High XXXX . A clinical review.

@entity1 @entity3661 @entity14953
Thirty-one consecutive high @entity14953 for varus gonarthrosis performed by one surgeon using one technique were evaluated to determine correction of deformity, functional result, subjective impression, and subsequent surgery for the same problem. Twenty-five @entity1 had satisfactory follow-up evaluations. Preoperative tibiofemoral angulation averaged 7 degrees varus. Postoperative tibiofemoral angulation averaged 5 degrees valgus. Ninety-two percent had excellent or good results, according to Coventry's criteria and the H.S.S. knee score. Eighty-eight percent claimed postoperative improvement, 8% were unchanged, and one @entity1 was worse. Eighty-eight percent had had no further surgery. Excellent/good results deteriorated from 92% at two years to 88% at five years, to 91% at seven years, and to 80% at nine years. This is a smaller rate of deterioration than noted in other series. @entity3661 and antiinflammatory drug use was significantly reduced after operation. No significant differences were noted in @entity1 older than or younger than 60 years of age at the time of surgical correction. Factors contributing to success included careful @entity1 selection; correction of the limb to the mechanical axis; and precise surgical technique. Osteotomy proved a successful alternative to total knee replacement for treatment of varus gonarthrosis in a carefully selected group of @entity1 .
