Health-related quality of life after open-wedge high tibial osteotomy

Saier, Tim; Minzlaff, Philipp; Feucht, Matthias J.; Lämmle, Lena; Burghoff, Maike; Ihle, Christoph; Imhoff, Andreas B.; Hinterwimmer, Stefan

doi:10.1007/s00167-015-3938-4

Cited by 41 publications

(56 citation statements)

References 43 publications

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“…Two studies with a low risk of bias reported that patients were unable to work for an average of 19 weeks. This included the study by Saier et al [52], who found that, overall, patients were unable to work for 21 weeks. Separate analysis showed that patients with a concomitant mental disorder could RTW after an average of 36 weeks compared with 16 weeks in the mentally healthy group.…”

Section: Resultsmentioning

confidence: 99%

“…Five studies described their RTS advice in detail. Three studies [36, 44, 52] advised a return to activities of daily life and low-impact sports after 3 months and a return to more demanding activities and contact sports after 6–12 months. Two studies [38, 49] allowed full RTS, including contact sports, after radiologically confirmed healing of the osteotomy.…”

Section: Resultsmentioning

confidence: 99%

“…Of six studies reporting on time to RTW, three used the TomoFix plate, one used the Association for the Study of Internal Fixation (AO) L-plate, one used the Puddu plate and/or staples, and one used an unspecified plate and/or staples. Only Saier et al [52] and Faschingbauer et al [47] reported the use of an early weight-bearing protocol after 2 weeks, and both studies used the TomoFix plate for fixation. Interestingly, the average time to RTW in the study by Saier et al [52] was the longest of all included studies (21 weeks), whereas Faschingbauer et al [47] reported an average of 17 weeks.…”

Section: Discussionmentioning

confidence: 99%

“…Only Saier et al [52] and Faschingbauer et al [47] reported the use of an early weight-bearing protocol after 2 weeks, and both studies used the TomoFix plate for fixation. Interestingly, the average time to RTW in the study by Saier et al [52] was the longest of all included studies (21 weeks), whereas Faschingbauer et al [47] reported an average of 17 weeks. The other studies reported 6–8 weeks of partial weight-bearing and found an inability to work of 12–20 weeks.…”

Section: Discussionmentioning

confidence: 99%

“…Quadriceps muscle isometric exercises, straight leg raises, patellar mobilization, and EMSSports participation, n (%):>100%. Time to RTW unknownMentioned, not adjusted for: surgeon’s advice; non-homogenous population; staged surgery for complex cases Overall1427>100% Jumping, pivoting, cutting23>100% Running, twisting, turning9444% Low impact (swimming, biking)324>100% No sports271037%Employment, n (%)Time to RTS unknownRTW (%) Overall2334>100 Light1120>100 Moderate910>100 Very heavy34>100 Student/homemaker94– Disabled (because of knee condition)9333Definition of pre-op: pre-surgeryStudy: Saier et al [52], 2015, GermanyDesign: pro cs; FU 2 yearsPopulation: Pts aged <65 with medial compartment OA and varus malalignment ( n = 64); age 45.5 (range 20–63); sex 46 M (74%), 18 F (26%); BMI 26.6 (range 19–35); Co NSMOW HTO (biplanar)Fixation: TomoFix plate, Peek power plateImmediate FROM. Partial weight bearing for 2 weeks, increased by 20 kg/wk until full weight bearing.…”

Section: Methodsmentioning

confidence: 99%

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High Rates of Return to Sports Activities and Work After Osteotomies Around the Knee: A Systematic Review and Meta-Analysis

et al. 2017

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BackgroundKnee osteotomies are proven treatment options, especially in younger patients with unicompartmental knee osteoarthritis, for certain cases of chronic knee instability, or as concomitant treatment for meniscal repair or transplantation surgery. Presumably, these patients wish to stay active. Data on whether these patients return to sport (RTS) activities and return to work (RTW) are scarce.ObjectivesOur aim was to systematically review (1) the extent to which patients can RTS and RTW after knee osteotomy and (2) the time to RTS and RTW.MethodsWe systematically searched the MEDLINE and Embase databases. Two authors screened and extracted data, including patient demographics, surgical technique, pre- and postoperative sports and work activities, and confounding factors. Two authors assessed methodological quality. Data on pre- and postoperative participation in sports and work were pooled.ResultsWe included 26 studies, involving 1321 patients (69% male). Mean age varied between 27 and 62 years, and mean follow-up was 4.8 years. The overall risk of bias was low in seven studies, moderate in ten studies, and high in nine studies. RTS was reported in 18 studies and mean RTS was 85%. Reported RTS in studies with a low risk of bias was 82%. No studies reported time to RTS. RTW was reported in 14 studies; mean RTW was 85%. Reported RTW in studies with a low risk of bias was 80%. Time to RTW varied from 10 to 22 weeks. Lastly, only 15 studies adjusted for confounders.ConclusionEight out of ten patients returned to sport and work after knee osteotomy. No data were available on time to RTS. A trend toward performing lower-impact sports was observed. Time to RTW varied from 10 to 22 weeks, and almost all patients returned to the same or a higher workload.Electronic supplementary materialThe online version of this article (doi:10.1007/s40279-017-0726-y) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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High Rates of Return to Sports Activities and Work After Osteotomies Around the Knee: A Systematic Review and Meta-Analysis

et al. 2017

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Positive und negative Prädiktoren für das Langzeitresultat nach kniegelenknaher Osteotomie

Hinterwimmer¹

2017

Orthopäde

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A frequently asked question in the context of any surgical procedure, including an osteotomy around the knee joint, is "which parameters are in favor of a therapeutic success in this special case?" If the analysis of the leg geometry is in favor of an osteotomy, then the patient must be assessed further, taking into account the joint status and patient's condition. Positive outcome predictors for long-term success of an osteotomy around the knee, especially for a valgus osteotomy at the tibia are a tibial bone varus angle (TBVA) > 3-5°, knee joint range of motion > 100° flexion, male sex, and a BMI < 30. It is unclear whether the degree of degeneration of the affected (medial) compartment is of special relevance. The severity of malalignment, the patient's sex, and psychopathological comorbidities are not important.

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The use of factor Xa inhibitors following opening-wedge high tibial osteotomy for venous thromboembolism prophylaxis

Kobayashi

Akamatsu

Kumagai

et al. 2016

Knee Surg Sports Traumatol Arthrosc

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Health-related quality of life after open-wedge high tibial osteotomy

Abstract: Prospective case series, II.

Cited by 41 publications

References 43 publications

High Rates of Return to Sports Activities and Work After Osteotomies Around the Knee: A Systematic Review and Meta-Analysis

High Rates of Return to Sports Activities and Work After Osteotomies Around the Knee: A Systematic Review and Meta-Analysis

Positive und negative Prädiktoren für das Langzeitresultat nach kniegelenknaher Osteotomie

The use of factor Xa inhibitors following opening-wedge high tibial osteotomy for venous thromboembolism prophylaxis

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