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            [0] => Total knee arthroplasty on genu varum. Why was the osteotomy not planned? Survey of 100 women
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    [etablissement] => Array
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            [0] => Rabta hospital
        )

    [nom] => Array
        (
            [0] => khlif
        )

    [prenom] => Array
        (
            [0] => mohamed ali
        )

    [email] => Array
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            [0] => dalykhlif1@yahoo.fr
        )

    [telephone] => Array
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            [0] => 27256830
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            [0] => 
 
Nom prénom / Name Surname: Mahjoubi Seifeddine
Email: seifeddinemahjoubi@gmail.com
Hôpital / Hospital: Rabta hospital

 
Nom prénom / Name Surname: Khlif Mohamed Ali
Email: dalykhlif1@yahoo.fr
Hôpital / Hospital: Rabta hospital

 
Nom prénom / Name Surname: Ouacheni Atef
Email: atefoichani@gmail.com
Hôpital / Hospital: Rabta hospital

 
Nom prénom / Name Surname: Zitouna Khaled
Email: kh.zitouna@laposte.net
Hôpital / Hospital: Rabta hospital

 
Nom prénom / Name Surname: Ben Ayed Mehdi
Email: b.ayed.mehdi@gmail.com
Hôpital / Hospital: Rabta hospital

 
Nom prénom / Name Surname: Barsaoui Maher
Email: barsaoui.maher@yahoo.fr
Hôpital / Hospital: Rabta hospital

        )

    [mots_cles] => Array
        (
            [0] => valgus osteotomy;

        )

    [event-id] => Array
        (
            [0] => 3663
        )

    [statut] => Array
        (
            [0] => 1
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    [forme] => Array
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            [0] => none
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    [user_email] => Array
        (
            [0] => dalykhlif1@yahoo.fr
        )

    [specialite] => Array
        (
            [0] => Chirurgie orthopédique et traumatologique
        )

    [pays] => Array
        (
            [0] => Tunisie
        )

    [texte_abs] => Array
        (
            [0] => Background : The tibial valgus osteotomy is a conservative intervention that has proven its worth for beginner arthritis on varus axis deviation. Despite its prominent place, many patients reach advanced stages without benefiting from it and only arthroplasty becomes a savior. The purpose of this study was to identify the reasons that would explain why patients with a little osteoarthritis on a varum did not achieved an osteotomy in time.

Methods : We investigated 100 women with knee osteoarthritis on a varum, in witch a primary total knee arthroplasty was firstly conducted in the orthopedic department of La Rabta Hospital. 

Results: Our survey revealed that our patients had fairly favorable socio-economic conditions, with 73% of them being urban, 95% owning their dwelling, and 91% living near a hospital. The discomforts pushed our patients to consult early: 48% consulted within a year of the knee pain onset and all were taken care of before 5 years. However, the therapeutic component survey showed that the recommendations on the management of gonarthrosis were poorly respected. Although all patients had medication, 65 had no dietary advices and 60 had arthroplasty without any rehabilitation. Out of 100 women potentially candidates for osteotomy, only 3 were informed of this option. Clinical findings in these patients prior the implantation of the prosthesis reflected the inadequacies of the treatment since the perimeter of walking was reduced in 77% of the cases and flessum was found in 27%.. The mean varus was 13,8 °.

Conclusion : Knee osteoarthritis is a pathology whose evolution can be slowed down by conservative surgery. In practice this management is still insufficient and several shortcomings have been noted. An organized clinical and radiological follow-up and a hierarchy of therapeutic means must be instituted.
        )

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