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A long-term follow-up study of high tibial osteotomy for medial compartment osteoarthrosis / 中华创伤杂志(英文版)
Chinese Journal of Traumatology ; (6): 348-353, 2004.
Artículo en Inglés | WPRIM | ID: wpr-338663
ABSTRACT
<p><b>OBJECTIVE</b>To observe the long-term outcome of high tibial osteotomy (HTO) in treating medial compartment osteoarthrosis of knees.</p><p><b>METHODS</b>A retrospective study was carried out on 194 patients (215 knees) treated with HTO for medial compartment osteoarthritis at the Orthopaedic Hospital of Kiel University between 1985 and 1996.</p><p><b>RESULTS</b>One hundred and sixty-one knees (144 patients) were followed up for 1.5-12 years with an average of 7.5 years and their data were reviewed. The proportion of excellent outcome were 97.3%, 93.6% and 78.2% two, five and over five years after HTO, respectively. The revision rate of total knee arthroplasty (TKA) was 11.8% (19 knees retreated with TKA for HTO failure). The survivorship analysis of the 19 knees retreated with TKA showed an expected survival rate of 98.7%, 95.0% and 84.1% 2, 5 and 10 years after HTO, respectively. There were 5.6% complications (12/161), including five superficial wound infections, one deep infection, five delayed bone healing, and one peroneal nerve palsy. Fifty patients (54 knees) missed follow-up, among them 10 patients (11 knees) died.</p><p><b>CONCLUSIONS</b>HTO is an effective method in treating medial compartment osteoarthritis with a varus knee. Appropriate overcorrection of femorotibial alignment is the key for the success of the operation. But as the long-term effect is concerned, there is a trend of deterioration and some of the patients may have a second operation of revision with TKA.</p>
Asunto(s)
Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Osteotomía / Recurrencia / Cirugía General / Tibia / Diagnóstico por Imagen / Radiografía / Estudios de Seguimiento / Desviación Ósea / Osteoartritis de la Rodilla Tipo de estudio: Estudio diagnóstico / Estudio observacional / Estudio pronóstico Límite: Adulto / Anciano / Femenino / Humanos / Masculino Idioma: Inglés Revista: Chinese Journal of Traumatology Año: 2004 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Osteotomía / Recurrencia / Cirugía General / Tibia / Diagnóstico por Imagen / Radiografía / Estudios de Seguimiento / Desviación Ósea / Osteoartritis de la Rodilla Tipo de estudio: Estudio diagnóstico / Estudio observacional / Estudio pronóstico Límite: Adulto / Anciano / Femenino / Humanos / Masculino Idioma: Inglés Revista: Chinese Journal of Traumatology Año: 2004 Tipo del documento: Artículo