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O1204 TOTAL KNEE ARTHROPLASTY AFTER HIGH TIBIAL OSTEOTOMY



Abstract

Aims: In this retrospective study the authors evaluate influence up anatomic changes after HTO to the functional results TKA. Methods: The authors compare two groups.

1st group: 50 patients with TKA without HTO, 28 male, 32 female, average age:71,2 years.

2nd group: 50 patients with TKA after HTO,26 male, 34 female, average age: 73,5 years.

The period of post-operative follow-up longer then five years, average 5,4 years.

The results were evaluated by The Knee Society Clinical Rating System: Knee Scoring System and Functional Score. Results: In our study we didn’t find significant differences between 1st group and 2nd group in this worths: pain, antero and mediolateral instability, flection and extention deficit, axial divergence. In KSS and FS was not statistical significant difference. Conclusions: The results TKA with and without HTO in follow-up longer then five years are not significant different.

In 1st group average KSS was 86,6 points, in 2nd group 81,4 points.

Average FS was in 1st group 82,7 points, in 2nd group 81,4 points.

In 1st group we didn’t find patella infera, in 2nd group was patella infera in 42%(21).

Insall-Salvati index 1st group was 1,06, in 2nd group 0,91.

The clinical results were comparable.

Theses abstracts were prepared by Professor Dr. Frantz Langlais. Correspondence should be addressed to him at EFORT Central Office, Freihofstrasse 22, CH-8700 Küsnacht, Switzerland.