Item request has been placed! ×
Item request cannot be made. ×
loading  Processing Request

Is single-stage bilateral medial opening wedge high tibial osteotomy advisable?

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
اقرأ على الانترنت اقرأ أكثر حفظ في قائمتي
  • معلومة اضافية
    • المصدر:
      Publisher: BioMed Central Country of Publication: England NLM ID: 100968565 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2474 (Electronic) Linking ISSN: 14712474 NLM ISO Abbreviation: BMC Musculoskelet Disord Subsets: MEDLINE
    • بيانات النشر:
      Original Publication: London : BioMed Central, [2000-
    • الموضوع:
      Osteotomy*/methods ; Osteotomy*/adverse effects ; Tibia*/surgery ; Osteoarthritis, Knee*/surgery ; Length of Stay*/statistics & numerical data ; Operative Time*; Humans ; Female ; Male ; Middle Aged ; Treatment Outcome ; Postoperative Complications/etiology ; Postoperative Complications/epidemiology ; Aged ; Propensity Score ; Knee Joint/surgery ; Knee Joint/physiopathology ; Prospective Studies ; Arthroplasty, Replacement, Knee/methods ; Arthroplasty, Replacement, Knee/adverse effects ; Adult
    • نبذة مختصرة :
      Purpose: To validate the safety and clinical results of single-stage bilateral versus unilateral medial opening wedge high tibial osteotomy (HTO).
      Methods: A propensity-matched cohort study was performed from March 2020 to March 2021 in our medical center. Data were prospectively collected. Including 34 patients who underwent single-stage bilateral medial opening HTO(SSBHTO), and 68 cases in the unilateral group. Propensity-matched ration was 2:1 based on age, sex, and body mass index using R software. Comparisons of the length of hospital stay, operative time, blood loss, postoperative adverse events, 90-day readmission rate, conversion to TKA rate, self-reported VAS and WOMAC scores were made to investigate the safety and clinical results of bilateral HTO.
      Results: The mean length of hospital stay was 7.36 ± 2.23 days for SSBHTO and 7 days (IQR, 3 days; range, 4 to 23 days) for the unilateral group (P = 0.219). The mean operative time was 144 ± 47 min for bilateral HTO and 105(37.5) mins for a unilateral OWHTO (P < 0.001). The mean blood loss was 150(100) ml for SSBHTO and 100(50) ml for unilateral OWHTO (P < 0.001). There were no significant difference of the adverse events and 90-day readmission rate between two groups. No failed HTO or conversion to knee arthroplasty were observed at the end of follow-up. VAS, pain, stiffness, and functional scores of the WOMAC scale were essentially comparable of two groups one year after surgery (P > 0.05).
      Conclusions: A single-stage bilateral medial opening wedge high tibial osteotomy is advisable for patients with knee osteoarthritis. Patients benefit from avoiding secondary anesthesia, postoperative complications, and substantial cost savings.
      Level of Evidence: Therapeutic Level III.
      (© 2024. The Author(s).)
    • References:
      Br J Rheumatol. 1992 Mar;31(3):189-92. (PMID: 1540789)
      Arthritis Rheum. 2009 May 15;61(5):648-57. (PMID: 19405016)
      Knee Surg Sports Traumatol Arthrosc. 2020 Oct;28(10):3270-3278. (PMID: 31875232)
      BMJ. 2011 Mar 08;342:d1165. (PMID: 21385807)
      Knee. 2017 Dec;24(6):1299-1306. (PMID: 29033262)
      Knee Surg Sports Traumatol Arthrosc. 2008 Nov;16(11):1030-7. (PMID: 18762910)
      Knee Surg Sports Traumatol Arthrosc. 2014 Nov;22(11):2672-81. (PMID: 23760039)
      BMC Musculoskelet Disord. 2012 Aug 22;13:153. (PMID: 22917179)
      Knee Surg Sports Traumatol Arthrosc. 2013 Jan;21(1):23-31. (PMID: 23052112)
      Arthritis Care Res (Hoboken). 2011 Nov;63(11):1528-34. (PMID: 22034115)
      Knee. 2010 Jun;17(3):217-20. (PMID: 19804976)
      Clin Biomech (Bristol, Avon). 2009 Oct;24(8):693-6. (PMID: 19527918)
      Knee Surg Sports Traumatol Arthrosc. 2003 May;11(3):132-8. (PMID: 12774149)
      Ann Intern Med. 2000 Oct 17;133(8):635-46. (PMID: 11033593)
      Arch Orthop Trauma Surg. 2018 Mar;138(3):307-316. (PMID: 29188419)
      Asia Pac J Sports Med Arthrosc Rehabil Technol. 2020 Dec 07;23:13-17. (PMID: 33344173)
      J Bone Joint Surg Br. 2009 Sep;91(9):1164-71. (PMID: 19721041)
      Clin Orthop Relat Res. 2002 Nov;(404):172-88. (PMID: 12439258)
      Int Orthop. 2020 Jan;44(1):109-117. (PMID: 31385014)
      Arthritis Rheum. 1995 Aug;38(8):1134-41. (PMID: 7639811)
      Arch Orthop Trauma Surg. 2016 Oct;136(10):1337-42. (PMID: 27443167)
    • Contributed Indexing:
      Keywords: Knee osteoarthritis; Opening-wedge proximal tibia osteotomy; Safety
    • الموضوع:
      Date Created: 20240626 Date Completed: 20240627 Latest Revision: 20240629
    • الموضوع:
      20240629
    • الرقم المعرف:
      PMC11201859
    • الرقم المعرف:
      10.1186/s12891-024-07501-2
    • الرقم المعرف:
      38926688