Leg length change after opening wedge and closing wedge high tibial osteotomy: A meta-analysis

Kim, Junho; Kim, Hyun-Jung; Lee, Daehee

doi:10.1371/journal.pone.0181328

Cited by 19 publications

(11 citation statements)

References 21 publications

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“…Several complications can occur. In a study by Lee., et al the parameters of surgical errors were defined by three separate factors [17] : 1. Correction error (under-and overcorrection).…”

Section: Discussionmentioning

confidence: 99%

A study of functional outcome of proximal fibular osteotomy in medial compartmental osteoarthritis of knee

Senthilnathan¹,

Chakravarthi²,

Prabhakar³

et al. 2022

Int. J. Orthop. Sci.

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To evaluate the effectiveness of proximal fibular osteotomy (PFO) to produce symptomatic relief from pain and improvement of medial joint space and function in patient with medial compartmental osteoarthritis of knee. Materials and Methods: A prospective study from October 2019 to October 2021 at Rajah Muthiah Medical College, in 15 patients with clinical and radiological evidence of osteoarthritis of knee (Kellgren and Lawrence score 2 or more) who surgically managed with proximal fibular osteotomy were used in this study. Preoperative and Postoperative weight bearing x-rays were obtained, to measure tibiofemoral angle, medial and lateral joint space of knee and to analyse the alignment of lower extremity. Pain relief measured using visual analogue scale and functional recovery assessed by using oxford knee score preoperatively and postoperatively. Results: PFO provides short term relieving from knee pain and improvement in walking postoperatively in almost all patients. Postoperative weight bearing radiographs showed increase in medial joint space and obvious correction of alignment of lower extremity. Conclusion: PFO is technically easy and simple procedure in treating unicompartmental osteoarthritis of knee, provides significant pain relief and functional restoration of joint. PFO can emerge as an alternative for younger patients with medial compartmental arthritis and patients unable to undergo TKR due to comorbidities. This surgery delay the need for a TKR, even may obviate it. Care should be taken to avoid common peroneal nerve injury.

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“…Several complications can occur. In a study by Lee., et al the parameters of surgical errors were defined by three separate factors [17] : 1. Correction error (under-and overcorrection).…”

Section: Discussionmentioning

confidence: 99%

A study of functional outcome of proximal fibular osteotomy in medial compartmental osteoarthritis of knee

Senthilnathan¹,

Chakravarthi²,

Prabhakar³

et al. 2022

Int. J. Orthop. Sci.

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“…Die Entscheidung zur aufklappenden oder zuklappenden Osteotomie muss also ebenfalls in jedem Fall überprüft werden. Eine aufklappende Osteotomie führt zu einer Zunahme der Beinlänge in Abhängigkeit vom Aufklappwinkel, eine zuklappende Osteotomie wirkt nahezu längenneutral [10].…”

Section: Cave Die Alte Regel Dass Ein Valgus Immer Femoral Einunclassified

Kniegelenknahe Korrekturosteotomien

Dickschas¹,

Staubli²,

Harrer³

2019

Z Orthop Unfall

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“…HTO is the most commonly used method in cases of active and young patients suffering from medial knee osteoarthritis [5]. Although many techniques have been described for HTO, the most commonly used methods are opening-wedge and closing-wedge osteotomies are [6]. Among these, opening-wedge osteotomy is more advantageous since it requires only a single incision and not fibula osteotomy [7].…”

Section: Introductionmentioning

confidence: 99%

Our results of high tibial osteotomy in medial knee osteoarthritis

2022

Ann Clin Anal Med

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Aim: Knee osteoarthritis is very common and causes serious dysfunction of the joint. HTO is the most commonly used method in cases of active and young patients suffering from medial knee osteoarthritis. Although many techniques have been described for HTO, opening-wedge osteotomy is the most commonly used method. Given the rare availability and osteointegration of the allograft, autograft use is more common. In our clinic, we prefer using ipsilateral autografts. Grafts of different sizes were taken for each patient. In this study, we aimed to introduce this procedure and investigate the effect of surgical treatment on outcome. Material and Methods: WOMAC, Lyslom score, knee ROM, and mechanical axis were evaluated in 32 patients with a mean age of 53 years. We fixed the mechanical axis using the lamina spacer and cable method during HTO surgery. After autograft placement, we provided fixation with a locked T-plate. Results: While there was a statistically significant improvement in WOMAC, Lyslom score, and mechanical axis values, there was no significant difference in ROM value. Good and excellent results were achieved in all patients except one. Discussion: The rate of excellent results increases in younger patients, which is consistent with the literature. HTO, which is applied with appropriate patient selection and the right technique, can be used safely and successfully in knee medial osteoarthritis. In HTO surgeries performed in our clinic, we take autografts of different sizes according to the degree of correction in each patient. We think that this autograft retrieval technique facilitates surgery and contributes to stability.

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Leg length change after opening wedge and closing wedge high tibial osteotomy: A meta-analysis

Cited by 19 publications

References 21 publications

A study of functional outcome of proximal fibular osteotomy in medial compartmental osteoarthritis of knee

A study of functional outcome of proximal fibular osteotomy in medial compartmental osteoarthritis of knee

Kniegelenknahe Korrekturosteotomien

Our results of high tibial osteotomy in medial knee osteoarthritis

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