Function after tibial osteotomy for medial gonarthrosis below aged 50 years

Odenbring, Sten; Tjörnstrand, Björn; Egund, Niels; Hagstedt, Bengt; Hovelius, Lennart; Lindstrand, Anders; Luxhoj, Torben; Svanström, Anders

doi:10.3109/17453678909150116

Cited by 89 publications

(60 citation statements)

References 20 publications

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“…Two studies reported a high survival rate in patients younger than 50 years, but there is no comparison with an older group and no regression analysis [15,18]. The results of our study indicate a significantly higher failure rate in patients over 65 years.…”

Section: Discussionsupporting

confidence: 63%

Age predicts outcome of high-tibial osteotomy

Trieb

Grohs

Hanslik-Schnabel

et al. 2005

Knee Surg Sports Traumatol Arthrosc

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This study compares the predictive value of age at surgery in high tibial osteotomy. Twenty-seven high-tibial osteotomies in patients who are 65 years or older (mean age at surgery 68+/-4 years, follow up 12+/-2 years) were compared to 67 osteotomies in patients younger than 65 years (mean age at surgery 56+/-6 years, follow up 13+/-3) with respect to the outcome by Cox regression analysis. Failure, i.e. endpoint, was defined as implantation of a knee endoprosthesis and assessed by Kaplan-Meier analysis. There is a significantly higher risk for failure of high tibial osteotomies in patients of 65 years or more compared to younger patients (failure rate 38.4+/-11.3% vs. 23.1+/-5.8%) resulting in a relative risk of 1.5 (P=0.0461). The hazard of failure increased 7.6% per year of age. We conclude that in regard to the increasing risk of failure per year of age and the higher failure rate in older patients, high-tibial osteotomy should not be performed on patients older than 65 years.

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Section: Discussionsupporting

confidence: 63%

Age predicts outcome of high-tibial osteotomy

Trieb

Grohs

Hanslik-Schnabel

et al. 2005

Knee Surg Sports Traumatol Arthrosc

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“…A Swedish study reported a 33% return rate for high-activity sport and heavy labor after high tibial osteotomy. 20 Forty-seven percent of athletes were able to return to intensive-level sports after combined ACL reconstruction and high tibial osteotomy. 3 Our data did not show any significant effect of isolated or combined adjuvant procedures on the return to sport after autologous chondrocyte transplantation in our study population.…”

Section: Discussionmentioning

confidence: 99%

Articular Cartilage Repair in Soccer Players with Autologous Chondrocyte Transplantation

Peterson²,

et al. 2005

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“…Patients with varus deformity in their knees are advised to be undergoing corrective surgery as soon as possible (1, 12, 13). There are two techniques of open and close wedge osteotomies.…”

Section: Discussionmentioning

confidence: 99%

Application of Orthopedic Dual Sliding Compression Plate (ODSCP) in High Medial Tibial Open Wedge Osteotomies

Samani¹,

Kachooei²,

Ebrahimzadeh³

et al. 2013

Iran Red Crescent Med J

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BackgroundAngular deformities about the knee are one of the common disorders. High Tibial osteotomy is a way of correcting the deformity. Although the general agreement is focused toward the open wedge technique, discussion about the type of device is a subject to debate.ObjectivesThis current study has attempted to evaluate the results of Orthopedic Dual Sliding Compression Plate (ODSCP) in high medial open wedge osteotomies of the tibia.Patients and MethodsIn this cross-sectional study, 16 patients with genuvarum undergone high medial tibial open wedge osteotomy and fixed by Orthopedic Dual Sliding Compression Plate. At the time of the last follow up visit, Lysholm score was gathered.ResultsThe mean follow-up time was 9.33 ± 1.87 month. The average age was 45.13 ± 7.25 years. Three patients were male and 13 patients were female. The lysholm score showed a significant difference before and after surgery.ConclusionsThe ODSCP has many advantages over the other type of plates. It can help the surgeon to operate with a relaxed mind and it is advisable for high tibial medial open wedge osteotomies.

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Function after tibial osteotomy for medial gonarthrosis below aged 50 years

Cited by 89 publications

References 20 publications

Age predicts outcome of high-tibial osteotomy

Age predicts outcome of high-tibial osteotomy

Articular Cartilage Repair in Soccer Players with Autologous Chondrocyte Transplantation

Application of Orthopedic Dual Sliding Compression Plate (ODSCP) in High Medial Tibial Open Wedge Osteotomies

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