Long-term results of the subtubercle tibial osteotomy using the circular external fixator for medı̇al compartment osteoarthrı̇tı̇s of knee

The Knee ◽  
2022 ◽  
Vol 34 ◽  
pp. 147-155
Author(s):  
Orhan Balta ◽  
Mehmet Burtaç Eren ◽  
Tahir Öztürk ◽  
Harun Altınayak
Keyword(s):  
External Fixator ◽  
Long Term Results ◽  
Tibial Osteotomy ◽  
Circular External Fixator

scholarly journals Medium- and long-term results of high tibial osteotomy using Garches external fixator and gait analysis for dynamic correction in varus osteoarthritis of the knee

2016 ◽  
Vol 98-B (5) ◽  
pp. 601-607 ◽  
Author(s):  
D. McClelland ◽  
D. Barlow ◽  
T. S. Moores ◽  
C. Wynn-Jones ◽  
D. Griffiths ◽  
...  
Keyword(s):  
Gait Analysis ◽  
High Tibial Osteotomy ◽  
External Fixator ◽  
Long Term Results ◽  
Osteoarthritis Of The Knee ◽  
Tibial Osteotomy ◽  
Dynamic Correction

Medium- and Long-Term Results of High Tibial Osteotomy for Varus Gonarthrosis in an Agricultural Population

Orthopedics ◽  
1999 ◽  
Vol 22 (8) ◽  
pp. 729-735
Author(s):  
Panagiotis Korovessis ◽  
Georgios Katsoudas ◽  
Panagiotis Salonikides ◽  
Marios Stamatakis ◽  
Andreas Baikousis
Keyword(s):  
High Tibial Osteotomy ◽  
Long Term Results ◽  
Tibial Osteotomy ◽  
Varus Gonarthrosis

scholarly journals Long-Term Results Of Low Tibial Osteotomy For Ankle Osteoarthritis

2016 ◽  
Vol 1 (1) ◽  
pp. 2473011416S0021
Author(s):  
Naohiro Hio ◽  
Atsushi Hasegawa ◽  
Satoshi Monden ◽  
Hideo Noguchi ◽  
Masanori Taki ◽  
...  
Keyword(s):  
Long Term Results ◽  
Tibial Osteotomy ◽  
Ankle Osteoarthritis

The Treatment of Intra-articular Calcaneus Fractures with Severe Soft Tissue Damage with a Hinged External Fixator or Internal Stabilization: Long-term Results

2010 ◽  
Vol 49 (1) ◽  
pp. 8-15 ◽  
Author(s):  
Lutz Besch ◽  
Jan Soeren Waldschmidt ◽  
Mark Daniels-Wredenhagen ◽  
Deike Varoga ◽  
Michael Mueller ◽  
...  
Keyword(s):  
Soft Tissue ◽  
External Fixator ◽  
Tissue Damage ◽  
Long Term Results ◽  
Soft Tissue Damage ◽  
Internal Stabilization ◽  
Hinged External Fixator ◽  
Calcaneus Fractures ◽  
Severe Soft Tissue

scholarly journals Medium- and long-term results of high tibial osteotomy in patients with primary and secondary knee osteoarthritis with varus deformity

2019 ◽  
Vol 13 (2) ◽  
pp. 38-46
Author(s):  
V. E. Byalik ◽  
S. A. Makarov ◽  
L. I. Alekseeva ◽  
E. I. Byalik
Keyword(s):  
Knee Osteoarthritis ◽  
High Tibial Osteotomy ◽  
The Body ◽  
Long Term Results ◽  
Tibial Osteotomy ◽  
Female Ratio ◽  
Knee Oa ◽  
Functional Scores ◽  
The Mean

The most common operation for knee osteoarthritis (OA) is total knee arthroplasty (TKA); however, the latter is associated with the development of severe complications. This was the reason for the revival of the interest of orthopedic traumatologists in high tibial osteotomy (HTO), the essence of which is to transfer the load away from the affected medial part of the knee joint (KJ) to the intact lateral one.Objective: to evaluate the medium- and long-term results of open-wedge (OW) HTO in primary and secondary I–III stage knee OA.Patients and methods. The Laboratory of Orthopedic Rheumatology and Rehabilitation, V.A. Nasonova Research Institute of Rheumatology, performed 10 OW HTOs in 9 patients in 2005 to 2009 and 21 more OW HTOs in 19 patients in 2014 to 2018 (a total of 31 operations). The male/female ratio was 2.5:1. The mean age of the patients was 57.6±12.5 years; the body mass index (BMI) was 28.5±3.6 kg/m2 ; the correction angle was 11.7±2.5°. Preoperative planning was performed using the Miniaci method; the X-ray stage of knee OA was evaluated according to the Kellgren–Lawrence classification. OW HTO was carried out. For assessment of its results, the investigators determined the degree of pain using a visual analogue scale (VAS) and the KJ status by the Knee Society Score (KSS) scale. The results were assessed at one (n=31), 3.5±0.6 (n=28), and 8.5±1.3 (n=10) years.Results and discussion. There was a tendency to worsen surgical results over time. The mean VAS values for pain at 1, 3.5, and 8.5 years were as follows: 9.8±10.3; 21.2±16.2 and 38±15.5 mm, respectively. In the same periods, the KSS functional scores were 83.6±14.8, 85.2±12.6, and 80.5±14.2; the objective scores were 80.7±8.5, 75.2±12.7, and 67.8±16.3. There was a strong correlation between the severity of pain and the functional and objective KSS scores (-0.78, -0.81 years, and -0.91 at 1, 3.5, and 8.5 years, respectively; p<0.05). At 3.5±0.6 years, the survival rate after OW HTO was 96.6%. None of the patients examined at 8.5±1.3 years after OW HTO needed TKA. The surgical result was studied in 2 patients at 14 years; one patient underwent TKA, the other refused surgical intervention, the result was satisfactory.Conclusion. OW HTO has limited indications for use. However, in patients who are allowed to undergo this operation, pain syndrome can be relieved, by maintaining and/or improving KJ function; in most cases, TKA can be delayed for more than 10 years. 

scholarly journals Effectiveness of distal tibial osteotomy with distraction arthroplasty in varus ankle osteoarthritis

2020 ◽  
Author(s):  
Koji Nozaka ◽  
Naohisa Miyakoshi ◽  
Takeshi Kashiwagura ◽  
Yuji Kasukawa ◽  
Hidetomo Saito ◽  
...  
Keyword(s):  
Ankle Joint ◽  
External Fixator ◽  
Weight Bearing ◽  
Tibial Osteotomy ◽  
Ankle Arthritis ◽  
Ankle Osteoarthritis ◽  
Distraction Arthroplasty ◽  
Circular External Fixator ◽  
Joint Distraction ◽  
Tibiotalar Arthrodesis

Abstract Background: Advanced to end-stage ankle osteoarthritis in highly active older individuals has traditionally been treated using tibiotalar arthrodesis. With tibiotalar arthrodesis, high levels of pain-free function are possible; however, there is a loss of ankle joint movement and a risk of future arthrosis in the adjacent joints. Distraction arthroplasty is a simple method that allows joint cartilage repair; however, the results are currently mixed, with some reports showing improved pain scores and others showing no improvement. Distal tibial osteotomy (DTO) without fibular osteotomy, a type of joint preservation surgery, has garnered attention in recent years. However, to our knowledge, there are no reports on DTO with joint distraction using a circular external fixator. Therefore, the purpose of this study was to examine the effect of DTO with joint distraction using a circular external fixator on ankle osteoarthritis. Methods: A total of 21 patients with medial ankle arthritis were examined. Arthroscopic synovectomy and a microfracture procedure were performed. Subsequently, angled osteotomy and correction of the distal tibia were performed. After ankle conditions improved, stabilization of the ankle joint was performed. An external fixator was used in all patients. In addition, joint distraction of about 5.8 mm was performed. All patients were allowed full weight-bearing walking immediately after surgery. Results: The anteroposterior mortise angle during weight-bearing, lateral mortise angle during weight-bearing, and talar tilt angle and anterior translation of the talus on ankle stress radiography significantly improved (P < 0.05). In addition, signal changes on magnetic resonance imaging improved in all patients. Visual analogue scale and American Orthopedic Foot & Ankle Society scores also improved significantly (P < 0.05). No severe complications were observed. Conclusion: DTO with joint distraction may be useful for older patients with a high physical activity level as a joint-preserving surgery for medial ankle osteoarthritis. Level of evidence: Level IV, retrospective case series Key words : distal tibial osteotomy, medial ankle arthritis, joint distraction, circular external fixator

scholarly journals Long-term results of total knee arthroplasty following high tibial osteotomy according to Wagner

2011 ◽  
Vol 36 (4) ◽  
pp. 761-764 ◽  
Author(s):  
Stefan Treuter ◽  
Alexander Schuh ◽  
Wolfgang Hönle ◽  
Mohamed Said Ismail ◽  
Thonse Narayana Chirag ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
High Tibial Osteotomy ◽  
Knee Arthroplasty ◽  
Long Term Results ◽  
Tibial Osteotomy ◽  
Total Knee

scholarly journals Paper #147 Long-term results after high tibial osteotomy for the treatment of varus gonarthrosis. a retrospective 10 to 15 years follow-up study

2003 ◽  
Vol 19 (6) ◽  
pp. 76-77
Author(s):  
Philipp Frey ◽  
Wolfgang Miehlke ◽  
Urs Munzinger ◽  
Martin Huber ◽  
Mario Bizzini
Keyword(s):  
High Tibial Osteotomy ◽  
Long Term Results ◽  
Tibial Osteotomy ◽  
Follow Up Study ◽  
Varus Gonarthrosis

Long-Term Results of High Tibial Osteotomy for Medial Osteoarthritis of the Knee

2003 ◽  
Vol 103 (6) ◽  
pp. 603-606 ◽  
Author(s):  
M. Pfahler ◽  
C. Lutz ◽  
H. Anetzberger ◽  
M. Maier ◽  
J. Hausdorf ◽  
...  
Keyword(s):  
High Tibial Osteotomy ◽  
Long Term Results ◽  
Osteoarthritis Of The Knee ◽  
Tibial Osteotomy ◽  
Medial Osteoarthritis

Factors Influencing Long-Term Results in High Tibial Osteotomy

1991 ◽  
Vol &NA; (272) ◽  
pp. 192???198 ◽  
Author(s):  
ARNOLD T. BERMAN ◽  
STEPHEN J. BOSACCO ◽  
STEVEN KIRSHNER ◽  
ARMANDO AVOLIO
Keyword(s):  
High Tibial Osteotomy ◽  
Long Term Results ◽  
Tibial Osteotomy ◽  
Factors Influencing
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