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Orthopaedic Proceedings
Vol. 94-B, Issue SUPP_XXIX | Pages 26 - 26
1 Jul 2012
MANAGEMENT OF MEDIAL OSTEOARTHRITIS OF THE KNEE IN THE YOUNG PATIENT WITH HIGH BODY MASS INDEX AND HIGH PHYSICAL DEMANDS; A ROLE FOR HIGH TIBIAL OSTEOTOMY?
Mounsey EJ Dawe EJC Golhar A Hockings M
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Introduction

The management of young patients with painful medial compartment osteoarthritis remains controversial. Opening wedge medial high-tibial osteotomy using a locking plate has shown good results in selected patients. This cohort of patients has high physical demands and previous studies have warned against operating on patients with increased body mass index (BMI).

Patients and Methods

Thirty-five patients undergoing valgus high tibial osteotomy between Oct 2004 and Feb 2010. Surgical outcome was assessed using Oxford Knee score, pre- and post-operative pain scores, change in employment and patient satisfaction.