YOUNG ARTHRITIS

Osteotomy

Each year more than 5 million Americans injure their knee and we are seeing increasing numbers of young patients come with knee osteoarthritis.

Indications

Unicompartmental arthritis with altered mechanical alignment

Ligament deficiency with unsatisfactory mechanical alignment

In conjunction with meniscal or cartilage salvage

Prerequisites

Decision on osteotomy vs unicompartmental knee replacement

Osteotomy for the Varus knee

Opening wedge Osteotomy

Closing wedge osteotomy

Technique of assessing extent of required correction

Osteotomy for the valgus knee

Postoperative Rehabilitation

Outcomes

Complications

Implications for future Total knee replacement

References

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"Osteotomies have become unfashionable due to the success achieved with unicompartmental knee replacements.

"The chronological age for selecting osteotomies is constantly dropping. There had been resurgence in the interest in osteotomies for the young active patient with unicompartmental osteoarthritis with the popularity of opening wedge osteotomies and newer fixation techniques. Increasing number of osteotomies are performed in ligament deficient knees with early arthritis or varus thrust and in conjunction with meniscal or cartilage salvage."