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54. Jahrestagung der Norddeutschen Orthopädenvereinigung e. V.

Norddeutsche Orthopädenvereinigung

16.06. bis 18.06.2005, Hamburg

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Debridement, chondral resurfacing and opening wedge high tibial osteotomy in the varus knee

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  • corresponding author C. Hartwig - Orthopädie Mühlenkamp, Klinik Dr. Guth; Jürgensallee 44-46; 22609 Hamburg, Orthopädie, Hamburg
  • A. Ströh - Hamburg
  • W. Siekmann - Hamburg
  • R. Theermann - Hamburg

Norddeutsche Orthopädenvereinigung. 54. Jahrestagung der Norddeutschen Orthopädenvereinigung e.V.. Hamburg, 16.-18.06.2005. Düsseldorf, Köln: German Medical Science; 2005. Doc05novEP88

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/nov2005/05nov160.shtml

Published: June 13, 2005

© 2005 Hartwig et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

Text

Introduction

Treatment of patients with degenerative knee and varus malalignment presents a difficult clinical problem. Arthroscopic debridement or chondral resurfacing in combination with a medial opening wedge high tibial osteotomy seems to be a viable treatment option.

Study design

Retrospective review of our data pool from the last 4 years.

Material and Methods

We followed a group of 31 consecutive patients (mean age 49 years; range 35 - 63 years; 22 men, 9 women) with varus malalignment and intraarticular meniscal or chondral lesions who were treated with arthroscopic debridement or chondral resurfacing (an abrasion or microfracture technique) combined with a medial opening wedge high tibial osteotomy. All patients had >5 degrees of varus malalignment. Patients were evaluated pre,- and postoperatively with the Lysholm and Tegner Score for function and daily activities at a minimum of 6 month follow-up.

Results

Twenty-eight of 31 patients (90%) were available for the follow-up (average 26 months; range, 6 to 48 months). Lysholm scores improved from a preoperative score of 45 to 78 at follow-up. The average Tegner score was 5.0.

Conclusions

Combining a medial opening wedge high tibial osteotomy with an arthroscopic debridement or microfracture chondral resurfacing procedure in the varus knee is an effective method of decreasing pain and increasing function at a mean of 2 years follow-up.