Tibial shaft fracture after medial open‐wedge distal tibial tuberosity osteotomy: A case report

Kuwashima, Umito; Itoh, Masafumi; Itou, Junya; Okazaki, Ken

doi:10.1002/ccr3.5697

Cited by 3 publications

(2 citation statements)

References 18 publications

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“… 1 , 2 , 3 , 4 , 5 However, OWDTO has potential risk of tibial tuberosity osteotomy-related complications, including tibial tuberosity fractures and delayed- or non-union of the tibial tuberosity. 6 , 7 …”

Section: Introductionmentioning

confidence: 99%

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Postoperative onset lateral hinge fracture is a risk factor for delayed union of the tibial tuberosity in medial opening wedge distal tibial tuberosity osteotomy

Ogawa,

Nakamura,

Sengoku

et al. 2024

Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilit

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Section: Introductionmentioning

confidence: 99%

“…As delayed- or non-union of the tibial tuberosity may cause knee pain, decreased knee function, and further tibial tuberosity fractures, 7 their prevention is crucial for patients undergoing OWDTO. Generally, the bone union rate is defined by the area of osteotomy and the type of bone compartment (cancellous or cortical compartment).…”

Section: Introductionmentioning

confidence: 99%

Postoperative onset lateral hinge fracture is a risk factor for delayed union of the tibial tuberosity in medial opening wedge distal tibial tuberosity osteotomy

Ogawa,

Nakamura,

Sengoku

et al. 2024

Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilit

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Tibial shaft fracture after medial open‐wedge distal tibial tuberosity osteotomy: A case report

Kuwashima

Itoh

Itou

et al. 2022

Clinical Case Reports

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Occurrence of Patellofemoral Joint Osteoarthritis in Long-Term Postoperative Cases of Open-Wedge High Tibial Osteotomy: Differences in Symptoms Based on Patient-Standing Type Evaluation with and Without Patellofemoral Joint Osteoarthritis

Gomi,

Muramoto,

Kataoka

2024

JOIO

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Purpose To examine the frequency of patellofemoral joint (PFJ) osteoarthritis (OA) and its symptoms in the long-term course of open-wedge high tibial osteotomy (OWHTO). Methods We analyzed 113 joints of 91 patients. OA and osteonecrosis (ON) developed in 91 and 22 joints, after an average postoperative period of 127.5 ± 19.5 months. For X-ray evaluation, the standing femorotibial angle (FTA), % mechanical axis (%MA), Caton–Deschamps index (CDI), patellar tilt angle (TA), lateral patellar shift (LPS), and PFJ space width (medial [MJS] and lateral [LJS]) were analyzed. PFJ-associated symptoms were evaluated using the hospital for special surgery patellar score (HSS-PS) and knee injury and osteoarthritis outcome score patellofemoral subscale (KOOS-PF). Statistical analysis was performed with paired and unpaired t tests, and a risk rate of less than 1% was significantly judged. Results Preoperative FTA and CDI decreased from 180.8° to 170.0° and 0.88 to 0.70 at the final follow-up. Preoperative %MA lateralized from 20.8 to 66.0 at the final follow-up. TA and LPS values decreased significantly compared with before surgery until plate removal. The MJS and LJS significantly decreased, and OA with a joint space < 3 mm occurred in 14 cases. However, HSS-PS and KOOS-PF scores were not significantly different between the groups with and without OA. Conclusion PFJ OA occurred in 12.4% cases in the long-term postoperative course of OWHTO; however, no symptomatic difference was found in the group with or without OA.

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Tibial shaft fracture after medial open‐wedge distal tibial tuberosity osteotomy: A case report

Cited by 3 publications

References 18 publications

Postoperative onset lateral hinge fracture is a risk factor for delayed union of the tibial tuberosity in medial opening wedge distal tibial tuberosity osteotomy

Postoperative onset lateral hinge fracture is a risk factor for delayed union of the tibial tuberosity in medial opening wedge distal tibial tuberosity osteotomy

Tibial shaft fracture after medial open‐wedge distal tibial tuberosity osteotomy: A case report

Occurrence of Patellofemoral Joint Osteoarthritis in Long-Term Postoperative Cases of Open-Wedge High Tibial Osteotomy: Differences in Symptoms Based on Patient-Standing Type Evaluation with and Without Patellofemoral Joint Osteoarthritis

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