Role of high tibial osteotomy in medial compartment osteoarthritis of the knee: Indications, surgical technique and outcomes (original) (raw)
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High tibial osteotomy for medial osteoarthritis of the knee: 15 years follow-up
International Orthopaedics, 2010
We reviewed 192 patients (224 knees) to assess the results of HTO in medial gonarthrosis during the period 1982–2008. Median follow-up was about 15 years for 134 females and 58 males. Among the knees, 118 had an average opening wedge for varus angle of 13° and 106 had closing wedges of 11°. Knee Society scoring before osteotomies was 68/200 for opening
High Fibular Osteotomy in Management of Medial Compartment Osteoarthritis of the Knee
The Egyptian Journal of Hospital Medicine
Background: Osteoarthritis of the knee is a prevalent form of joint disease that can result in debilitating pain and limited movement. Objectives: This study aimed to know the better management of medial compartment osteoarthritis with varus deformity. Patients and Methods: This clinical trial was conducted at Orthopedic Surgery Department, Zagazig University through the period from January 2019 to June 2022. Twenty-four cases of medial compartment knee osteoarthritis were included in this study, all of which had proximal fibular osteotomy (PFO). The mean age of the included cases was 56.6 years. Results: In this study, American Knee Society (AKS) scores showed a significant increase (p < 0.001) from 41.6 ± 5.4 preoperatively up to 80.6 ± 2.6 at 12th month postoperatively. There was significant decrease in visual analogue scale from 8.4 ± 1.6 pre-operation to 1.5 ± 0.8 at 12th month post-operation. Conclusion: Patients with medial compartment knee osteoarthritis often find relief from their symptoms and an increase in their quality of life following a proximal fibular osteotomy.
The Journal of bone and joint surgery. American volume, 2014
Varus deformity increases the risk of progression of medial compartment knee osteoarthritis. The aim of this study was to investigate the clinical and radiographic mid-term results of closing-wedge and opening-wedge high tibial osteotomy when used to treat this condition. From January 2001 to April 2004, ninety-two patients were randomized to receive either a closing-wedge or an opening-wedge high tibial osteotomy. The clinical outcome and radiographic results were examined preoperatively; at one year; and, for the present study, at six years postoperatively. The outcomes that we reviewed included maintenance of the achieved correction, progression of osteoarthritis (based on the Kellgren and Lawrence classification), severity of pain (as assessed on a visual analog scale [VAS]), knee function (as measured with the Hospital for Special Surgery [HSS] score and Knee injury and Osteoarthritis Outcome Score [KOOS]), walking distance, complications, and survival with conversion to a tota...
Journal of International Medical Research, 2007
This study aimed to evaluate the clinical and radiological results of closed wedge osteotomy (11 knees) and focal dome osteotomy (14 knees) in cases of high tibial osteotomy undertaken for varus knee with medial compartment osteoarthritis. Clinical evaluation was performed using the Knee Society Score and no significant difference was seen between the two groups at final follow-up. Radiological evaluation was made on the basis of the pre- and postoperative mechanical axis, postoperative movement of the tibial axis, loss of correction at final follow-up and patellar height measured using the Insall-Salvati index. Statistically significant differences were seen with focal dome osteotomy compared with closed wedge osteotomy in the Insall-Salvati index at final follow-up, the amount of correction loss and the change in tibial axis location. It is concluded that, in the treatment of medial compartment osteoarthritis by high tibial osteotomy, focal dome osteotomy is more beneficial than c...
Outcome Analysis of High Tibial Osteotomy in Osteoarthritis of Knee: A Study Protocol
International Journal of Current Research and Review, 2020
Replacement (UKR)/Total Knee Replacement (TKR)/High Tibial Osteotomy. As the patients who have osteoarthritis belong to the rural population, performing Uni-compartmental knee replacement/total knee replacement is expensive, also a large proportion of the population is involved in farming and .
Closing-wedge high tibial osteotomy, a reliable procedure for osteoarthritic varus knee
Knee Surgery, Sports Traumatology, Arthroscopy, 2020
Purpose The purpose of this study was to analyze the long-term clinical and radiological outcomes of patients who underwent closing-wedge High Tibial Osteotomy (HTO) for the treatment of medial compartment osteoarthritis and to evaluate the conversion rate to knee arthroplasty. Methods A retrospective, non-randomized, monocentric study was performed in our Institution considering 166 patients between 1989 and 2012. The final population was composed by 82 patients (94 knees), median age at time of operation was 53 (range 45-73) years. All patients were evaluated clinically (HSS Score, Tegner Scale, VAS and Crosby-Insall Grading) and radiographically (osteoarthritis staging, hip-knee-ankle (HKA) angle, tibial slope and metaphyseal varus). Results Mean follow-up was 11.9 ± 7.2 years. HSS Score increased significantly from 70.8 ± 10 to 93.2 ± 9.1 (p < 0.05) instead Tegner Scale increased from 1.3 ± 0 (range 1-4) to 2.8 ± 0.7 (range 2-6) at the last control (n.s.); VAS score significantly decreased from 7.9 ± 1.4 to 1.6 ± 1.1 (p < 0.05) at last follow-up. According to the Crosby-Insall Grading System, 80 patients (97.4%) reported excellent-good results. HKA angle decreased from 6.9° ± 3.5 to 2.6° ± 2.6 (p < 0.01), tibial slope decreased from 10.1° ± 1.4 to 6.8° ± 2.1 (p < 0.05) and finally the metaphyseal varus decreased from 4.2° ± 0 to 2.1° ± 1.2 (n.s.) at the last follow-up. Adverse events were reported in 4.8%. Osteotomy survivorship rate resulted 92% at 10 years, 82% at 15 years and 80% at 20 years. Sixteen revisions (9.6%) were reported at a mean period of 12.8 years. Conclusions CW-HTO is a valid option for medial osteoarthritis treatment, with successful results in both clinical and radiological outcomes. Level of evidence IV.
SICOT-J, 2019
Objective: To determine the radiological, functional, and anatomical outcome in patients with osteoarthritic knee undergoing high tibial osteotomy (HTO).Design of study: Descriptive case series.Study duration and settings: The present study was a descriptive case series carried out at the Orthopedic Departments of District Head Quarter Hospital Faisalabad affiliated with Faisalabad Medical University, Faisalabad from Jan 2014 to March 2018.Methodology: This study involved 40 patients of both genders, aged between 40 and 65 years having advanced degenerative disease of knee limited to medial compartment of joint. These patients were treated by medial open wedge high tibial osteotomy (OWHTO) and outcome was evaluated after 5 years of surgery in terms of radiological knee mechanics, functional outcome scores, and arthroscopic evidence of cartilage regeneration in the medial compartment. A signed written consent was taken from every patient.Findings:There was a female predominance with ...
Archives of Orthopaedic and Trauma Surgery, 2004
Introduction: Proximal tibial osteotomy produces satisfactory early results, but these good results deteriorate with time. A meta-analysis, a set of statistical procedures designed to accumulate experimental and correlational results across independent studies, was undertaken to determine the final outcome of high tibial osteotomy of the knee. Materials and methods: Following a comprehensive literature search from 1970 through 1998, the data of 19 relevant published studies were analysed in three separate arms. Results: High tibial osteotomy had an averaged probability of a good or excellent result in 75.3% of the patients after 60 months and 60.3% after 100 months. The overall failure rate, including re-osteotomies, arthroplasties, meniscectomies, ligament reconstructions, infections and non-unions, was 24.6% at 10 years. The probability for total knee arthroplasty was 0.034 before 24 months, 0.078 between 24 and 47 months, and 0.114 between 48 and 71 months. Conclusions: The meta-analysis showed that high tibial osteotomy has an averaged probability of a good result in 60.3% of patients even after 100 months. Unchanged and mild pain was considered an unsatisfactory result. Knowing the natural cause of the disease, it is likely that most of these patients also gained from their operation to some extent, although the outcome was not as good as expected. However, we believe that there is a role for closed tibial osteotomy, as an alternative to total knee arthroplasty, only in carefully selected young patients.
Current reviews in musculoskeletal medicine, 2014
High tibial osteotomy (HTO) is a widely accepted and performed procedure to treat medial knee arthrosis. The aim of this review is to evaluate the different surgical options in medial knee arthrosis, focusing on indications, patient's selection, long-term follow-up and survival analysis of HTO. Comparison and pooling of results are challenging because of different evaluation systems, small cohort number, and different surgical techniques. No differences have been described between opening and closing wedged HTO in terms of outcomes. Excellent early survivorship and good clinical outcomes were reported also with concomitant procedures. Correct indications, preoperative workup/planning, and technique selection are essential in achieving good results. The choice between opening and closing wedge osteotomy, graft selection in opening wedge HTO, comparison between HTO and unicompartmental knee arthroplasty, and the results of revised HTO to total knee replacement are currently under ...