Management of Osteoarthritis Knee by Graduated Open Wedge High Tibial Osteotomy in 40-60 Years Age Group Using Limb Reconstruction System: A Clinical Study

Kapila, Rajesh; Sharma, Pawan Kumar; Chugh, Ankush; Singh, Randhir

doi:10.7860/jcdr/2015/14469.6644

Cited by 2 publications

(3 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Another study by Rajesh Kapila et al on 30 knees operated with open wedge high tibial osteotomy with limb reconstruction system found that the external fixator gives precise control in limb alignment. 9 Mondanelli N et al did a study on 41 knees for medial compartment knee osteoarthritis found that well maintain of correction with dynamic axial fixator. 10 Coventry et al in their study of 87 knees observed that inadequate correction was a major cause for failure of HTO.…”

Section: Discussionmentioning

confidence: 97%

“…8 Rajesh Kapila et al also found that only four patients had some decrease in range of motion after the procedure while the majority of patients maintained or improved their preoperative range of motion. 9 Stiffness is uncommon if preoperative motion is satisfactory. 11 So it is necessary to start early knee mobilization to prevent stiffness.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Functional Outcome of High Tibial Osteotomy in Patients with Medial Compartment Osteoarthritis Using Dynamic Axial Fixator -a prospective study

Yadav

Parihar

Pawar

et al. 2020

Journal of Clinical Orthopaedics and Trauma

View full text Add to dashboard Cite

Introduction: Medial Compartment Osteoarthritis of the knee is becoming a widespread problem. The surgical options include high tibial osteotomy, unicompartmental knee replacement, and total knee replacement. Replacement surgeries are not advised in the younger age group, so in these patients, high tibial osteotomy is the only option. In this study, we have assessed the functional and radiological outcomes of high tibial osteotomy done by hemicallostasis method. Method: We report the outcome of 30 patients (30 knees) who underwent hemicallostasis with a dynamic external fixator for medial compartment osteoarthritis of the knee. The radiological assessment was done with the help of Hip Knee Ankle angle. The functional scoring was done via Oxford knee score, IKDC, KOOS, and WOMAC score. Results: At a mean follow up of 35 months, the preoperatively mean HKA angle was 172 ± 30. The mean HKA angle postoperatively was 184 ± 10. Appropriate correction of the HKA angle was achieved in 24 of 30 patients (80%). Whereas, there was under correction in 3 patients (10%) and overcorrection in 3 (10%) patients. All the functional scores showed significant improvement in the postoperative scores. There was a positive correlation between the HKA angle and oxford, IKDC, KOOS, and WOMAC Score. Complications like superficial pin tract infection were seen in 3 (10%) patients, deep infection in 1 (3%), and early union of osteotomy in 1 (3%) patient leading to revision of the osteotomy. . Conclusion: HTO is effective in improving pain, function, activity of daily living, and quality of life in patients suffering from medial compartment Osteoarthritis of the knee. Hip Knee Ankle Angle is an important parameter to restore for better functional outcomes. The Advantage of using a dynamic axial fixator is the precision in achieving calculated correction without any implant in the bone once the correction is achieved along with good healing rates.

show abstract

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Functional Outcome of High Tibial Osteotomy in Patients with Medial Compartment Osteoarthritis Using Dynamic Axial Fixator -a prospective study

Yadav

Parihar

Pawar

et al. 2020

Journal of Clinical Orthopaedics and Trauma

View full text Add to dashboard Cite

show abstract

“…Song et al (33) concluded in their study that the angle correction was from 6.8 degree varus to 2.8 degree valgus postoperatively. Kapila et al (46) were successful in improving the correction angle from 8-10 degree varus to 5-7 degree valgus in 60% patients using limb reconstruction system.…”

Section: Discussionmentioning

confidence: 99%

High tibial osteotomy as a treatment protocol for osteoarthritis of a knee- time for a change?

Avinash C K,

Goutham D V,

Keshav Murthy D

et al. 2023

Int. J. Front. Med. Surg. Res.

View full text Add to dashboard Cite

Osteoarthritis is a common degenerative condition of the joints, consisting of retrogressive sequence of cell and matrix changes that result in loss of articular cartilage structure and function. It affects all ethnic groups in all geographic locations. There are several treatment options available for early OA knee including non pharmacological, pharmacological treatment and various surgical treatment. An arthroplasty is a good option for low demand and older patients there remains a significant concern regarding the longevity of implant, particularly in younger patients whereas high tibial osteotomy is joint preserving surgery . The normal anatomical tibial bone shape is maintained after the HTO, which allows for conversion to knee replacement if required in future . Early ambulation and weight bearing on operated limb is possible with use of orthofix .Orthofix does not require additional surgery for implant removal and bone graft is also not needed.

show abstract

Management of Osteoarthritis Knee by Graduated Open Wedge High Tibial Osteotomy in 40-60 Years Age Group Using Limb Reconstruction System: A Clinical Study

Cited by 2 publications

References 16 publications

Functional Outcome of High Tibial Osteotomy in Patients with Medial Compartment Osteoarthritis Using Dynamic Axial Fixator -a prospective study

Functional Outcome of High Tibial Osteotomy in Patients with Medial Compartment Osteoarthritis Using Dynamic Axial Fixator -a prospective study

High tibial osteotomy as a treatment protocol for osteoarthritis of a knee- time for a change?

Contact Info

Product

Resources

About