Staple versus Locking Compression Plate Fixation after Lateral Closing Wedge High Tibial Osteotomy

Abstract

Purpose.To compare the results of staple versus locking compression plate fixation after closing wedge high tibial osteotomy. Methods. A group of 23 patients (24 knees) who underwent box high tibial osteotomy and staple fixation was compared with another group of 19 patients (22 knees) who underwent a similar procedure but with locking compression plate fixation. Both groups were followed up for 3 years. The range of movement, Hospital for Special Surgery (HSS) Knee Score, time to full weight bearing, incidence of delayed union, femorotibial angle, and stage of osteoarthritis were compared. Results. At 6 months after the operation, the median HSS score and the proportion of patients with excellent or good scores were significantly higher in the locking compression plate than the staple fixation group (76 vs 62, p=0.003; 75% vs 42%, p=0.0354), but not at one Staple versus locking compression plate fixation after lateral closing wedge high tibial osteotomy

Clinical Usefulness of the Staffelstein-Score in the Functional Assessment in Knee Arthroplasty Patients

“…The HSS results showed a marked deterioration of preoperative joint mobility in the experimental group compared to healthy persons. The score of 46.5 pts in patients with knee osteoarthritis was markedly lower than those reported by other authors, ranging from 53 to 71 points [10][11][12][13]. Han et al reported average scores of 69.1 and 70.7 points in persons qualified for total arthroplasty.…”

“…However, in practice, the HSS score is employed in the assessment of longterm outcomes of an operative procedure as it is possible to demonstrate the significance of differences. No reports were found which described the use of the scale within 6 months following arthroplasty [11,12]. A previous study by the first author, who assess -rych istot ność ró żnic jest mo żli wa do wy ka za nia.…”

“…A previous study by the first author, who assess -rych istot ność ró żnic jest mo żli wa do wy ka za nia. Nie zna le zio no prac, w któ rych ska la ta by ła by uży ta w okre sie krót szym niż 6 mie się cy po za bie gu en dopro te zo pla sty ki [11,12]. Wy jąt kiem by ły wcze śniejsze ba da nia au tor ki, któ ra oce nia ła pa cjen tów w 12 dni po za bie gu.…”

“…Gru pa Ba da na uzy ska ła w ba daniu 3. wy ni ki znacz nie lep sze od po cząt ko wych i aż u 67% osób by ły to oce ny do bre lub bar dzo do bre. Śred ni wy nik w Gru pie Ba da nej był po dob ny do uzyska ne go przez ze spół Agar wa la i Shah w oce nie pacjen tów po oste oto mii pisz cze lo wej 6 mie się cy po zabie gu, za rów no w oce nie ilo ścio wej, jak i ja ko ścio wej [12]. Ba kir han i wsp.…”

“…Wy nik na po zio mie 46,5 pkt. był znacz nie ni ższy niż wy ni ki uzy ska ne przez in nych au to rów wśród osób ze zmia na mi zwy rod nie nio wy mi sta wu ko la no we go, któ re wa ha ły się od 53 do 71 punk tów [10][11][12][13]. Han i wsp.…”