Arthroscopic Evaluation before High Tibial Osteotomy in Unicompartment Knee Osteoarthritis | ||
| Zagazig University Medical Journal | ||
| Volume 31, Issue 8, August 2025, Pages 4016-4030 PDF (1.15 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/zumj.2025.388878.3970 | ||
| Authors | ||
| Mohamed Ghieth; Yousef Mohamed Khura; Mohamed Magdy Elwaa* ; Sameh Holyl | ||
| Orthopedic Surgery Department, Faculty of Medicine, Zagazig University, Egypt | ||
| Abstract | ||
| Background: Osteoarthritis (OA) is a degenerative, long-term joint disease that causes significant joint teratogenicity and impairment. Despite the established advantages of high tibial osteotomy (HTO), a number of factors have been found to contribute to poor postoperative outcomes or survival. In the early phases of osteoarthritis in the knee, arthroscopy is a safe and efficient way to address mechanical symptoms. Over the past ten years, arthroscopy has become increasingly popular for treating a variety of knee diseases; yet, little is known about how arthroscopy affects HTO outcomes clinically. Therefore, prior to high tibial osteotomy, we sought to evaluate the function of arthroscopy in evaluating the knee joint in unicompartment osteoarthritis. Methods: This prospective interventional study was conducted at Orthopedic Department, Zagazig University Hospitals, Zagazig city, Egypt on 18 patients diagnosed with unilateral compartment knee osteoarthritis and scheduled for knee arthroscopy prior to high tibial osteotomy procedure. Results: The visual analogue score, range of motion, medial proximal tibial angle, femoral tibial angle, international knee documentation committee form, and other evaluated parameters all showed statistically significant improvements. 27.8% of patients expressed strong satisfaction with the procedure, compared to 55.6% who expressed satisfaction. Conclusions: The combined arthroscopic surgical approach can shape a damaged meniscus and cartilage, clean up a proliferated synovial membrane, and reduce the inflammatory response by performing arthroscopic microfractures for large cartilage defects, where drilling beneath the cartilage allows the fracture fat and blood to leak out naturally. | ||
| Keywords | ||
| Arthroscopy; High Tibial Osteotomy; Unicompartment Knee Osteoarthritis | ||
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