Abstract: Background: Considering drawbacks of all procedures of osteoarthritis surgery of knee, we decided to do restoknee surgery for medial compartment osteoarthritis of knee. The procedure is mainly based on the principle of very old and established technique of closed wedge osteoclasis, where we are not using any implants internally.
Material and Method: In this procedure, we do closed wedge osteoclasis through cancellous bone between one cm below the articular surface through the subchondral bone and tibial tuberosity underneath the ligamentum patellae with base of wedge on lateral side above tip of fibular head and then gap is closed down by valgus stress and disruption of superior Tibiofibular syndesmosis. Then decompression of medullary canal of femur by lateral to medial side linear cutting between two cortices above the intercondylar notch crossing midline and opening out the medullary canal which reduces the intramedullary pressure. Because of osteoclasis of the posterior cortex, the position of both the fragments is maintained with long leg brace after closure. Now whole position is confirmed under IITV. Then wound is closed and long fixed brace is applied which is followed by short brace. Patient is allowed to walk with walker from next day of surgery. Thus, desired valgus is maintained. We have operated cases from 1997 to 2017, many patients from 1 year to 8 years with average follow up of 3.5 years, out of which 12 are males and 56 are females with average age of 58 years, out of which, 32 right and 36 left knees were treated.
Result: considering all criteria and important points, we got 52 (76.47%) excellent and 16 (23.53%) good, while 0% poor result.
Conclusion: Considering many findings and all criterias with short to long follow up, we got best result of medial compartment osteoarthritis of knee. Almost all patients are happy and even in longest 21 years followed up case is also absolutely happy with the result and doesn’t require replacement surgery.
