| Comparison of autograft vs allograft in opening-wedge high tibial osteotomy. | |
| | |
MedLine Citation:
|
PMID: 19775852 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Opening-wedge high tibial osteotomy (HTO) is used to treat isolated medial knee joint arthritis. A benefit of using allograft instead of autograft is avoiding a second surgical site, thereby decreasing operative time, blood loss, and pain. Our study objective was to evaluate allograft vs autograft in the failure and complication rates of HTO using the same technique and implant system (Arthrex HTO plate system, Arthrex, Inc, Naples, Fla). Seventy knees in 65 patients were evaluated. There was a 6-fold higher failure rate for the allograft group. When there was no lateral cortical breach, construct failure did not occur in 87.8% of the knees (P = .0006); with lateral cortical breach, construct failure occurred 53% of the time (P = .0006). Seventy-six and a half percent of breached cortices and 75% of failures were associated with large wedge sizes (>or=11 mm); this may suggest a role for closing-wedge osteotomy or alternative osteotomies when larger alignment corrections are needed. |
| | |
Authors:
|
Marshall A Kuremsky; Thomas M Schaller; Christian C Hall; Bernard A Roehr; John L Masonis |
Publication Detail:
|
Type: Comparative Study; Journal Article Date: 2009-09-23 |
Journal Detail:
|
Title: The Journal of arthroplasty Volume: 25 ISSN: 1532-8406 ISO Abbreviation: J Arthroplasty Publication Date: 2010 Sep |
Date Detail:
|
Created Date: 2010-08-24 Completed Date: 2010-12-16 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8703515 Medline TA: J Arthroplasty Country: United States |
Other Details:
|
Languages: eng Pagination: 951-7 Citation Subset: IM |
Copyright Information:
|
Copyright 2010 Elsevier Inc. All rights reserved. |
Affiliation:
|
Department of Orthopaedic Surgery, Carolinas Medical Center, Charlotte, North Carolina, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Arthroplasty / adverse effects Bone Transplantation* Humans Knee Joint / radiography Middle Aged Osteoarthritis, Knee / radiography, surgery* Osteotomy* / methods Tibia / surgery* Transplantation, Autologous Transplantation, Homologous Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Preoperative staging of liver metastases from uveal melanoma by magnetic resonance imaging (MRI) and...
Next Document: Restoration of the center of rotation in revision total hip arthroplasty.