DOUBLE OSTEOTOMY FOR THE RELIEF OF PAIN IN ARTHRITIS OF THE KNEE
- 1 August 1974
- journal article
- research article
- Published by Oxford University Press (OUP) in Rheumatology
- Vol. 13 (3) , 109-119
- https://doi.org/10.1093/rheumatology/13.3.109
Abstract
Double osteotomy was performed on 67 patients for disabling pain in knees which had a good range of movement. Fifty-nine patients (31 with rheumatoid arthritis and 28 with osteoarthrosis) were reviewed after a mean interval of two years. Three knees were subjected to secondary procedures because of persistent pain. Forty-one knees (63%) were causing slight or no pain at review. The relief of pain was similar in the rheumatoid and osteoarthrosic knees. A subjective feeling of insecurity disappeared in most knees. Functional improvement was only modest. The mean range of flexion was decreased by 13 degrees. The majority of deformities, some well marked, in the coronal and sagittal planes were corrected. Complications were few. Possible mechanisms of pain relief in osteotomy are briefly discussed. Double osteotomy is of value in painful rheumatoid knees in which a useful range of flexion is retained.Keywords
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