Umstellungsosteotomie vs. unikondyläre Prothese bei Gonarthrose

Lobenhoffer, Philipp; Agneskirchner, Jens D.

doi:10.1007/s00132-014-3011-x

Cited by 18 publications

(6 citation statements)

References 26 publications

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“…People are increasingly interested in the skeletal structure of deformities and its impact on outcomes and corrective strategies [ 10 ]. In the past few decades, the ideal degree of correction has been extensively researched, with suggested correction ranges ranging from neutral to extreme eversion [ 11 , 12 ]. In our study, it was found that WBA after HTO surgery can achieve good knee joint function improvement and significant pain relief in patients within the most discussed range (50–60% and 62–66%).…”

Section: Discussionmentioning

confidence: 99%

Comparison of the clinical effects for different positions of the weight-bearing axis after high tibial osteotomy

Han

Zhao

et al. 2023

J Orthop Surg Res

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Purpose To analyze the clinical effects of different positions of the weight-bearing axis (WBA) after high tibial osteotomy (HTO). Methods The clinical data of 90 patients who underwent HTO in the Department of Orthopedics at our hospital from June 2018 to June 2021 were retrospectively analyzed. Patients were divided into groups A and B (n = 45 per group) according to different post-HTO WBA positions of the affected side. WBAs in both groups were at 50–60% and 62–66% of the tibial plateau, from inside to outside, respectively. American Hospital for Special Surgery Knee Score (HSS), visual analog scale (VAS) score, femorotibial angle (FTA), and medial proximal tibial angle (MPTA) were recorded and analyzed. Results All patients were followed up with for 12 months. HSS scores increased gradually and VAS scores decreased gradually in both groups preoperatively, and at 3 months, 6 months, and 1 year postoperatively (P < 0.05). Compared to group A, group B had better HHS scores at 6 months and 1 year postoperatively (P < 0.05). There was no significant between-group difference in VAS scores at all aforementioned timepoints (P > 0.05). Postoperative MPTA and FTA were 89.56° ± 2.18° and 177.11° ± 2.63° in group A, and 89.07° ± 1.98° and 177.07° ± 2.36° in group B, respectively, with no significant between-group difference (P > 0.05). Conclusion Patients with post-HTO WBA ranges of 50–60% and 62–66% achieved knee joint function improvement and pain relief. Half a year later, those with a WBA range of 62–66% had better knee joint function scores. However, a comparison of long-term effects warrants further investigation.

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Section: Discussionmentioning

confidence: 99%

Comparison of the clinical effects for different positions of the weight-bearing axis after high tibial osteotomy

Han

Zhao

et al. 2023

J Orthop Surg Res

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“…Indication for unicondylar arthroplasty were isolated osteoarthritis of the medial side, a stable joint with a range of motion exceeding 90°of flexion as well as full extension, isolated pain on the medial side, an intact anterior cruciate ligament (ACL), a leg deformity of less than 15°v arus or 5°valgus, and absence of rheumatoid arthritis. 3,4 Patients were consecutively planned for surgery, as seen in the timetable (Fig. 1).…”

Section: Methodsmentioning

confidence: 99%

The learning curve of patient-specific unikondylar arthroplasty may be advantageous to off-the-shelf implants: A preliminary study

Mayer

Bittersohl

Haversath³

et al. 2020

Journal of Orthopaedics

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“…However, larger deficits are a contraindication for osteotomies around the knee joint. Contraindications for osteotomies are summarized in Table 3, chiefly among them the presence of cartilage and meniscal pathology in the contralateral compartment [32].…”

Section: Goal Of Axis Correctionmentioning

confidence: 99%

Load distribution in early osteoarthritis

Gomoll

Angele

Condello

et al. 2016

Knee Surg Sports Traumatol Arthrosc

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Total knee replacement is an accepted standard of care for the treatment of advanced knee osteoarthritis with good results in the vast majority of older patients. The use in younger and more active populations, however, remains controversial due to concerns over activity restrictions, implant survival, and patient satisfaction with the procedure. It is in these younger patient populations that alternatives to arthroplasty are increasingly being explored. Historically, osteotomy was utilized to address unicompartmental pain from degeneration and overload, for example, after meniscectomy. Utilization rates of osteotomy have fallen in recent years due to the increasing popularity of partial and total knee arthroplasty. This article explores the indications and outcomes of traditional unloading osteotomy, as well as newer options that are less invasive and offer faster return to function.

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Umstellungsosteotomie vs. unikondyläre Prothese bei Gonarthrose

Cited by 18 publications

References 26 publications

Comparison of the clinical effects for different positions of the weight-bearing axis after high tibial osteotomy

Comparison of the clinical effects for different positions of the weight-bearing axis after high tibial osteotomy

The learning curve of patient-specific unikondylar arthroplasty may be advantageous to off-the-shelf implants: A preliminary study

Load distribution in early osteoarthritis

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