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ANTEROMEDIAL OPENING WEDGE HTO FOR THE PCL DEFICIENT VARUS KNEE: EARLY EXPERIENCE



Abstract

The aim of this study was to evaluate the efficacy of the anteromedial opening wedge osteotomy for PCL deficient varus knees with medial compartment degenerative changes

Twelve patients had undergone an anteromedial opening wedge high tibial osteotomy for the PCL deficient varus knee using a Puddu plate. All patients were followed for a minimum of one year. Patients were evaluated prospectively pre-operatively and at follow up by visual analogue pain and patellofemoral pain scores, IKDC II, WOMAC, SF-36 and a radiographic evaluation.

All patients improved from Grade III to Grade I PCL instability. Patients reported a significant improvement in visual analogue pain and patellofemoral pain scores, IKDC II, WOMAC and SF-36.

This technique shows encouraging early results for a complex problem.

The abstracts were prepared by Jean-Claude Theis. Correspondence should be addressed to him at Department of Orthopaedic Surgery, Dunedin Hospital, Private Bag 1921, Dunedin, New Zealand.