scholarly journals High tibial osteotomy in medial compartment osteoarthritis and varus deformity using the Taylor spatial frame: early results

2011 ◽  
Vol 6 (3) ◽  
pp. 137-145 ◽  
Author(s):  
P. M. Robinson ◽  
M. C. Papanna ◽  
B. V. Somanchi ◽  
S. A. Khan
Keyword(s):  
High Tibial Osteotomy ◽  
Varus Deformity ◽  
Taylor Spatial Frame ◽  
Medial Compartment ◽  
Tibial Osteotomy ◽  
Medial Compartment Osteoarthritis ◽  
Spatial Frame ◽  
Early Results

scholarly journals Evaluation of lateral closed wedge high tibial osteotomy for medial compartment osteoarthritis

2015 ◽  
Vol 14 (4) ◽  
pp. 389-392
Author(s):  
VedPal Yadav ◽  
Anil Juyal ◽  
Sansar Sharma
Keyword(s):  
Range Of Motion ◽  
High Tibial Osteotomy ◽  
Tertiary Care ◽  
Medical Science ◽  
Young Patients ◽  
Varus Deformity ◽  
Medial Compartment ◽  
Tibial Osteotomy ◽  
Medial Compartment Osteoarthritis ◽  
Good Range

Introduction: Osteoarthritis of the knee is a common orthopaedic condition. Medial compartment osteoarthritis results from undue stress on the medial compartment of the knee joint following varus deformity. High tibial osteotomy (HTO) has been a long-standing treatment for osteoarthritis of the medial compartment of the knee. Although knee replacement has gained wide popularity for its treatment, still HTO is a good and cost effective procedure for young patients having good range of motion and uni-compartmental involvement. Objective: To evaluate the results of HTO in medial compartment osteoarthritis. Methods and Material: This study was conducted in a tertiary care teaching hospital of North India over a period of 3 years. The patients with disabling knee pain due to medial compartment osteoarthrosis with genu varus deformity refractory to conservative treatment were treated by High Tibial Osteotomy. Results: Overall 40 patients with medial compartmental osteoarthritis were treated with HTO. Patients were evaluated for the severity of pain as per Visual Analogue Score (VAS). There was satisfactory pain reduction (up to 80%) in most of the patients. Conclusions: HTO is a good procedure for young patients with good range of motion and changes confined to one compartment only.Bangladesh Journal of Medical Science Vol.14(4) 2015 p.389-392

Unicompartmental knee arthroplasty versus High tibial osteotomy in treatment of isolated medial compartment Osteoarthritis of knee: A Systematic Review and MetaAnalysis

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Ibrahim Mostafa El-Ganzoury ◽  
Zeiad Mohamed Zakaria ◽  
Ahmed Elsayed ◽  
Abd Ellah Elwarwary
Keyword(s):  
Systematic Review ◽  
Total Knee Arthroplasty ◽  
High Tibial Osteotomy ◽  
Knee Arthroplasty ◽  
Unicompartmental Knee Arthroplasty ◽  
Meta Analysis ◽  
Medial Compartment ◽  
Tibial Osteotomy ◽  
Medial Compartment Osteoarthritis ◽  
Total Knee

Abstract Background Several surgical procedures have been mentioned to treat medial compartment osteoarthritis (OA), as total knee arthroplasty (TKA), unicompartmental knee arthroplasty (UKA) and high tibial osteotomy (HTO). Objectives The aim of the study is a systematic review & meta analysis conducted to compare the outcomes between UKA & HTO in different types of patients diagnosed as an isolated medial compartment OA who treated with UKA or HTO and statistically compare between their results of pain, range of motion, complications, and i ncidence of revision to TKA using studies published between 2009 to 2019 from any country. Patients and Methods The review will be restricted to Randomized controlled trials (RCTs), clinical trials, and comparative studies, either prospective or retrospective, which studied the outcome of HTO versus UKA of isolated medial compartment osteoarthritis patients, articles published in English &published during 2009 to 2019. Results About 150 articles were found using search keywords. By filtration and screening of the title and exclusion of unrelated articles, about 60 articles were found. By applications of all inclusion and exclusion criteria, only 12 articles were fit to undergo this meta-analysis. Conclusion In conclusion, there were no significant differences in the pain score, knee score, complication rate and revision rate to TKA between HTO and UKA, while the HTO group manifested superior ROM compared to the UKA group. So, HTO may be convenient for patients with high activity requirements. Over time, both groups exhibited increased revision rates with the deteriorated clinical outcomes. Therefore when deciding on a therapeutic plan, the ability to revise these failed choices of treatment to a total knee arthroplasty should be a major consideration. This may assist surgeons in their choice. Based on the findings of current meta-analysis, it appears that the two groups have the same efficiency and safety in the treatment of medial knee OA.

Cost-Effectiveness Analysis of Unicompartmental Knee Arthroplasty and High Tibial Osteotomy for Treatment of Medial Compartmental Osteoarthritis

2011 ◽  
Vol 1 (1) ◽  
pp. 27-37 ◽  
Author(s):  
Christopher A Brown ◽  
Tyler S Watters ◽  
Richard C Mather ◽  
Lori A Orlando
Keyword(s):  
Cost Effectiveness ◽  
High Tibial Osteotomy ◽  
Knee Arthroplasty ◽  
Unicompartmental Knee Arthroplasty ◽  
Decision Model ◽  
Medial Compartment ◽  
Tibial Osteotomy ◽  
Medial Compartment Osteoarthritis ◽  
Markov Decision ◽  
Markov Decision Model

ABSTRACT Background Interest in unicompartmental knee arthroplasty (UKA) has recently increased in the United States concomitantly with an increase in the prevalence of physiologically active patients presenting with medial compartment osteoarthritis. This study examined the cost-effectiveness of UKA compared with high tibial osteotomy (HTO) in patients with medial compartment osteoarthritis. Methods A Markov decision model was constructed with review of literature to conduct a cost-utility analysis of UKA as compared to HTO in a patient population aged 40 years at the time of surgical intervention. Utility values were assigned to health states annually based on the commonly accepted reference values of 1 being “full health” and 0 being “death”. These values are used to estimate quality-adjusted life years (QALYs). The Markov decision model was used to evaluate the total accumulated costs and effectiveness, measured in QALYs. Results The average cost of the UKA was cheaper by $842 and resulted in a significant incremental effectiveness gain compared to HTO (+ 0.96 QALY). UKA gained 20.05 QALY at a cost-effectiveness (C/E) ratio of $1048/QALY, whereas HTO gained 19.09 QALY at a C/E ratio of $1145/QALY. Conclusion Both UKA and HTO are cost-effective procedures but patients treated with UKA may experience an increased net health benefit over their lifetime. Level of evidence Economic and decision analysis level II.

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