gms | German Medical Science

54. Jahrestagung der Norddeutschen Orthopädenvereinigung e. V.

Norddeutsche Orthopädenvereinigung

16.06. bis 18.06.2005, Hamburg

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

Meeting Abstract

  • 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:

Published: June 13, 2005

© 2005 Hartwig et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.




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.


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.


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.