The objective of this paper is to present the initial results obtained with the valgus tibial osteotomy, fixed with the wedge plate described by Puddu. This surgery was performed in 29 knees, in 27 patients, for correction of genu-varum, and as a profilatic measure in only one patient. The follow up time was from 3 to 28 months with average of 14 months. The proximal tibial osteotomy was done in an oblique way with start in the distal insertion of the colateral medial ligament and directed to the Gerby tubercle. The osteotomy was opened and fixed with a wedge plate of Puddu. The space opened by the osteotomy was filled with autologous iliac graft. Total weightbearing was allowed 45 days after surgery. The results show that in 4 to 6 months patients had a significant improvement of symptoms which induced to the surgical procedure. The final evaluation shows 27 satisfactory results and only 2 regular. Concluding, this technique made the tibial osteotomy a reproducible procedure with predictable results and excellent mantainance in the post-surgery of the correction obtained during surgery.
Osteoartrosis; Genu-varum; Osteotomy
