Clinical and radiological outcomes of high tibial osteotomy with combined fixator-assisted nailing and subtubercle tibial osteotomy

Bayam, Levent; Erdem, Mehmet; Gülabi, Deniz; Erdem, Ahmet Can; Uyar, Ahmet Çağrı; Kochai, Alauddin

doi:10.5152/j.aott.2020.01.130

Cited by 2 publications

(3 citation statements)

References 34 publications

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“…They found that the height of the patella (CDI) in 72 knees did not change significantly after the operation and that the patellofemoral relationship was normal. Next, Bayam et al [ 8 ] combined STO with the fixator-assisted nailing technique to perform orthopedic procedures on 32 knee joints, and the study confirmed that the patellar height was not affected during at least 30 months of follow-up. In a large number of clinical studies, it has been confirmed that whether the osteotomy line passes through the tibial tuberosity is one of the evaluation criteria for the change in patellar height, and subtubercle osteotomy can effectively avoid this [ 3 – 5 , 7 – 12 ].…”

Section: Discussionmentioning

confidence: 94%

Patellar Height after High Tibial Osteotomy of the Distal Tibial Tuberosity: A Retrospective Study of Age Stratification

Ding

Tan

Tian

et al. 2022

Computational and Mathematical Methods in Medicine

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Objective. To explore the effect of age stratification on patellar height after single-plane high tibial osteotomy of the distal tibial tuberosity (DTT-HTO). Methods. A retrospective analysis was performed on 110 knee joints undergoing DTT-HTO. Patients were divided into three groups according to age: under 60 years old, 28 cases; 60 to 70 years old, 61 cases; and over 70 years old, 21 cases. All patients were followed up for no less than 12 months, and at each follow-up, short-leg radiographs and whole-leg radiographs were taken. The values of the Caton-Deschamps index (CDI) and Blackburne-Peel index (BPI) of single-short-leg radiographs and the femoral-tibial angle (FTA) and weight-bearing line ratio (WBLR) of whole-leg radiographs were measured before and at the last follow-up. The Lysholm score before and at the last follow-up and the visual analogue scale (VAS) score before and 3 days after surgery and at the last follow-up were calculated. The frequency of classification of the normal-height patella, patella alta, and patella baja before and after surgery was recorded. Results. There were no significant differences in CDI and BPI preoperatively or postoperatively among the three groups ( P > 0.0 5), and there were no statistically significant differences in FTA and WBLR. There were no significant differences in CDI, BPI, FTA, or WBLR between the three groups before and after the operation ( P > 0.05 ). The Lysholm score increased from 48.84 ± 10.10 before surgery to 91.96 ± 3.082 after surgery ( P < 0.05 ); the VAS score decreased from 8.23 ± 0.99 before surgery to 1.93 ± 0.953 at 3 days after surgery and 1.07 ± 0.53 at the last follow-up ( P < 0.01 ). No significant difference was observed in the incidence of each patellar height classification between the three groups preoperatively and postoperatively. Conclusion. Patellar height is not influenced by DTT-HTO. The age of patients is not a limiting factor for the selection of this surgical procedure. Without affecting the height of the patella, DTT-HTO can effectively reduce pain in the knee joint, restore the function of the knee joint, and delay the progression of patellar arthritis.

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Section: Discussionmentioning

confidence: 94%

Patellar Height after High Tibial Osteotomy of the Distal Tibial Tuberosity: A Retrospective Study of Age Stratification

Ding

Tan

Tian

et al. 2022

Computational and Mathematical Methods in Medicine

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“…Medial opening wedge HTO is indicated for medial compartment knee osteoarthritis with varus deformity [ 29 , 30 ]. By adjusting the femorotibial angle, the weight bearing of the knee can be redistributed [ 14 , 15 ]. Although no consensus has been reached in terms of the optimal alignment in medial opening wedge HTO, 8–10° vulgus of the post-operative anatomical femorotibial angle was often suggested [ 31 , 32 ].…”

Section: Discussionmentioning

confidence: 99%

“…Among the various HTO techniques, medial opening wedge HTO, lateral opening wedge HTO, medial closing wedge HTO, and lateral closing wedge HTO are the most common subtypes [ 13 ]. For medial compartment knee osteoarthritis with varus deformity, medial opening wedge HTO alleviates the symptoms by correcting the malalignment and redistributing the body weight loading [ 14 , 15 ]. However, HTO alone does not aim to repair the structural damage of the knee.…”

Section: Introductionmentioning

confidence: 99%

Using multivariate nonlinear mixed-effects model to investigate factors influencing symptom improvement after high tibial osteotomy in combination with bone marrow concentrate injection for medial compartment knee osteoarthritis: a prospective, open-label study

Cheng

Liang

Chu³

et al. 2023

BMC Musculoskelet Disord

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Purpose To investigate the effects of various demographic, structural, radiographic, and clinical factors on the prognosis of patients with medial compartmental knee osteoarthritis with varus deformity undergoing medial opening wedge high tibial osteotomy (HTO) in combination with bone marrow concentrate (BMC) injection. Methods In this prospective study, 20 patients underwent medial opening wedge HTO in combination with BMC injection with 12 months of follow-up. The structural and radiographic outcomes were evaluated by femorotibial angle and posterior tibial slope angle. The clinical outcomes were evaluated by visual analogue scale (VAS), Western Ontario and McMaster Universities Arthritis Index (WOMAC), and The Knee injury and Osteoarthritis Outcome Score (KOOS). Multivariate nonlinear mixed-effects models with asymptotic regressions were used to model the trajectory of symptom improvement. Results Medial opening wedge HTO in combination with BMC corrected the malalignment of the knee and led to significant symptom relief. The improvement of clinical symptoms reached a plateau 6 months after the surgery. Greater symptom severity at baseline and lower Kellgren-Lawrance (KL) grades were correlated with better post-operative clinical outcomes. Body-Mass-Index (BMI), femorotibial angle, age, and sex may also play a role in influencing the extent of symptom relief. Conclusion Symptom severity at baseline is important for prognosis prediction. In clinical practice, we suggest that the evaluation of clinical features and functional status of the patients be more emphasised.

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Clinical and radiological outcomes of high tibial osteotomy with combined fixator-assisted nailing and subtubercle tibial osteotomy

Abstract: The role of the platelet-to-lymphocyte ratio and neutrophil-to-lymphocyte ratio in the prediction of length and cost of hospital stay in patients with infected diabetic foot ulcers: A retrospective comparative study

Cited by 2 publications

References 34 publications

Patellar Height after High Tibial Osteotomy of the Distal Tibial Tuberosity: A Retrospective Study of Age Stratification

Patellar Height after High Tibial Osteotomy of the Distal Tibial Tuberosity: A Retrospective Study of Age Stratification

Using multivariate nonlinear mixed-effects model to investigate factors influencing symptom improvement after high tibial osteotomy in combination with bone marrow concentrate injection for medial compartment knee osteoarthritis: a prospective, open-label study

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