Document Detail


Accuracy of high tibial osteotomy: comparison between open- and closed-wedge technique.
MedLine Citation:
PMID:  20033672     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
High tibial osteotomy is an established technique for the treatment of varus malaligned knees. This study analyses the difference between the amount of correction in the preoperative planning and the postoperative result. Furthermore, it compares the difference of the accuracy between open-wedge osteotomy and closed-wedge osteotomy. About 61 patients were either treated with open-wedge or closed-wedge high tibial osteotomy. Preoperative planning and postoperative analysis were performed with a special planning software. The influence of operative technique, aetiology, age, number of previous surgeries, amount of correction and accuracy of the correction compared to the preoperative planning were analysed. The overall postoperative mechanical axis differed form preoperative planning by 2.1° ± 1.7°. The accuracy in the open-wedge group (1.7° ± 1.6°) was significantly higher than in the closed-wedge group (2.6° ± 1.8°; P = 0.038). In patients with congenital varus deformity, the accuracy of the correction was significantly higher than in patients with post-traumatic deformity. The authors recommend open-wedge technique in combination with fixed-angle plates for high tibial osteotomy.
Authors:
S Hankemeier; P Mommsen; C Krettek; M Jagodzinski; J Brand; C Meyer; R Meller
Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2009-12-24
Journal Detail:
Title:  Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA     Volume:  18     ISSN:  1433-7347     ISO Abbreviation:  Knee Surg Sports Traumatol Arthrosc     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-20     Completed Date:  2011-01-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9314730     Medline TA:  Knee Surg Sports Traumatol Arthrosc     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  1328-33     Citation Subset:  IM    
Affiliation:
Trauma Department, Hanover Medical School (MHH), Carl-Neuberg-Strasse 1, 30625 Hanover, Germany. hankemeier.stefan@mh-hannover.de
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Arthroscopy / methods*
Cohort Studies
Female
Follow-Up Studies
Humans
Internal Fixators
Joint Deformities, Acquired / etiology,  radiography,  surgery*
Male
Middle Aged
Osteoarthritis, Knee / complications,  radiography,  surgery*
Osteotomy / methods*
Pain Measurement
Pain, Postoperative / physiopathology
Preoperative Care / methods
Retrospective Studies
Risk Assessment
Tibia / radiography,  surgery*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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