ABSTRACT
The aim of this study was to evaluate the early results of dome-shaped high tibial osteotomy in patients with medial compartment osteoarthritis of the knee with varus deformity. The average preoperative duration of symptoms was 5.1 years. The average age was 50.71 years [range, 42-59 years] at the moment of operation. The mean follow-up was 16.6 months [10 - 22 months]. We assessed the degree of arthrosis according to Ahlb'ack in three-grade scale. The patients with varus deformity had mean preoperative and postoperative tibiofemoral angles of 4.4 WHITE BULLET varus [0 WHITE BULLET 11 WHITE BULLET] and 5.7 WHITE BULLET valgus [4 WHITE BULLET -100], respectively. The patients were assessed according to the system developed by the Knee Society Scoring System. The mean preoperative Knee Score was 52 and the Knee Functional Score was 53,while the mean postoperative Knee Score was 82 and the Knee Functional Score was 84. Although the indications for arthroplasty of the knee are more frequent nowadays, the authors recommend not to forget dome-shaped high tibial osteotomy in the treatment of angular deformity of the knee with osteoarthritis. After a mean duration of follow-up 16.6 months, we found that the dome-shaped high tibial osteotomy of the proximal part of the tibia provided satisfactory clinical results for patients with osteoarthritis of the knee