Document Detail


Opening- or closing-wedged high tibial osteotomy: A meta-analysis of clinical and radiological outcomes.
MedLine Citation:
PMID:  21036048     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
High tibial osteotomy (HTO) has been advocated for the treatment of isolated medial compartment osteoarthritis of the knee. Debate remains over the superiority of performing a medial opening-wedge or lateral closing-wedge HTO. The purpose of this study was to compare the clinical and radiological outcomes, and complications of patients following opening-wedge compared to closing-wedge HTO. A systematic review was undertaken of published and unpublished literature databases from their inception to May 2010. Twelve papers reporting nine clinical trials were found to be suitable for meta-analysis comparing 324 opening-wedge HTOs to 318 closing-wedge HTOs. There was no difference in the incidence of infection, deep vein thrombosis, peroneal nerve palsy, non-union or revision to knee arthroplasty (p>0.05). There was however a significantly greater posterior tibial slope and mean angle of correction, reduced patellar height and hip-knee-ankle angle following opening-wedge HTO (p<0.05). No significant difference was found for any clinical outcome including pain, functional score or complications (p>0.05).
Authors:
T O Smith; D Sexton; P Mitchell; C B Hing
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Publication Detail:
Type:  Journal Article     Date:  2010-10-29
Journal Detail:
Title:  The Knee     Volume:  18     ISSN:  1873-5800     ISO Abbreviation:  Knee     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-10-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9430798     Medline TA:  Knee     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  361-8     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 Elsevier B.V. All rights reserved.
Affiliation:
University of East Anglia, UK.
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