scholarly journals Radiographic changes and clinical outcomes after open and closed wedge high tibial osteotomy: a systematic review and meta-analysis

2019 ◽  
Vol 14 (1) ◽  
Author(s):  
Xiangyun Cheng ◽  
Fanxiao Liu ◽  
Fei Xiong ◽  
Yijiang Huang ◽  
Alexander Christoph Paulus
Keyword(s):  
Systematic Review ◽  
Clinical Outcomes ◽  
High Tibial Osteotomy ◽  
Meta Analysis ◽  
Tibial Osteotomy ◽  
Closed Wedge ◽  
Wedge High Tibial Osteotomy ◽  
Radiographic Changes

Changes of Sagittal and Axial Alignments of Patella after Open- and Closed-Wedge High-Tibial Osteotomy: A Systematic Review and Meta-Analysis

2017 ◽  
Vol 31 (07) ◽  
pp. 625-634 ◽  
Author(s):  
O-Sung Lee ◽  
Soyeon Ahn ◽  
Yong Lee
Keyword(s):  
Systematic Review ◽  
High Tibial Osteotomy ◽  
Sagittal Alignment ◽  
Meta Analysis ◽  
Patellar Height ◽  
Tibial Osteotomy ◽  
Patellar Tilt ◽  
Axial Alignment ◽  
Closed Wedge ◽  
Patellar Shift

AbstractThe present systematic review and meta-analysis were aimed to verify the effect of open-wedge (OW) and closed-wedge (CW) high-tibial osteotomy (HTO) on sagittal and axial alignments of the patella. A vigorous search was performed for studies that compared the changes of sagittal and axial alignments of patella after OW and CW HTO. After evaluating publication bias and heterogeneity, we aggregated variables by using the random-effects model. The weighted mean differences in sagittal and axial alignment of patella were estimated with 95% confidence intervals. Also, we analyzed the changes in sagittal alignment of various OW HTO techniques, such as uniplanar, biplanar, and retrotubercle osteotomy. Overall, 20 studies that included 831 OW HTOs and 206 CW HTOs were included in this study. Patellar height decreased after OW HTO based on the Blackburne–Peel index (BPI, mean: −0.10), and Caton–Deschamps index (CDI, mean: −0.08). However, the patellar height after CW HTO showed no change after surgery (BPI [mean: −0.02], and CDI [mean: 0.02]). Among OW HTO techniques, the retrotubercle osteotomy showed the least change in patellar height after surgery. The lateral patellar tilt decreased by 1.74 degrees, and lateral patellar shift showed no change after OW HTO. However, there was a lack of evidence to conclude the change of axial alignment of patella after CW HTO. Our results supported that the sagittal alignment of patella lowered after OW HTO. However, CW HTO maintained the constant sagittal position of the patella. Among OW HTO techniques, the retrotubercle osteotomy had the least effect on the sagittal alignment of the patella. Regarding the axial alignment of the patella, OW HTO resulted in a little change of lateral patellar tilt; however, there was little evidence to confirm the change of the axial alignment of patella after CW HTO.

Good clinical outcomes and return to sports after hybrid closed-wedge high tibial osteotomy

2021 ◽  
Author(s):  
Hirotaka Nakashima ◽  
Yasuhiro Takahara ◽  
Satoru Itani ◽  
Yuichi Iwasaki ◽  
Kazuaki Miyazato ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
High Tibial Osteotomy ◽  
Return To Sports ◽  
Tibial Osteotomy ◽  
Closed Wedge ◽  
Wedge High Tibial Osteotomy

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.

Factors associated with discrepancies between preoperatively planned and postoperative alignments in patients undergoing closed-wedge high tibial osteotomy

The Knee ◽  
2017 ◽  
Vol 24 (5) ◽  
pp. 1129-1137 ◽  
Author(s):  
Seong Hwan Kim ◽  
Du-Hyun Ro ◽  
Young-Min Lee ◽  
Yool Cho ◽  
Sahnghoon Lee ◽  
...  
Keyword(s):  
High Tibial Osteotomy ◽  
Tibial Osteotomy ◽  
Factors Associated ◽  
Closed Wedge ◽  
Wedge High Tibial Osteotomy
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