Clinical and Radiological Outcomes of Double-Level Osteotomy Versus Open-Wedge High Tibial Osteotomy for Bifocal Varus Deformity

  • Abs Alice
  • Micicoi Grégoire
  • Khakha Raghbir
  • Escudier Jean-Charles
  • Jacquet Christophe
  • Ollivier Matthieu

  • Cohort study Level of evidence
  • Cohort study
  • Level of evidence
  • 3 double-level osteotomy
  • Open-wedge high tibial osteotomy
  • Joint line obliquity
  • Clinical outcome
  • Complications

ART

Background: In bifocal varus deformity, double-level osteotomy (DLO) is advocated to treat lower limb alignment to prevent an adverse increase in joint line obliquity. Purpose/Hypothesis: The purpose of this study was to compare the clinical and radiological results after DLO and open-wedge high tibial osteotomy (OWHTO) in patients with combined varus deformity. It was hypothesized that DLO would improve clinical results without increasing the complication rate compared with OWHTO.