Age does not affect the clinical and radiological outcomes after open-wedge high tibial osteotomy

Goshima, Kenichi; Sawaguchi, Takahiro; Sakagoshi, Daigo; Shigemoto, Kazuhiro; Hatsuchi, Yu; Akahane, Mika

doi:10.1007/s00167-015-3847-6

Cited by 94 publications

(76 citation statements)

References 38 publications

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“…There are some reports that high tibial osteotomy has no effect on the ROM, and over 5 degrees of flexion contracture signifies contraindication for osteotomy. [1,7] Naudie et al [8] found that a preoperative ROM lower than 120 degrees associated with flexion contracture greater than 5 degrees was related to early failure (p-value 0.042). Flexion contracture as a contraindication is based on relatively poor results of small epidemiological studies.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Medial Open Wedge High Tibial Osteotomy Results

Erdoğan¹

2019

South Clin Ist Euras

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There are several studies on medial open-wedge tibial osteotomy, but there is still some debate about the acceptable amount of preoperative flexion contracture degree. Also, clinical effects of alteration of the tibial slope after the procedure are not clear. This study aimed to investigate the mid-term the clinical and radiological findings and complications of medial open-wedge tibial osteotomy. Methods: A total of 44 knees of 42 patients were retrospectively investigated between January 2001 and February 2012. Tibial sagittal slope, mechanical tibiofemoral angle (mTFA), mechanical lateral distal femoral angle (mLDFA), and medial proximal tibia angle (MPTA) were measured both preoperatively and postoperatively. The mean follow-up period was 92±7 (range 70-113) months. In four (10%) patients, 10 degrees of flexion contracture was present preoperatively. The clinical outcome was evaluated with the Hospital for Special Surgery (HSS) Knee Score, Oxford Knee Score (OKS), and Knee Outcome Survey-Activities of Daily Living Scale (KOS-ADLS). Results: The mean age of the participants was 45.7±18.3 (range 17-84) years. There were 34 (81%) females and 8 (19%) males. The mean knee range of motion increased from 120±11 to 130±9 degrees, postoperatively. The HSS scores improved to excellent in 29 (69%), good in 9 (21%), and moderate in 4 (10%). The ADLS and Oxford scores improved twofold. Conclusion: In conclusion, further studies are needed to understand the relationship between flexion contracture and tibial sagittal slope. Therefore, in selected patients, flexion contracture may not be a restraint for osteotomy, especially if the slope increase is prevented.

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Section: Discussionmentioning

confidence: 99%

Evaluation of Medial Open Wedge High Tibial Osteotomy Results

Erdoğan¹

2019

South Clin Ist Euras

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“…L ately, open-wedge high tibial osteotomy (OWHTO) has become a standard treatment option for medial compartment osteoarthritis (OA). 1,2 However, despite the favorable clinical outcomes associated with OWHTO, patellofemoral complications, including descent of the patellar height and patellofemoral malalignment, are usually reported after OWHTO. 3 Experimental biomechanical studies have established a correlation between OWHTO and a marked elevation in patellofemoral contact pressure, a phenomenon that exacerbates the risk of patellofemoral OA and anterior knee pain.…”

Section: See Related Article On Page 1703mentioning

confidence: 99%

Editorial Commentary: Does Patellofemoral Degenerative Progression After Open-Wedge High Tibial Osteotomy Adversely Affect Clinical Outcomes?

Goshima¹

2019

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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“…No differences in outcomes were found in comparison to younger age groups. 34 So, age should be considered a very weak decision-making element to be taken into consideration.…”

Section: Age and Activitymentioning

confidence: 99%

“…However, newer outcome studies have proven that the procedure may be successful also in severe OA if the indication criteria are followed, and the technique is appropriate. 34,40,41…”

Section: Stage Of Osteoarthritismentioning

confidence: 99%

Indication for Unicompartmental Knee Replacement versus Osteotomy around the Knee

Lobenhoffer¹

2017

J Knee Surg

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Unicompartmental medial or lateral osteoarthritis of the knee is found in up to 50% of all osteoarthritic patients and may be addressed surgically either by knee osteotomies or unicompartmental replacements. The limits for indicating one procedure or the other are somehow not defined. This article discusses the diagnostic algorithm and the most important decision factors. A long-leg radiograph and formal deformity analysis is mandatory. If constitutional or posttraumatic metaphyseal deformity in the frontal plane is detected and the opposite compartment is intact, an osteotomy should be considered. The result is not depending on age and grade of osteoarthritis. Unicompartmental knee arthroplasty is indicated in substantial osteoarthritis of one compartment (bone-on-bone) with intact ligaments and a functionally intact contralateral compartment. The anatomy of the femur and tibia should be normal with no gross osseous deformity. Age, obesity, or asymptomatic patellofemoral degeneration are not considered exclusion criteria for those surgical procedures.

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Age does not affect the clinical and radiological outcomes after open-wedge high tibial osteotomy

Abstract: OWHTO using the rigid long plate was an effective procedure independent of patient's age. The results showed that age did not influence the clinical and radiological outcomes after OWHTO.

Cited by 94 publications

References 38 publications

Evaluation of Medial Open Wedge High Tibial Osteotomy Results

Evaluation of Medial Open Wedge High Tibial Osteotomy Results

Editorial Commentary: Does Patellofemoral Degenerative Progression After Open-Wedge High Tibial Osteotomy Adversely Affect Clinical Outcomes?

Indication for Unicompartmental Knee Replacement versus Osteotomy around the Knee

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