A viable alternative to joint replacement: Dr. Gaurav Sanjay

Dehradun. India and International book records holder Dr. Gaurav Sanjay is well known young orthopaedic surgeon has presented a clinical study in 45th conference of Israel Orthopaedic Association held in Tel Aviv. This study included of 113 patients of Knee joint arthritis who were treated with open wedge high tibial osteotomy from April 2005 to December 2017. Their age ranged from 46 to 89 years (average 57.5 years). 33 patients had both side osteotomy. All patients presented with pain bowing of legs. Deformity was corrected by cutting, angulating the bone and fixing with plate. The patients were mobilized with progressive weight wearing form next postoperative day. According to Dr. Gaurav Sanjay, osteoarthritis is age related wear and tear phenomenon. Arthritic pain disappeared just after surgery in all patients. All osteotomies healed. Two operations were complicated with infection which needed early plate remover. 90% patients were satisfied with the procedure. Dr Sanjay concluded in his research paper that medial open wedge high tibial osteotomy is technically a simple, financially a cheaper and socially an acceptable option for knee osteoarthritis. Osteotomy as compared to replacement surgery is a viable alternative to total knee replacement in selected cases of osteoarthritis, particularly in Asian countries where squatting and cross-legged knee activities are required for their day to day activities and other works.

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