Comparison between Autogenous Bone Graft and Allogenous Cancellous Bone Graft in Medial Open Wedge High Tibial Osteotomy with 2-Year Follow-up

Cho, Sung Won; Kim, Dong Hwi; Lee, Gwang Chul; Lee, Sang; Park, Sang Ha

doi:10.5792/ksrr.2013.25.3.117

Cited by 34 publications

(34 citation statements)

References 22 publications

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“…Persistent pain at the iliac crest donor site, reported extensively in patients undergoing spine surgery1,2,4,7,8), may also occur in patients undergoing OWHTO, causing postoperative morbidity9). Reconstruction of the iliac crest donor site can alleviate donor site pain and morbidity by reducing the formation of adhesive scars and preventing irritation caused by edges of the donor site10).…”

Section: Discussionmentioning

confidence: 99%

Modified Iliac Crest Reconstruction with Bone Cement for Reduction of Donor Site Pain and Morbidity after Open Wedge High Tibial Osteotomy: A Prospective Study

Lee

Park²,

Wang

et al. 2016

Knee Surg Relat Res

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PurposeThis study was to determine the efficacy of iliac crest reconstruction using bone cement in reducing pain and morbidity at the donor site in patients undergoing open wedge high tibial osteotomy (OWHTO) with tricortical iliac crest autologous graft.Materials and MethodsThirty-three patients who underwent iliac crest reconstruction using polymethyl methacrylate (PMMA) bone cement (group A) and thirty patients who had no iliac crest reconstruction (group B) were enrolled in this study. All patients were evaluated for pain and functional disability related to graft harvesting using the pain and functional visual analogue scale (VAS) score during hospital stay and at 6 weeks, 3 months, and 6 months postoperatively.ResultsThere was significant difference between the two groups in terms of pain and function. The pain VAS score was significantly lower in group A than group B during the first 2 weeks postoperatively (p=0.04) and the functional VAS score was also significantly lower in group A during the first 2 weeks postoperatively (p<0.001) in terms of breathing, sitting up from the supine position, and standing up with crutches from the sitting position.ConclusionsIliac crest donor site reconstruction using PMMA bone cement in patients undergoing OWHTO significantly decreased pain and improved function during the first 2 weeks postoperatively when compared to patients who underwent OWHTO without iliac crest reconstruction.

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Section: Discussionmentioning

confidence: 99%

Modified Iliac Crest Reconstruction with Bone Cement for Reduction of Donor Site Pain and Morbidity after Open Wedge High Tibial Osteotomy: A Prospective Study

Lee

Park²,

Wang

et al. 2016

Knee Surg Relat Res

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“…A recent systematic review found that autograft provides lower delayed union and nonunion rates than other opening-wedge osteotomy fillers. 23 In contrast, Cho et al 24 noted no difference in outcomes between iliac crest autograft and cancellous chip allograft. Yacobucci and Cocking 25 reported a relatively low (4%) nonunion rate using corticocancellous wedge allograft.…”

Section: Discussionmentioning

confidence: 95%

Opening-Wedge High Tibial Osteotomy: Review of 100 Consecutive Cases

Giuseffi

Replogle

Shelton

2015

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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“…We assessed 10 studies [13][14][15][16][17][18][19][20][21][22] including three RCTs, four retrospective studies, and three comparative cohort studies in this article. The included studies were conducted in eight countries (Brazil, Thailand, Egypt, USA, Korea, China, Iran, and Canada) from 2010 to 2018 and involved 583 patients (146 patients treated using BG, 149 using NF, 131 using AU, and 157 using AL) aged 41.87 to 63.4 years.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Clinical function assessment between AU and AL was compared between the two included studies, 14,15 which included 92 patients (49 patients receiving AU and 43 patients receiving AL) as shown in ►Fig. 6.…”

Section: Comparison Of Clinical Function Assessment Between Au and Almentioning

confidence: 99%

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Opening-Wedge High Tibial Osteotomy Using Autograft versus Allograft: A Systematic Review and Meta-analysis

Ren¹,

Duan²,

Sun³

et al. 2019

J Knee Surg

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Bone grafting is a good alternative for filling the inevitable void that is created following opening-wedge high tibial osteotomy (OWHTO). This systematic review and meta-analysis evaluated whether bone grafting is necessary for OWHTO and the successful outcomes of OWHTO using either autograft (AU) or allograft (AL). All analyzed studies were acquired from PubMed, Medline, Embase, CNKI, Google Scholar, and Cochrane Library. Data were independently extracted by two coauthors and were analyzed using RevMan5.3. Mean differences, odds ratios, and 95% confidence intervals were calculated. Cochrane Collaboration's Risk of Bias Tool and Newcastle–Ottawa Scale were used to assess the risk of bias. In total, 10 studies were assessed including three randomized controlled trials and seven observational studies. The methodological quality of the trials ranged from low to high. The overall estimate demonstrated that the difference between OWHTO using AU and AL groups and OWHTO using no filling group was not statistically significant for the loss of correction, and complications, but OWHTO using no filling group statistically showed better knee society score. Pooled results of reoperations, lateral cortex breaches, complications, and clinical function assessments showed no significant difference between AU and AL materials. Using AL statistically reduced the operative time compared with using AU. OWHTO with or without bone graft does not affect postoperative complications. No loss of correction was observed due to the lack of bone grafting. In addition, OWHTO without bone graft performs better for postoperative clinical function assessment. Complications and clinical results of medial OWHTO were similar using AL and AU and neither reported a median loss of correction of following OWHTO. Compared with using AU, using AL avoids harvest site complications and reduces operative time. To sum up, OWHTO without any bone graft is recommended for medial unicompartmental osteoarthritis of the knee. Further large-sample, multicenter, high-quality, randomized controlled trials are warranted to verify the outcomes of this meta-analysis.

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Comparison between Autogenous Bone Graft and Allogenous Cancellous Bone Graft in Medial Open Wedge High Tibial Osteotomy with 2-Year Follow-up

Cited by 34 publications

References 22 publications

Modified Iliac Crest Reconstruction with Bone Cement for Reduction of Donor Site Pain and Morbidity after Open Wedge High Tibial Osteotomy: A Prospective Study

Modified Iliac Crest Reconstruction with Bone Cement for Reduction of Donor Site Pain and Morbidity after Open Wedge High Tibial Osteotomy: A Prospective Study

Opening-Wedge High Tibial Osteotomy: Review of 100 Consecutive Cases

Opening-Wedge High Tibial Osteotomy Using Autograft versus Allograft: A Systematic Review and Meta-analysis

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