Affiliation:
1. Associate Professor, Department of Orthopedics, Burdwan Medical College & Hospital, Burdwan
2. Senior Resident, Department of Orthopedics, Burdwan Medical College & Hospital, Burdwan.
3. Junior Resident, Department of Orthopedics, Burdwan Medical College & Hospital, Burdwan.
Abstract
This is a comparetive study that was conducted over a period of 18 months in Burdwan Medical College and Hospital, to determine the
effectiveness of high tibial osteotomy and proximal bulectomy in management of non-traumatic medial uni-compartmental knee osteoarthritis in
middle age group(40-60) years patients of both sexes. There were a total of 20 patients studied during a period of 18 months.It was found that
though Pre-Op Femorotibial Angle was signicantly high in High Tibial Osteotomy patients compared to Proximal Fibulectomy patients, Post-Op
Femorotibial Angle at 6 months and at 9 months was signicantly decreased in High Tibial Osteotomy compared to Proximal Fibulectomy patients.
Also that Post-Op Medial /Lat Joint Ratio and Post-Op Medial Lat Joint Space at 6 months were signicantly decreased in Proximal Fibulectomy
compared to High Tibial Osteotomy patients. The present study demonstrates the High tibial osteotomy effectively relieves the pain and improves
the joint function in the patients with medial compartment osteoarthritis of knee by shifting the mechanical axis. Z test and Pearson correlation
analysis shows Distribution of mean post-Op (6 months) Femorotibial Angle with Group was statistically signicant (p=0.0424). Distribution of
mean post-Op (9 months) Femorotibial Angle with Group was statistically signicant (p=0.0491). However due to small numbers of sample size in
my study, larger study is recommended to attain this conclusion. In conclusion, High tibial osteotomy seems to be a better option as compared to
proximal bulectomy in terms of functional outcome.
Subject
General Economics, Econometrics and Finance,General Social Sciences,Health, Toxicology and Mutagenesis,Public Health, Environmental and Occupational Health,Multidisciplinary,General Chemical Engineering,Law,Surfaces, Coatings and Films,General Energy,Mechanical Engineering,Industrial and Manufacturing Engineering,Strategy and Management,Computer Science Applications,Industrial relations,Management Information Systems,Marketing,General Engineering,Developmental and Educational Psychology,Education,Engineering (miscellaneous),Instrumentation
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