Medial Opening Wedge Osteotomy for Early Osteoarthritis of the Knee With Dr. Saigal's Plate: A Case Report With Review of Literature
2024

Medial Opening Wedge Osteotomy for Early Osteoarthritis of the Knee

Sample size: 2 publication Evidence: moderate

Author Information

Author(s): Muacevic Alexander, Adler John R, Agrawal Alok C, Sarkar Santu, Sakale Harshal, Rojasara Jayesh, Saigal Ajit, S Lohitesh, Rai Alok

Primary Institution: All India Institute of Medical Sciences, Raipur

Conclusion

The medial opening wedge high tibial osteotomy using Dr. Saigal's plate resulted in excellent clinical outcomes with no complications.

Supporting Evidence

  • Both patients showed excellent clinical outcomes with pain-free joint motion and optimal limb alignment.
  • The mean preoperative Oxford Knee Score significantly improved, indicating the procedure's effectiveness.
  • WOMAC pain and functional subscores improved consistently over the year.
  • There were no complications such as infection, hardware failure, or need for total knee replacement.

Takeaway

This study shows that a special knee surgery can help people with knee pain feel better and move better without any problems.

Methodology

The study involved two patients who underwent medial opening-wedge high tibial osteotomy, with data collected preoperatively and at three, six, and twelve months postoperatively.

Potential Biases

The absence of randomization introduces the possibility of confounding variables influencing the results.

Limitations

The study has a small sample size and lacks a control group, which may limit the generalizability of the findings.

Participant Demographics

Two patients: one male aged 45 with a BMI of 29.3 kg/m² and one female aged 36 with a BMI of 30 kg/m².

Digital Object Identifier (DOI)

10.7759/cureus.74913

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