Proximal tibial osteotomy

Abstract Proximal tibial osteotomy is generally accepted as a treatment for the patient with unicompartmental arthritis. However, a few reports of the long-term results of this procedure are available in the literature, and none have used the technique known as survivorship analysis. This technique has an advantage over conventional analysis because it does not exclude patients for inadequate follow-up, loss to follow-up, or patient death. In this study, survivorship analysis was applied to 78 proximal tibial osteotomies, performed exclusively by the senior author for the correction of a preoperative varus deformity, and a survival curve was constructed. It was concluded that the reliable longevity of the proximal tibial osteotomy is approximately 6 years.

[1]  Coventry Mb.  Upper tibial osteotomy for gonarthrosis. The evolution of the operation in the last 18 years and long term results. , 1979 .

[2]  W Waugh,et al.  Tibial osteotomy for osteoarthritis of the knee. , 1961, Acta orthopaedica Belgica.

[3]  J. S. Keene,et al.  High tibial osteotomy in the treatment of osteoarthritis of the knee. The role of preoperative arthroscopy. , 1983, The Journal of bone and joint surgery. American volume.

[4]  M. B. Coventry,et al.  Osteotomy about the knee for degenerative and rheumatoid arthritis. , 1973, The Journal of bone and joint surgery. American volume.

[5]  W. Waugh,et al.  Estimating the survival time of knee replacement. , 1982, The Journal of bone and joint surgery. British volume.

[6]  M. B. Coventry.  Upper Tibial Osteotomy , 1984, Clinical orthopaedics and related research.

[7]  M. B. Coventry.  Proximal tibial varus osteotomy for osteoarthritis of the lateral compartment of the knee. , 1987, The Journal of bone and joint surgery. American volume.

[8]  H S Dobbs,et al.  Survivorship of total hip replacements. , 1980, The Journal of bone and joint surgery. British volume.

[9]  J. Insall,et al.  High tibial osteotomy. A five-year evaluation. , 1974, The Journal of bone and joint surgery. American volume.

[10]  S. Vainionpää,et al.  Tibial osteotomy for osteoarthritis of the knee. A five to ten-year follow-up study. , 1981, The Journal of bone and joint surgery. American volume.

[11]  M. B. Coventry,et al.  Upper tibial osteotomy for osteoarthritis. , 1985, The Journal of bone and joint surgery. American volume.

[12]  C. Ranawat,et al.  A comparison of four models of total knee-replacement prostheses. , 1976, The Journal of bone and joint surgery. American volume.

[13]  R. Elson,et al.  Antibiotic-loaded acrylic cement: current concepts. , 1984, Clinical orthopaedics and related research.

[14]  R. Chan,et al.  Tibial osteotomy for osteoarthrosis of the knee. , 1975, Acta Orthopaedica Scandinavica.

[15]  M A Freeman,et al.  The composition of normal and osteoarthritic articular cartilage from human knee joints. With special reference to unicompartmental replacement and osteotomy of the knee. , 1984, The Journal of bone and joint surgery. American volume.

[16]  P. Aglietti,et al.  Tibial osteotomy for the varus osteoarthritic knee. , 1983, Clinical orthopaedics and related research.