Summary
The results in relation to the correction achieved 1 year after surgery of a series of tibial osteotomies in 50 patients (52 knees) are presented with a total observation time of 10 years. Mean age at the time of osteotomy was 56 years. Overcorrected knees had a significantly better result after 10 years. Progress of gonarthrosis occured in 6/34 overcorrected knees compared with 3/4 in the normo- and undercorrected group. One out of 34 overcorrected knees recurred in varus. Five knees were revised by knee arthroplasty or reosteotomy, one of which was overcorrected.
Article PDF
Similar content being viewed by others
Avoid common mistakes on your manuscript.
References
Aglietti P, Rinoapoli E, Stringa G, Taviani A (1983) Tibial osteotomy for the varus osteoarthritic knee. Clin Orthop 176:239–251
Ahlbäck S (1968) Osteoarthrosis of the knee. A radiographic investigation. Acta Radiol Scand (Suppl) 277
Bauer GCH, Insall J, Koshino T (1969) Tibial osteotomy in gonarthrosis (osteoarthritis of the knee). J Bone Joint Surg [Am] 51:1545–1563
Bauer CGH (1982) Treatment of gonarthrosis. AAOS instructional course lectures 31:152–166
Coventry MB (1979) Upper tibial osteotomy for goarthrosis. The evolution of the operation in the last 18 years and long term results. Orthop Clin North Am 10:191–210
Coventry MB (1985) Current concept review: upper tibial osteotomy for osteoarthritis. J Bone Joint Surg [Am] 67:1136–1140
Egund N, Norman O (1979) Pre- och postoperativ röntgenundersökning vid hög tibiaosteotomi. Nordisk Kongress Med Radiol Stockholm
Hagstedt B (1974) High tibial osteotomy for gonarthrosis. Thesis, University of Lund, Sweden
Hagstedt B, Norman O, Ohlsson H, Tjörnstrand B (1980) Technical accuracy in high tibial osteotomy for gonarthrosis. Acta Orthop Scand 51:963–970
Harris WR, Kostuik JP (1970) High tibial osteotomy for osteoarthritis of the knee. J Bone Joint Surg [Am] 52:330–336
Hernigou PH, Medevielle D, Debeyre J, Goutallier D (1987) Proximal tibial osteotomy for osteoarthritis with varus deformity. A ten to thirteen-year follow up study. J Bone Joint Surg [Am] 69:332–354
Holden D, Stanley J, Larson R, Slocum D (1988) Proximal tibial osteotomy in patients who are fifty years old or less. J Bone Joint Surg [Am] 70:977–982
Insall J, Shoji H, Mayer V (1974) High tibial osteotomy. A five-year evaluation. J Bone Joint Surg [Am] 56:1397–1405
Insall J, Joseph D, Msika C (1984) High tibial osteotomy for varus gonarthritis. A long-term follow-up study. J Bone Joint Surg [Am] 66:1040–1048
Jenny K, Jenny H, Morscher E (1985) Indikation, Operationstechnik und Resultate der transcondylären Tibiaosteotomie bei Gonarthrose. Erfahrungen aufgrund einer Nachuntersuchung von 783 Tibiaosteotomien. Orthopade 14:161–171
Jósson GT (1981) Compartmental arthroplasty for gonarthrosis. Acta Orthop Scand 52 (Suppl):193
Kettelkamp B, Wenger DR, Chao EYS, Thompson C (1976) Results of proximal tibial osteotomy. The effects of tibiofemoral angle, stance-phase flexion-extension, and medialplateau force. J Bone Joint Surg [Am] 58:952–960
Lindstrand A, Boegård T, Egund N, Thorngren KG (1982) Use of a guide instument for compartmental knee arthroplasty. Acta Orthop Scand 53:633–639
Maquet P (1976) Biomechanics of the knee with application to the pathogenesis and the surgical treatment of osteoarthritis. Springer, Berlin Heidelberg New York
Maquet P (1985) The treatment of choice in osteoarthritis of the knee. Clin Orthop 192:108–112
Myrnerts R (1980) High tibial osteotomy with overcorrection of varus malalignment in medial gonarthrosis. Acta Orthop Scand 51:557–560
Myrnerts R (1980) Faiulure of the correction of carus deformity obtained by high tibial osteotomy. Acta Orthop Scand 51:569–573
Prodomos CC, Andriacchi TP, Galante JO (1985) A relationship between gait and clinical changes following high tibial osteotomy. J Bone Joint Surg [Am] 67:1188–1194
Rosenberg TD, Paulos LE, Parker RD, Cowars DB, Scott SM (1988) The forty-five-degree posteroanterior flexion weightbearing radiograph of the knee. J Bone Joint Surg [Am] 70:1479–1483
Seal PV, Shan RNW (1975) Tibial osteotomy for osteoarthrosis of the knee. Acta Orthop Scand 46:141–151
Selvik G (1974) A roentgen stereophotogrammetric method for the study of the kinematics of the skeletal system. Thesis, University of Lund, Sweden
Shoji H, Insall J (1973) High tibial osteotomy for osteoarthritis in the knee with valgus deformity. J Bone Joint Surg [Am] 55:963–973
Sundarm NA, Hallet JP, Sullivan MF (1986) Dome osteotomy of the tibia for osteoarthritis of the knee. J Bone Joint Surg [Br] 68:782–786
Tjörnstrand B, Egund N, Hagstedt B, Lindstrand A (1981) Tibial osteotomy in medial gonarthrosis. The importance of over-correction of varus deformity. Arch Orthop Surg 99:83–89
Tjörnstrand B, Egund N, Hagstedt B (1981) High tibial osteotomy. A seven year clinical and radiographic follow up. Clin Orthop 160:124–136
Tjörnstrand B, Selvik G, Egund N, Lindstrand A (1981) Roentgen stereophotogrammetry in high tibial osteotomy for gonarthrosis. Arch Orthop Trauma Surg 99:73–81
Vainionpää S, Laike E, Kirves P, Tiusanen P (1981) Tibial osteotomy for ostcoarthritis of the knee. A 5–10 year follow-up study. J Bone Joint Surg [Am] 63:938–946
Waugh W (1986) Tibial osteotomy in the management of osteoarthritis of the knee. Clin Orthop 210:55–61
Wiley AM, Ha'Eri GB (1981) Combined high tibial osteotomy and joint debridement: a long term study. J Bone Joint Surg [Br] 63:459–460
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Odenbring, S., Egund, N., Hagstedt, B. et al. Ten-year results of tibial osteotomy for medial gonarthrosis. Arch Orthop Trauma Surg 110, 103–108 (1991). https://doi.org/10.1007/BF00393883
Issue Date:
DOI: https://doi.org/10.1007/BF00393883