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The Journal of Bone and Joint Surgery, Vol 69, Issue 2 225-233, Copyright © 1987 by Journal of Bone and Joint Surgery, Inc
Results of total knee arthroplasty after failed proximal tibial osteotomy for osteoarthritis
MM Katz, DS Hungerford, KA Krackow and DW Lennox
The cases of twenty-one consecutive patients who had a minimally
constrained total knee arthroplasty (six of whom had a cemented and
fifteen, an uncemented prosthesis) after a failed proximal tibial osteotomy
for osteoarthritis were compared with those of a non-consecutive group of
twenty-one patients who had had a primary total knee arthroplasty for
osteoarthritis. The groups were matched according to age and sex of the
patient, type of prosthesis and fixation, and length of follow-up. At an
average length of follow-up of 2.9 years, a good or excellent result was
obtained in 81 per cent of the patients who had had a previous osteotomy.
At an average length of follow-up of 2.8 years, a good or excellent result
was obtained in 100 per cent of the patients who had had a primary
arthroplasty. Two patients in the osteotomy group and none in the primary
arthroplasty group required additional surgery. At the time of
arthroplasty, technical difficulties in exposing the proximal part of the
tibia were noted in three patients in the group that had undergone an
osteotomy. The results of total knee arthroplasty after failed proximal
tibial osteotomy approached but did not equal the results after primary
total knee arthroplasty.
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