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In this era of increasing life expectancy and change in the lifestyle, osteoarthrosis of weight bearing joints, particularly the knee joint has become the most common Orthopaedic problem of enormous magnitude. Medial opened wedge tibial osteotomy fixed with standard ring fixator will be very useful for them as being of low cost and giving them immediate pain free mobilization, so that they can carry out their routine activities freely and as early as possible. Aim and Objectives: To study clinicoradiological findings in cases of Medial compartment osteoarthritis of knee joint. To evaluate the role of Medial opened wedge tibial osteotomy aiming to relieve pain, correct deformity and improve function. To study Biomechanics of knee joint with special reference to knee in osteoarthritis. To study the relevant literature. To compare the results with other available series. Results: 23 cases of medial compartmental osteoarthrosis of knee joint, who were subjected to Medial open wedge high tibial osteotomy, were studied. Osteoarthrosis of knee joint was found to be common in patients between 45 to 65 years of age (82.60%) Most of the patients had right sided involvement (65.22%). In some patients, patello-femoral arthritis became less severe. In the present study 52.81 % patients had 5 to 8degree varus angulation and one patient had 2degree of valgus angulation pre-operatively. Excellent relief of pain in knee can be achieved in patients who presented earlier i.e. whose complaints were of less than 1 year duration. 30 to 50 of over correction are essential t3o unload the medial compartment of the joint. The knee which maintains 5° to 14° of Valgus angulation post-operatively ended with radiologically satisfactory results (78%). 82.58% patients obtained clinically worthwhile relief of pain following Medial opened wedge tibial osteotomy.

Evaluation of the Role of Medial Open Wedge Osteostomy with Use of External Ring Fixator in Osteoarthrosis of the Knee in Rural Population