Abstract:Objective To summarize and analyze the effect of systematic rehabilitation after biplane open wedge high tibial osteotomy (Biplane OWHTO),so as to provide reference for the development of standardized rehabilitation program.Methods 27 patients (39 knees) with medial knee osteoarthritis were treated with biplane open wedge HTO.They were divided into young group (18~29 years old),middle-aged group (30~49 years old) and middle-old aged group (50~75 years old) according to age.According to the classification of Takeuchi hinge fracture,the corresponding rehabilitation program was formulated,and followed up for 3~6 months.VAS (visual analogue score) was used to evaluate the pain of all patients on the second day after operation and three months after operation,to compare the longest walking distance of patients before and after operation,and to record the time of patients completely leaving crutches.Results There was significant difference in VAS pain score between the first time and 3 months after operation in all patients (P<0.05).There was significant difference in the farthest walking distance before and 3 months after operation between 18~29 years old group and 50~75 years group (P<0.05),but there was no difference in 30~49 years old group.The mean time of complete walkwithout crutch was 2 months in the group of 18~29 years old,and 2.5 months in the group of 30~49 years old and 50~75 years old.Conclusion Biplane OWHTO is an effective and safe surgical method for the treatment of medial compartment osteoarthritis of the knee,which can improve the pain and restore the ability of activity.The age,activity needs,intraoperative conditionsand other factors of the patients should be taken into account when formulating the standardized rehabilitation program.
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