Medial degenerative disease of the knee without radiographic osteoarthritis is a good indication for medial open wedge high tibial osteotomy

被引：2

作者：

Itou, Junya ^{[1
]}

Kuwashima, Umito ^{[1
]}

Itoh, Masafumi ^{[1
]}

Okazaki, Ken ^{[1
]}

机构：

[1] Tokyo Womens Med Univ, Dept Orthopaed Surg, 8-1 Kawada cho,Shinjuku ku, Tokyo 1628666, Japan

来源：

ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY | 2024年 / 145卷 / 01期

关键词：

Medial open wedge high tibial osteotomy; Early osteoarthritis; Patient-reported outcome measures; Kellgren-Lawrence; CLASSIFICATION CRITERIA; VALIDITY; OUTCOMES;

D O I：

10.1007/s00402-024-05620-y

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

IntroductionMedial open wedge high tibial osteotomy (MOWHTO) is a well-established surgical procedure for osteoarthritis (OA) of the knee with varus malalignment. However, it is uncertain whether MOWHTO is an effective surgical procedure for early OA. This study aimed to evaluate the clinical results of MOWHTO for early OA of the knee with varus malalignment.Materials and methodsThis was a retrospective analysis of 87 patients in whom varus malalignment was corrected by MOWHTO between January 2017 and December 2022. Kellgren-Lawrence grade 0-1 was defined as early OA and grade >= 2 as established OA. Range of motion at the knee, Forgotten Joint Score-12, Knee Injury and Osteoarthritis Outcome Score, and radiological findings were compared between the early OA group and the established OA group.ResultsThe established OA group (n = 49) was significantly older than the early OA group (n = 38) (p = 0.02). There were no differences between the groups in preoperative or postoperative hip-knee-ankle angle or range of motion or in improvements in the Forgotten Joint Score-12 or Knee Injury and Osteoarthritis Outcome Score. The median follow-up duration was more than 24.0 months in both groups.ConclusionMOWHTO had a good clinical outcome in patients with early OA and varus malalignment over a median follow-up of 2 years.Level of evidenceIII, retrospective study.

引用

页数：8

共 39 条

[1]

Luyten F.P., Denti M., Filardo G., Kon E., Engebretsen L., Definition and classification of early osteoarthritis of the knee, Knee Surg Sports Traumatol Arthrosc, 20, pp. 401-406, (2012)

[2]

Favero M., Ramonda R., Goldring M.B., Goldring S.R., Punzi L., Early knee osteoarthritis, RMD Open, 1, (2015)

[3]

Madry H., Kon E., Condello V., Peretti G.M., Steinwachs M., Seil R., Berruto M., Engebretsen L., Filardo G., Angele P., Early osteoarthritis of the knee, Knee Surg Sports Traumatol Arthrosc, 24, pp. 1753-1762, (2016)

[4]

Liew J.W., King L.K., Mahmoudian A., Wang Q., Atkinson H.F., Flynn D.B., Appleton C.T., Englund M., Haugen I.K., Lohmander L.S., Runhaar J., Neogi T., Hawker G., A scoping review of how early-stage knee osteoarthritis has been defined, Osteoarthritis Cartil, 31, pp. 1234-1241, (2023)

[5]

Im G.I., The concept of early osteoarthritis and its significance in regenerative medicine, Tissue Eng Regen Med, 19, pp. 431-436, (2022)

[6]

Lee B.S., Bin S.I., Kim J.M., Park M.H., Lee S.M., Bae K.H., Partial meniscectomy for degenerative medial meniscal root tears shows favorable outcomes in well-aligned, nonarthritic knees, Am J Sports Med, 47, pp. 606-611, (2019)

[7]

Ackermann J., Merkely G., Arango D., Mestriner A.B., Gomoll A.H., The effect of mechanical leg alignment on cartilage restoration with and without concomitant high tibial osteotomy, Arthroscopy, 36, pp. 2204-2214, (2020)

[8]

Kuwashima U., High tibial osteotomy: the past, present, and future, J Jt Surg Res, 1, pp. 103-107, (2023)

[9]

Kuwashima U., Iwasaki K., Kurakazu I., Akasaki Y., Nakashima Y., Itoh M., Itou J., Okazaki K., Effect of osteoarthritis severity on survival and clinical outcomes after high tibial osteotomy, Knee, 29, pp. 441-447, (2021)

[10]

Ferrer-Rivero R., Pujol O., Ferrer-Rivero J., De Maria Prieto J.M., Oliver G., Economic evaluation of high tibial osteotomy: closing wedge is more cost-effective than open wedge technique when analysing the KOOS-12 improvement, Knee Surg Sports Traumatol Arthrosc, 32, pp. 95-102, (2024)

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