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Is single-stage bilateral medial opening wedge high tibial osteotomy advisable?
- Source :
-
BMC musculoskeletal disorders [BMC Musculoskelet Disord] 2024 Jun 26; Vol. 25 (1), pp. 497. Date of Electronic Publication: 2024 Jun 26. - Publication Year :
- 2024
-
Abstract
- Purpose: To validate the safety and clinical results of single-stage bilateral versus unilateral medial opening wedge high tibial osteotomy (HTO).<br />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.<br />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).<br />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.<br />Level of Evidence: Therapeutic Level III.<br /> (© 2024. The Author(s).)
- Subjects :
- 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
Osteotomy methods
Osteotomy adverse effects
Tibia surgery
Osteoarthritis, Knee surgery
Length of Stay statistics & numerical data
Operative Time
Subjects
Details
- Language :
- English
- ISSN :
- 1471-2474
- Volume :
- 25
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- BMC musculoskeletal disorders
- Publication Type :
- Academic Journal
- Accession number :
- 38926688
- Full Text :
- https://doi.org/10.1186/s12891-024-07501-2