Prospective Outcomes of Young and Middle‐Aged Adults With Medial Compartment Osteoarthritis Treated With a Proximal Tibial Opening Wedge Osteotomy

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Abstract
Purpose: The purpose of this study was to conduct a prospective outcome analysis of proximal tibial opening wedge osteotomies performed in young and middle‐aged patients (aged P < .05), and posterior tibial slope increased from 9.4° to 11.7° ( P < .05). Of the osteotomies, 3 (6%) were considered failures, defined by revision of the osteotomy or conversion to total knee arthroplasty. Conclusions: Performing proximal tibial opening wedge osteotomies to treat symptomatic medial compartment osteoarthritis in carefully selected patients leads to a significant improvement in subjective and objective clinical outcome scores with correction of malalignment at a mean of 3.6 years postoperatively. Level of Evidence: Level IV, therapeutic case series.

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