Changes in load distribution in the knee after opening-wedge or closing-wedge high tibial osteotomy.

The treatment of unicompartmental osteoarthritis of the knee by high tibial osteotomy has been carried out by closing-wedge osteotomy. The advantages for opening-wedge osteotomy are ease of procedure and improved correction with comparable short-term to midterm results. It is not known how the opening-wedge high tibial osteotomy procedure alters the load distribution between the medial and lateral compartments of the knee.

Total knee replacement in patients with diabetes mellitus.

The purpose of the current study was to review the results of total knee replacement (TKR) in patients with diabetes mellitus and to test the hypothesis that patients with diabetes achieve inferior results after TKR. From a consecutive series of 5220 primary cemented TKRs, 363 were done in 291 patients with diabetes mellitus. Cefuoxime-impregnated cement was used routinely.