Knee surgery & related research

  • 제30권4호
  • /
  • Pages.293-302
  • /
  • 2018
  • /
  • 2234-0726(pISSN)
  • /
  • 2234-2451(eISSN)
대한슬관절학회 (Korean Knee Society)
권호 표지
DOI QR코드

DOI QR Code

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)
  • 투고 : 2018.01.16
  • 심사 : 2018.04.24
  • 발행 : 2018.12.01
⟨ 이전 논문 다음 논문 ⟩

초록

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.

키워드

참고문헌

  1. Hui C, Salmon LJ, Kok A, Williams HA, Hockers N, van der Tempel WM, Chana R, Pinczewski LA. Long-term survival of high tibial osteotomy for medial compartment osteoarthritis of the knee. Am J Sports Med. 2011;39:64-70.
  2. Schallberger A, Jacobi M, Wahl P, Maestretti G, Jakob RP. High tibial valgus osteotomy in unicompartmental medial osteoarthritis of the knee: a retrospective follow-up study over 13-21 years. Knee Surg Sports Traumatol Arthrosc. 2011;19:122-7. https://doi.org/10.1007/s00167-010-1256-4
  3. Schroter S, Ateschrang A, Lowe W, Nakayama H, Stockle U, Ihle C. Early full weight-bearing versus 6-week partial weight-bearing after open wedge high tibial osteotomy leads to earlier improvement of the clinical results: a prospective, randomised evaluation. Knee Surg Sports Traumatol Arthrosc. 2017;25:325-32. https://doi.org/10.1007/s00167-015-3592-x
  4. Takeuchi R, Ishikawa H, Kumagai K, Yamaguchi Y, Chiba N, Akamatsu Y, Saito T. Fractures around the lateral cortical hinge after a medial opening-wedge high tibial osteotomy: a new classification of lateral hinge fracture. Arthroscopy. 2012;28:85-94. https://doi.org/10.1016/j.arthro.2011.06.034
  5. Staubli AE, De Simoni C, Babst R, Lobenhoffer P. TomoFix: a new LCP-concept for open wedge osteotomy of the medial proximal tibia: early results in 92 cases. Injury. 2003;34 Suppl 2:B55-62. https://doi.org/10.1016/j.injury.2003.09.025
  6. Efe T, Ahmed G, Heyse TJ, Boudriot U, Timmesfeld N, Fuchs-Winkelmann S, Ishaque B, Lakemeier S, Schofer MD. Closing-wedge high tibial osteotomy: survival and risk factor analysis at long-term follow up. BMC Musculoskelet Disord. 2011;12:46. https://doi.org/10.1186/1471-2474-12-46
  7. Bode G, von Heyden J, Pestka J, Schmal H, Salzmann G, Sudkamp N, Niemeyer P. Prospective 5-year survival rate data following open-wedge valgus high tibial osteotomy. Knee Surg Sports Traumatol Arthrosc. 2015;23:1949-55. https://doi.org/10.1007/s00167-013-2762-y
  8. Floerkemeier S, Staubli AE, Schroeter S, Goldhahn S, Lobenhoffer P. Outcome after high tibial open-wedge osteotomy: a retrospective evaluation of 533 patients. Knee Surg Sports Traumatol Arthrosc. 2013;21:170-80. https://doi.org/10.1007/s00167-012-2087-2
  9. Giuseffi SA, Replogle WH, Shelton WR. Opening-wedge high tibial osteotomy: review of 100 consecutive cases. Arthroscopy. 2015;31:2128-37. https://doi.org/10.1016/j.arthro.2015.04.097
  10. Takeuchi R, Ishikawa H, Miyasaka Y, Sasaki Y, Kuniya T, Tsukahara S. A novel closed-wedge high tibial osteotomy procedure to treat osteoarthritis of the knee: hybrid technique and rehabilitation measures. Arthrosc Tech. 2014;3:e431-7. https://doi.org/10.1016/j.eats.2014.04.004
  11. Pape D, Lorbach O, Schmitz C, Busch LC, Van Giffen N, Seil R, Kohn DM. Effect of a biplanar osteotomy on primary stability following high tibial osteotomy: a biomechanical cadaver study. Knee Surg Sports Traumatol Arthrosc. 2010;18:204-11. https://doi.org/10.1007/s00167-009-0929-3
  12. Lobenhoffer P, Agneskirchner JD. Improvements in surgical technique of valgus high tibial osteotomy. Knee Surg Sports Traumatol Arthrosc. 2003;11:132-8. https://doi.org/10.1007/s00167-002-0334-7
  13. Amis AA. Biomechanics of high tibial osteotomy. Knee Surg Sports Traumatol Arthrosc. 2013;21:197-205. https://doi.org/10.1007/s00167-012-2122-3
  14. Bin SI, Kim HJ, Ahn HS, Rim DS, Lee DH. Changes in patellar height after opening wedge and closing wedge high tibial osteotomy: a meta-analysis. Arthroscopy. 2016;32:2393-400. https://doi.org/10.1016/j.arthro.2016.06.012
  15. Shino K, Nakata K, Nakamura N, Toritsuka Y, Horibe S, Nakagawa S, Suzuki T. Rectangular tunnel double-bundle anterior cruciate ligament reconstruction with bone-patellar tendon-bone graft to mimic natural fiber arrangement. Arthroscopy. 2008;24:1178-83. https://doi.org/10.1016/j.arthro.2008.06.010
  16. Outerbridge RE. The etiology of chondromalacia patellae. J Bone Joint Surg Br. 1961;43:752-7.
  17. Miniaci A, Ballmer FT, Ballmer PM, Jakob RP. Proximal tibial osteotomy: a new fixation device. Clin Orthop Relat Res. 1989;(246):250-9.
  18. Shino K, Mitsuoka T, Horibe S, Hamada M, Nakata K, Nakamura N. The gravity sag view: a simple radiographic technique to show posterior laxity of the knee. Arthroscopy. 2000;16:670-2. https://doi.org/10.1053/jars.2000.7688
  19. Majima T, Yasuda K, Aoki Y, Minami A. Impact of patellofemoral osteoarthritis on long-term outcome of high tibial osteotomy and effects of ventralization of tibial tubercle. J Orthop Sci. 2008;13:192-7. https://doi.org/10.1007/s00776-008-1225-7
  20. Oh KJ, Kim YC, Lee JS, Chang YS, Shetty GM, Nha KW. Open-wedge high tibial osteotomy versus unicompartmental knee arthroplasty: no difference in progression of patellofemoral joint arthritis. Knee Surg Sports Traumatol Arthrosc. 2017;25:767-72. https://doi.org/10.1007/s00167-017-4450-9
  21. Lysholm J, Gillquist J. Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale. Am J Sports Med. 1982;10:150-4. https://doi.org/10.1177/036354658201000306
  22. Okuda M, Omokawa S, Okahashi K, Akahane M, Tanaka Y. Validity and reliability of the Japanese Orthopaedic Association score for osteoarthritic knees. J Orthop Sci. 2012;17:750-6. https://doi.org/10.1007/s00776-012-0274-0
  23. Takeuchi R, Ishikawa H, Aratake M, Bito H, Saito I, Kumagai K, Akamatsu Y, Saito T. Medial opening wedge high tibial osteotomy with early full weight bearing. Arthroscopy. 2009;25:46-53. https://doi.org/10.1016/j.arthro.2008.08.015
  24. El-Azab H, Glabgly P, Paul J, Imhoff AB, Hinterwimmer S. Patellar height and posterior tibial slope after open- and closed-wedge high tibial osteotomy: a radiological study on 100 patients. Am J Sports Med. 2010;38:323-9. https://doi.org/10.1177/0363546509348050
  25. Shino K, Nakagawa S, Inoue M, Horibe S, Yoneda M. Deterioration of patellofemoral articular surfaces after anterior cruciate ligament reconstruction. Am J Sports Med. 1993;21:206-11. https://doi.org/10.1177/036354659302100208
  26. Stoffel K, Willers C, Korshid O, Kuster M. Patellofemoral contact pressure following high tibial osteotomy: a cadaveric study. Knee Surg Sports Traumatol Arthrosc. 2007;15:1094-100. https://doi.org/10.1007/s00167-007-0297-9
  27. Agneskirchner JD, Hurschler C, Wrann CD, Lobenhoffer P. The effects of valgus medial opening wedge high tibial osteotomy on articular cartilage pressure of the knee: a biomechanical study. Arthroscopy. 2007;23:852-61. https://doi.org/10.1016/j.arthro.2007.05.018
  28. Goodfellow J. Unicompartmental arthroplasty with the Oxford knee. Oxford: Oxford University Press; 2006. p71.
  29. Babis GC, An KN, Chao EY, Larson DR, Rand JA, Sim FH. Upper tibia osteotomy: long term results: realignment analysis using OASIS computer software. J Orthop Sci. 2008;13:328-34. https://doi.org/10.1007/s00776-008-1234-6
  30. Nakayama H, Schroter S, Yamamoto C, Iseki T, Kanto R, Kurosaka K, Kambara S, Yoshiya S, Higa M. Large correction in opening wedge high tibial osteotomy with resultant jointline obliquity induces excessive shear stress on the articular cartilage. Knee Surg Sports Traumatol Arthrosc. 2018;26:1873-8. https://doi.org/10.1007/s00167-017-4680-x

피인용 문헌

  1. Successful treatment of valgus knee osteoarthritis involving external tibial torsion with a double level osteotomy: A case report vol.77, pp.None, 2020, https://doi.org/10.1016/j.ijscr.2020.11.081
  2. Radiologic results of additional single screw fixation with lateral locking plate after hybrid closed-wedge high tibial osteotomy vol.32, pp.1, 2020, https://doi.org/10.1186/s43019-020-00085-w
  3. Preoperative soft tissue laxity around knee was associated with less accurate alignment correction after hybrid closed-wedge high tibial osteotomy vol.28, pp.9, 2018, https://doi.org/10.1007/s00167-019-05762-2