دورية أكاديمية
أعرض في EDS

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

التفاصيل البيبلوغرافية
العنوان: Radiographic changes and clinical outcomes after open and closed wedge high tibial osteotomy: a systematic review and meta-analysis.
المؤلفون: Cheng X; Department of Orthopaedic Surgery, Physical Medicine and Rehabilitation, University Hospital of Munich (LMU), Campus Großhadern, Marchioninistrasse 23, 81377, Munich, Germany., Liu F; Department of Orthopaedic Surgery, Physical Medicine and Rehabilitation, University Hospital of Munich (LMU), Campus Großhadern, Marchioninistrasse 23, 81377, Munich, Germany. woshi631@126.com., Xiong F; Department of Orthopaedic Surgery, Physical Medicine and Rehabilitation, University Hospital of Munich (LMU), Campus Großhadern, Marchioninistrasse 23, 81377, Munich, Germany., Huang Y; Department of Orthopaedic Surgery, Physical Medicine and Rehabilitation, University Hospital of Munich (LMU), Campus Großhadern, Marchioninistrasse 23, 81377, Munich, Germany., Paulus AC; Department of Orthopaedic Surgery, Physical Medicine and Rehabilitation, University Hospital of Munich (LMU), Campus Großhadern, Marchioninistrasse 23, 81377, Munich, Germany.
المصدر: Journal of orthopaedic surgery and research [J Orthop Surg Res] 2019 Jun 14; Vol. 14 (1), pp. 179. Date of Electronic Publication: 2019 Jun 14.
نوع المنشور: Journal Article; Meta-Analysis; Systematic Review
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101265112 Publication Model: Electronic Cited Medium: Internet ISSN: 1749-799X (Electronic) Linking ISSN: 1749799X NLM ISO Abbreviation: J Orthop Surg Res Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, 2006-
مواضيع طبية MeSH: Osteotomy/*methods , Tibia/*diagnostic imaging , Tibia/*surgery, Humans ; Osteotomy/trends ; Randomized Controlled Trials as Topic/methods ; Range of Motion, Articular/physiology ; Treatment Outcome
مستخلص: Background: The purpose of this meta-analysis is to examine changes in radiological variables and clinical outcomes between open and closed wedge high tibial osteotomy (OWHTO and CWHTO, respectively), which have ongoing controversial issues in numerous quantitative clinical studies.
Methods: PubMed, Embase, and the Cochrane Library were systematically searched for suitable controlled trials between Jan 1, 1999, and Feb 2, 2018. The inclusion criteria included studies written in English, studies with a level of evidence of I-IV, and studies presenting comparisons between OWHTO and CWHTO. The main clinical and radiographic results were extracted and pooled using Stata 12.0.
Results: After searching for and screening trials, 28 trials involving 2840 knees were eligible for the meta-analysis. After OWHTO or CWHTO, clinical scores, including the American Knee Society Score, Hospital for Special Surgery Knee Score, Lysholm score, and Visual Analog Scale pain score, improved (p < 0.05), but the range of motion was unchanged (p > 0.05). The anatomical femorotibial angle (SMD 0.04, 95% CI - 0.66 to 0.74) and hip-knee-ankle angle (SMD 0.11, 95% CI - 0.11 to 0.33) data suggested that the OWHTO and CWHTO groups were similar in function of correction. Posterior tibial slope increased (SMD - 0.71, 95% CI - 1.04 to - 0.37) after OWHTO but decreased (SMD 0.72, 95% CI 0.35 to 1.08) after CWHTO. OWHTO decreased patellar height (p < 0.05), while patellar height did not change significantly after CWHTO (p > 0.05).
Conclusion: This meta-analysis indicates that compared with CWHTO, OWHTO increases the posterior slope, decreases the patellar height, and provides a similar accuracy of correction; however, CWHTO leads to a decreased posterior slope and an unchanged patellar height. Therefore, programs should be personalized and customized for the specific situation of each patient.
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معلومات مُعتمدة: 201608330225 China Sponsorship Council; 201706920036 China Sponsorship Council; 201708140085 China Sponsorship Council; 20180808126 China Scholarship Council
فهرسة مساهمة: Keywords: CWHTO; Clinical outcomes; OWHTO; Osteoarthritis; Radiographic results
تواريخ الأحداث: Date Created: 20190616 Date Completed: 20191224 Latest Revision: 20200225
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC6570851
DOI: 10.1186/s13018-019-1222-x
PMID: 31200743
قاعدة البيانات: MEDLINE
الوصف
تدمد:1749-799X
DOI:10.1186/s13018-019-1222-x