Factors Influencing Results of High Tibial Osteotomy in Gonarthrosis

Surin, Vladimir; Markhede, Göran; Sundholm, Krister

doi:10.3109/17453677508989289

Cited by 10 publications

(9 citation statements)

References 9 publications

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“…Any of these parameters may influence the outcome of a tibial osteotomy, but it is not known whether or not they all behave in the same way. Knees with a varus deformity of more than 10 ° usually have poor results [17].…”

Section: Discussionmentioning

confidence: 99%

“…We found that the postoperative valgus angle did not have any correlation with the result and this casts doubt on the emphasis given to obtaining perfect realignment in physiological valgus. Surin stated that it was difficult to determine what this angle should be, and that there was a group of patients who were satisfied in spite of having a persistent deformity [17]. Bauer defined angles of 2 ° to 16 ° as physiological [2], and Kettlekamp stated that a valgus of 5 ° or more produces the best and more lasting result [14].…”

Section: Discussionmentioning

confidence: 99%

“…There is disagreement as to whether the beneficial effects are produced by mechanical realignment and unloading of the degenerate articular cartilage [10,11,15], or whether the effect is biological be due to lowering of intraosseous venous engorgement [1,9]. Little is known about the factors influencing the long term results [3,12,17]. Most reports have considered only the correlation of postoperative femoro-tibial alignment to the final outcome [5,13,14].…”

Section: Introductionmentioning

confidence: 99%

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High valgus tibial osteotomy for osteoarthritis of the knee

Bhan

Dave

1992

International Orthopaedics

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We report a statistical analysis of the results of 65 tibial osteotomies for primary osteoarthritis of the knee followed up at 3 and 5 years. Preoperative walking ability and the severity of pain are the factors with which the long term prognosis can best be correlated. The preoperative range of motion and mild subluxation become important at 5 years, but these factors were not important at 3 years. Mild instability did not have any influence. The severity of the osteoarthritis in radiographs and the postoperative femoro-tibial angle did not have any important association with the result. The results are therefore best predicted by preoperative pain and activity. The degree of correction did not affect the result.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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High valgus tibial osteotomy for osteoarthritis of the knee

Bhan

Dave

1992

International Orthopaedics

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“…In the present series the changes of varus and valgus deformities observed in the knees showing good treatment results corresponded to this description. Surin et al (1975) noticed a clear correlation between the patients' symptoms and the degree of correction ofvarus or valgus deformities. However, good results have been presented independently of the correction of position achieved by osteotomy (Appel and Friberg 1972).…”

Section: Discussionmentioning

confidence: 97%

Proximal osteotomy of the tibia in the treatment of osteoarthritis of the knee

Isolauri

Lapinsuo

Aho

et al. 1983

Arch. Orth. Traum. Surg.

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A total of 50 patients with osteoarthritis of the knee joint treated by proximal osteotomy of the tibia were followed up 1-5 years after operation. Fusion occurred within an average of 24 weeks. The subjective result of the treatment was good or fair in 44/50 patients. The results were the same 1-2 years and 4-5 years postoperatively. Half the patients showed some significant general disease, most usually hypertension or cardiac disease. Although the patients' subjective condition was significantly better after than before operation, the treatment did not improve or maintain their working capacity. Preoperatively 29 patients worked, while this number was reduced to 12 at the time of follow-up, and two of the latter patients had been trained for new occupation.

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“…Surin [26] 1975 Retrospective case series IV Fair Tjornstrand [41] 1981 Retrospective case series IV Fair van Lieshout [17] 2020 Retrospective case series III Fair W-Dahl [24] 2017 Retrospective case series IV Good A number of additional papers were found to report the outcomes of HTO for medial OA and lateral OA; However, as the patient groups were combined, these particular papers were not eligible for inclusion in this review. Of the 17 papers that were included, there were 13 case series (76.5 %), one cohort study (5.9 %), one case control study (5.9 %) and two literature reviews that reported data which was not published elsewhere (11.6 %) (Table 1).…”

Section: Study Selectionmentioning

confidence: 99%