Int J Cur Res Rev | Vol 12 • Issue 22 • November 2020 S-105 Corresponding Author: Dr. Shivshankar Jadhav, Junior Resident, Department of Orthopaedics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed University), Sawangi Meghe, Wardha, Maharashtra, India; Contact: 7588226604; Email: shivshankar.jadhav007@gail.com ISSN: 2231-2196 (Print) ISSN: 0975-5241 (Online) Received: 25.09.2020 Revised: 16.10.2020 Accepted: 08.11.2020 Published: 30.11.2020 International Journal of Current Research and Review DOI: http://dx.doi.org/10.31782/IJCRR.2020.SP60 INTRODUCTION Osteoarthritis knee is 4 th most important cause of disability in women and 8 th in men. 1 Knee osteoarthritis is more preva- lent in India than in the west. Earlier considered a disease of elderly but in recent years it is becoming more common even in people aged less than 50 years. 2 Both systemic and local risk factors appear to influence the individual joints result- ing in the development of the disease. Various treatment mo- dalities are available in the form of Uni-compartmental Knee Replacement (UKR)/Total Knee Replacement (TKR)/High Tibial Osteotomy. As the patients who have osteoarthritis be- long to the rural population, performing Uni-compartmental knee replacement/total knee replacement is expensive, also a large proportion of the population is involved in farming and . ABSTRACT Background: Osteoarthritis knee is an important cause of disability in women and 8th in men. Uni-compartmental involvement of knee joint is more common in osteoarthritis leading to various deformity and pain in the knee. Objective: To analyse the outcome based on the functional and radiological evaluation. Methods: The study is an observational study with a prospective study design at Acharya Vinoba Bhave Rural Hospital (AVBRH) in the Orthopaedic department. Patients who are diagnosed with osteoarthritis of the knee based on X-rays will be analysed on their clinical, functional and radiological outcomes based on Oxford Knee Score and Tegner Lysholm Knee Score. The patient will be chosen based on age above 50 years and the ones who agree to participate in the study. Patients with varus deformity of more than 10 degrees and the ones with knee instability will be excluded from the study. Assessment of patient will be done based on Oxford knee scoring and Tegner Lysholm knee score The patients will be scored pre-operatively and post-operatively to evaluate the relief from pain or the symptoms before the surgery and after the surgery and scoring will be done and will be compared. Expected Results: High tibial osteotomy is expected to help reduce the pain in osteoarthritic patients, which hampered their daily activities. This surgery will help assess the pre-operative and post-operative scores which will be assessed based on Ox- ford knee score and Tegmen Lysholm score. Key Words: Osteoarthritis, High tibial osteotomy, Open wedge osteotomy, closed wedge osteotomy, varus deformity, biome- chanics of the knee Outcome Analysis of High Tibial Osteotomy in Osteoarthritis of Knee: A Study Protocol Shivshankar Jadhav 1 , Ulhas Dudhekar 2 , Kiran Saoji 3 , S.S. Chaudhari 4 1 Junior Resident, Department of Orthopaedics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed University), Sawangi Meghe, Wardha, Maharashtra, India; 2 Associate Professor, Department of Orthopaedics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed University), Sawangi Meghe, Wardha, Maharashtra, India; 3 Professor and Head, Department of Orthopaedics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed University), Sawangi Meghe, Wardha, Maharashtra, India; 4 Professor, Mechanical Engineering, Yeshwantrao Chavan College of Engineering, Nagpur, Maharashtra, India. IJCRR Section: Healthcare Sci. Journal Impact Factor: 6.1 (2018) ICV: 90.90 (2018) Copyright@IJCRR Study Protocol they want to continue their daily strenuous activities so per- forming Proximal High tibial osteotomy is chosen amongst such patients as it does not affect their daily routine activi- ties. The biomechanical principle of this procedure is to re- distribute the weight-bearing forces from the affected medial compartment of the knee to the lateral compartment of the knee thus helping in relieving the pain and disease progres- sion. 3 The methods of a high tibial osteotomy include i) Medial open wedge osteotomy and ii) Lateral closed wedge os- teotomy of which later procedure is more common. This procedure is superior to closed wedge osteotomies as the peroneal nerve is not injured and the proximal tibiofibular joint and lateral collateral ligaments are preserved. 4 Spe-