High Tibial Osteotomy Fixed with Long-winged Modified Steinmann pin

Bae, Eun Hwan; Lee, Song; Kim, Kyung Tae; Kwon, Byoung Ki; Choi, Dae Jung; Park, Hoon Suk; Park, Kwan Young

Abstract

PURPOSE: To report the clinical and radiological results after high tibial osteotomy that was fixed with a long winged modified Steinmann pin.
MATERIALS AND METHODS
Forty knees of twenty patients with genu varum, degenerative or physiologic, underwent high tibial osteotomy using a long-winged modified Steinmann pin and four-week cast immobilization. Mean follow up was 36.0 months(5~67 months). Clinical results were assessed using the Knee society score and radiographic measurements, using Bauer 's method and Insall-Savati ratio. Statistical analyses were performed with the paired samples t-test.
RESULTS
The corrected angle was varus 3.2+/-2.7 degrees preoperatively, valgus 7.3+/-2.0 degrees postoperatively(p<0.05), and valgus 6.0+/-1.4 degrees at the latest follow up. According to the Knee society clinical rating system, the knee score was 61.8+/-7.2 preoperatively and 92.8+/-2.8 postoperatively (p<0.05). The function score was 77.8+/-5.8 preoperatively and 89.0+/-6.3 postoperatively(p<0.05). The Insall-Salvati ratio was 1.02+/-0.14 preoperatively and 1.00+/-0.15 at the latest follow up(p=0.018).
CONCLUSION
High tibial osteotomy with a long-winged modified Steinmann pin could obtain good correction of angles and clinical results with few complications. And this method was also useful in maintaining the correction angles.