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Biplane Medial Opening-Wedge High Tibial Osteotomy Increases Posterior Tibial Slope more than Uniplane Osteotomy
- Source :
- The Journal of Knee Surgery. 35:1229-1235
- Publication Year :
- 2021
- Publisher :
- Georg Thieme Verlag KG, 2021.
-
Abstract
- Few clinical studies have compared uniplane high tibial osteotomy (HTO) with biplane HTO. The study aim was to compare the radiological and clinical results of uniplane HTO and biplane HTO, especially in terms of the increase in the posterior tibial slope (PTS). Medial opening-wedge HTO patients' medical records and radiological results from a single institution were retrospectively reviewed. Pre- and postoperative serial radiographs, including the Rosenberg, lateral view, and standing anteroposterior view of the whole lower extremity, magnetic resonance imaging at postoperative day 2, and the Western Ontario and McMaster Universities Arthritis Index (WOMAC) score at postoperative 2 years were reviewed to evaluate radiological and clinical results, including the change in PTS. A total of 61 knees, including 34 for uniplane and 27 for biplane HTOs, were enrolled. There were no significant differences in the pre- and postoperative mechanical angles or incidences of the lateral hinge fractures, and all patients showed complete union at postoperative 2 years. The PTS was increased more in the biplane group than in the uniplane group (3.1 ± 2.6 in biplane vs. 0.8 ± 1.7 in uniplane, p
- Subjects :
- WOMAC
Knee Joint
Tibia
medicine.diagnostic_test
business.industry
medicine.medical_treatment
Radiography
Magnetic resonance imaging
Osteoarthritis, Knee
Osteotomy
Opening wedge
Biplane
High tibial osteotomy
Radiological weapon
medicine
Humans
Orthopedics and Sports Medicine
Surgery
business
Nuclear medicine
Retrospective Studies
Subjects
Details
- ISSN :
- 19382480 and 15388506
- Volume :
- 35
- Database :
- OpenAIRE
- Journal :
- The Journal of Knee Surgery
- Accession number :
- edsair.doi.dedup.....e6a1cb29fb2c06ee2e09facdcef00142