2020
DOI: 10.1007/s00167-020-06149-4
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Prior high tibial osteotomy is not a contraindication for medial unicompartmental knee arthroplasty

Abstract: PurposeTo report on the outcome and complications of minimal invasive medial unicondylar knee arthroplasty (UKA) after failed prior high tibial osteotomy (HTO) as treatment for medial osteoarthritis in the knee. The hypothesis was that good results can be achieved, if no excessive postoperative valgus alignment and abnormal proximal tibial geometry is present. MethodsAll medial UKAs after failed prior HTO (n = 30), performed between 2010 and 2018 were retrospectively reviewed. The patients were followed for re… Show more

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Cited by 18 publications
(33 citation statements)
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“…These findings are in accordance with present studies and disprove earlier descriptions of higher complication rates for TKA after HTO. 36 Patients remained physically active on a recreational level. In HTO for progressing medial OA, a higher BMI at the time of surgery resulted in a lower functional outcome.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…These findings are in accordance with present studies and disprove earlier descriptions of higher complication rates for TKA after HTO. 36 Patients remained physically active on a recreational level. In HTO for progressing medial OA, a higher BMI at the time of surgery resulted in a lower functional outcome.…”
Section: Discussionmentioning
confidence: 99%
“…These findings are in accordance with present studies and disprove earlier descriptions of higher complication rates for TKA after HTO. 36 Patients remained physically active on a recreational level. In HTO for progressing medial OA, a higher Patients in the combined HTO and ACI subgroup presented good-to-excellent functional outcome in line with their very high TKA-free survival rates even after 10 years.…”
Section: Discussionmentioning
confidence: 99%
“…In chronic medial side injury, reconstruction is recommended [ 23 , 39 ] because late repair of the medial side might lead to an inferior outcome [ 19 ]. Combined MCL and PCL injury is rare [ 3 , 18 , 31 ], with no clear consensus on treatment strategies [ 4 , 38 ].…”
Section: Discussionmentioning
confidence: 99%
“… 18 , 32 AKS knee and function scores were graded as excellent (80-100), good (70-79), fair (60-69), or poor (<60). 4 , 18 , 42 ROM was evaluated using a 30-cm plastic movable arm preoperatively and at every follow-up. 37 Preoperative and postoperative AKS scores and ROM were compared between the RKL and no-RKL groups.…”
Section: Methodsmentioning
confidence: 99%