Knee surgery & related research

Korean Knee Society (대한슬관절학회)
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Short-Term Results of Hybrid Closed-Wedge High Tibial Osteotomy: A Case Series with a Minimum 3-Year Follow-up

  • Saito, Hidetomo (Department of Orthopedic Surgery, Akita University Graduate School of Medicine) ;
  • Saito, Kimio (Department of Orthopedic Surgery, Akita University Graduate School of Medicine) ;
  • Shimada, Yoichi (Department of Orthopedic Surgery, Akita University Graduate School of Medicine) ;
  • Yamamura, Toshiaki (Sapporo Sports Clinic) ;
  • Yamada, Shin (Department of Orthopedic Surgery, Akita University Graduate School of Medicine) ;
  • Sato, Takahiro (Sapporo Sports Clinic) ;
  • Nozaka, Koji (Department of Orthopedic Surgery, Akita University Graduate School of Medicine) ;
  • Kijima, Hiroaki (Department of Orthopedic Surgery, Akita University Graduate School of Medicine) ;
  • Miyakoshi, Naohisa (Department of Orthopedic Surgery, Akita University Graduate School of Medicine)
  • Received : 2018.01.16
  • Accepted : 2018.04.24
  • Published : 2018.12.01
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Abstract

Purpose: High tibial valgus osteotomy (HTO) is a well-established surgical procedure for patients with medial compartment osteoarthritis (OA) of the knee. The hybrid closed-wedge HTO (CWHTO) procedure permits extensive correction in patients with severe deformities or patellofemoral joint OA. The aim of this study was to report the short-term results in a consecutive series of patients treated with hybrid CWHTO. Materials and Methods: We retrospectively evaluated the clinical outcomes and radiographic parameters in 29 consecutive knees that underwent hybrid CWTHO to correct medial compartment OA at an average follow-up of 52.6 months. Clinical outcomes were assessed using the Lysholm score and knee scoring system of the Japanese Orthopedic Association (JOA). The Kellgren-Lawrence grading system and pre- and postoperative mechanical axis (MA), femorotibial angle (FTA), posterior tibial slope, and patella height were assessed. Results: The FTA and MA significantly changed from $180.7^{\circ}$ to $170.4^{\circ}$ and from $22.0^{\circ}$ to $60.2^{\circ}$, respectively. No significant differences were observed between the mean pre- and postoperative posterior tibial slope, Insall-Salvati ratio, or Caton-Deschamps index. The postoperative JOA and Lysholm scores significantly improved from 76.7 to 95.8 and from 58.8 to 90.2, respectively. Conclusions: Satisfactory outcomes can be achieved with hybrid CWHTO in patients with medial OA.

Keywords

References

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