Ankle and Hindfoot Symptoms after Medial Open Wedge High Tibial Osteotomy

2018 ◽  
Vol 32 (03) ◽  
pp. 269-273 ◽  
Author(s):  
Jason Roberts ◽  
Frederic Picard ◽  
Siddharth Shah
Keyword(s):  
High Tibial Osteotomy ◽  
Tibial Osteotomy ◽  
Open Wedge ◽  
Limb Alignment ◽  
Lower Limb Alignment ◽  
Postoperative Change ◽  
Radiological Indices ◽  
Wedge High Tibial Osteotomy ◽  
The Mean ◽  
New Onset

AbstractMedial open wedge high tibial osteotomy (MOWHTO) is a commonly performed procedure for symptomatic medial compartment osteoarthritis (OA). However, little is known about its effects on ipsilateral ankle or hindfoot. The aim of our study was to determine the incidence of ankle or hindfoot problems after MOWHTO and examine its association with radiological indices. Thirty-five knees (32 patients) undergoing navigated MOWHTO were evaluated for the presence of new-onset ankle or hindfoot symptoms after surgery. Pre- and postoperative hip-knee-ankle (HKA) angle, medial proximal tibial angle (MPTA), and tibial plafond inclination (TPI) were measured and compared on standing lower limb alignment radiographs. The mean postoperative change in HKA angle, MPTA, and TPI was 8.8°, 7.0°, and 8.4°, respectively. New-onset unexplained ankle or hindfoot symptoms were seen in 20% of the cases after surgery. Postoperative change in TPI was significantly greater in symptomatic patients as compared with asymptomatic ones (12.8° ± 4.9° vs. 8.1° ± 4.8°, p = 0.03). The odds ratio (OR) for developing ankle or hindfoot symptoms in cases with ≥ 10° change in TPI postoperatively was 10.8 (p = 0.04). Ankle or hindfoot symptoms were successfully managed with conservative treatment in all cases.

scholarly journals The difficulty of continuing sports activities after open-wedge high tibial osteotomy in patient with medial knee osteoarthritis: a retrospective case series at 2-year-minimum follow-up

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Shugo Maeda ◽  
Daisuke Chiba ◽  
Eiji Sasaki ◽  
Tetsushi Oyama ◽  
Tomoyuki Sasaki ◽  
...  
Keyword(s):  
High Tibial Osteotomy ◽  
Case Series ◽  
Tibial Osteotomy ◽  
Activity Levels ◽  
Open Wedge ◽  
Retrospective Case ◽  
Sports Activity ◽  
Wedge High Tibial Osteotomy ◽  
The Mean

Abstract Purpose This study aimed to investigate the rate at which patients returned to sports after open wedge high tibial osteotomy and identify the continuity of sports activity post-operatively. Methods Thirty-five patients (40 knees) who underwent open-wedge high tibial osteotomy (OW-HTO) in medial knee osteoarthritis were included in this study. The mean age of the patients who underwent surgery was 55.1 ± 10.7 years, and the mean follow-up period was 41.0 ± 24.7 months. Clinical results and radiographic parameters calculated in standing whole-leg radiographs preoperatively, post-operatively, and at the final follow-up were evaluated. Results Thirty-one patients (88.6%) were able to return to preoperative sports activity; however, only 14 patients (40.0%) completely returned to preoperative sports activity levels. Of the 31 patients who returned to sports activity, 10 patients (32.3%) maintained post-operative sporting activity levels at the final follow-up. In radiographic parameters, the weight-bearing line ratio was considered loss of correction in the post-operative period leading to the final follow-up. Patients who completely returned to sports and maintained sporting activity levels at the final follow-up had significantly higher the Knee Injury and Osteoarthritis Outcome Score pain subscale values and lower visual analogue scale of knee pain at pre-surgery and final follow-up than other patients, including those who partially returned to sports. Conclusions The proportion of patients who returned to sports after OW-HTO and were able to participate in competitions at the same activity level as before surgery was low and insufficient. Level of evidence Retrospective case series, IV

Limb Alignment After Open-wedge High Tibial Osteotomy and Its Effect on the Clinical Outcome

Orthopedics ◽  
2011 ◽  
Author(s):  
Hosam M. El-Azab ◽  
Mario Morgenstern ◽  
Philip Ahrens ◽  
Tibor Schuster ◽  
Andreas B. Imhoff ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
High Tibial Osteotomy ◽  
Tibial Osteotomy ◽  
Open Wedge ◽  
Limb Alignment ◽  
Wedge High Tibial Osteotomy

The medial proximal tibial angle accurately corrects the limb alignment in open-wedge high tibial osteotomy

2018 ◽  
Vol 27 (8) ◽  
pp. 2410-2416 ◽  
Author(s):  
Mitsuaki Kubota ◽  
Ryuichi Ohno ◽  
Taisuke Sato ◽  
Junichiro Yamaguchi ◽  
Haruka Kaneko ◽  
...  
Keyword(s):  
High Tibial Osteotomy ◽  
Tibial Osteotomy ◽  
Open Wedge ◽  
Limb Alignment ◽  
Medial Proximal Tibial Angle ◽  
Wedge High Tibial Osteotomy

scholarly journals Effect of Computer Navigation on Accuracy and Reliability of Limb Alignment Correction following Open-Wedge High Tibial Osteotomy: A Meta-Analysis

2017 ◽  
Vol 2017 ◽  
pp. 1-9 ◽  
Author(s):  
Seung-Beom Han ◽  
Hyun Jung Kim ◽  
Dae-Hee Lee
Keyword(s):  
High Tibial Osteotomy ◽  
Meta Analysis ◽  
Computer Navigation ◽  
Tibial Slope ◽  
Tibial Osteotomy ◽  
Open Wedge ◽  
Limb Alignment ◽  
Posterior Tibial ◽  
Alignment Correction ◽  
Wedge High Tibial Osteotomy

Background. It is unclear whether computer navigation can improve the accuracy and reliability of targeted lower limb alignment correction following open-wedge high tibial osteotomy (HTO). This meta-analysis was designed to compare the accuracy and reliability of limb alignment correction between computer navigated and conventional open-wedge HTOs. Methods. Studies that compared postoperative coronal alignment, including mechanical axis (MA) and weight bearing line (WBL) ratio, outliers of alignment correction, and change in tibial posterior slope, following open-wedge HTO performed using computer navigated and conventional methods were included. Results. Ten studies were included in the meta-analysis. The MA (0.93°; 95% confidence interval [CI]: 0.45–1.41°; P<0.001) and WBL ratio (1.5%; 95% CI: 0.03–2.98%; P=0.048) were significantly greater for computer navigated HTO than for conventional HTO. Outliers of alignment correction after surgery were significantly lower in patients who underwent computer navigated HTO than in those who underwent conventional HTO (odds ratio: 0.25; 95% CI: 0.08–0.79; P=0.02). Changes in posterior tibial slope from before to after surgery, however, were similar for the two approaches. Conclusion. Computer navigated HTO resulted in slightly more valgus postoperative alignment and effectively reduced outliers of alignment correction but had no effect on change in posterior tibial slope when compared with conventional HTO.

scholarly journals Severe varus knees result in a high rate of undercorrection of lower limb alignment after opening wedge high tibial osteotomy

2019 ◽  
Vol 27 (2) ◽  
pp. 230949901984666 ◽  
Author(s):  
Satoshi Kamada ◽  
Etsuji Shiota ◽  
Kazuhiko Saeki ◽  
Takahiko Kiyama ◽  
Akira Maeyama ◽  
...  
Keyword(s):  
High Tibial Osteotomy ◽  
Lower Limb ◽  
High Rate ◽  
Tibial Osteotomy ◽  
Limb Alignment ◽  
Lower Limb Alignment ◽  
Opening Wedge ◽  
Wedge High Tibial Osteotomy
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