upper tibial osteotomy for degenerative arthritis of the knee. Acta Orthop Belg. 1982 Jan-Feb;48(1):139–156. [PubMed] [Google Scholar]
  4. Coventry M. B. Upper tibial osteotomy. Clin Orthop Relat Res. 1984 Jan-Feb;(182):46–52. [PubMed] [Google Scholar]
  5. Freeman M. A., Todd R. C., Bamert P., Day W. H. ICLH arthroplasty of the knee: 1968--1977. J Bone Joint Surg Br. 1978 Aug;60-B(3):339–344. doi: 10.1302/0301-620X.60B3.681410. [DOI] [PubMed] [Google Scholar]
  6. Insall J., Shoji H., Mayer V. High tibial osteotomy. A five-year evaluation. J Bone Joint Surg Am. 1974 Oct;56(7):1397–1405. [PubMed] [Google Scholar]
  7. JACKSON J. P., WAUGH W. Tibial osteotomy for osteoarthritis of the knee. J Bone Joint Surg Br. 1961 Nov;43-B:746–751. doi: 10.1302/0301-620X.43B4.746. [DOI] [PubMed] [Google Scholar]
  8. Jackson J. P., Waugh W., Green J. P. High tibial osteotomy for osteoarthritis of the knee. J Bone Joint Surg Br. 1969 Feb 1;51(1):88–94. [PubMed] [Google Scholar]
  9. Keene J. S., Dyreby J. R., Jr High tibial osteotomy in the treatment of osteoarthritis of the knee. The role of preoperative arthroscopy. J Bone Joint Surg Am. 1983 Jan;65(1):36–42. [PubMed] [Google Scholar]
  10. LLOYD-ROBERTS G. C. The role of capsular changes in osteoarthritis of the hip joint. J Bone Joint Surg Br. 1953 Nov;35-B(4):627–642. doi: 10.1302/0301-620X.35B4.627. [DOI] [PubMed] [Google Scholar]
  11. Maquet P., Watillon M., Burny F., Andrianne Y., Quintin J., Rasquin C., Donkerwolcke M. Traitement chirurgical conservateur de l'arthrose du genou. Acta Orthop Belg. 1982 Jan-Feb;48(1):204–261. [PubMed] [Google Scholar]
  12. McCoy G. F., McLeod N. W., Nixon J. R. Experience with the Sheehan knee replacement. Ulster Med J. 1983;52(1):35–39. [PMC free article] [PubMed] [Google Scholar]
  13. Phillips R. S., Bulmer J. H., Hoyle G., Davies W. Venous drainage in osteoarthritis of the hip. A study after osteotomy. J Bone Joint Surg Br. 1967 May;49(2):301–309. [PubMed] [Google Scholar]
  14. Shaw N. E., Chatterjee R. K. Manchester knee arthroplasty. J Bone Joint Surg Br. 1978 Aug;60-B(3):310–314. doi: 10.1302/0301-620X.60B3.681405. [DOI] [PubMed] [Google Scholar]
  15. Shoji H., Insall J. High tibial osteotomy for osteoarthritis of the knee with valgus deformity. J Bone Joint Surg Am. 1973 Jul;55(5):963–973. [PubMed] [Google Scholar]
  16. Slocum D. B., Larson R. L., James S. L., Grenier R. High tibial osteotomy. Clin Orthop Relat Res. 1974 Oct;(104):239–243. doi: 10.1097/00003086-197410000-00028. [DOI] [PubMed] [Google Scholar]
  17. TORGERSON W. R. TIBIAL OSTEOTOMY IN THE TREATMENT OF OSTEOARTHRITIS OF THE KNEE. Surg Clin North Am. 1965 Jun;45:779–785. doi: 10.1016/s0039-6109(16)37601-0. [DOI] [PubMed] [Google Scholar]
  18. Vainionpä S., Läike E., Kirves P., Tiusanen P. Tibial osteotomy for osteoarthritis of the knee. A five to ten-year follow-up study. J Bone Joint Surg Am. 1981 Jul;63(6):938–946. [PubMed] [Google Scholar]
  19. WARDLE E. N. Osteotomy of the tibia and fibula. Surg Gynecol Obstet. 1962 Jul;115:61–64. [PubMed] [Google Scholar]

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