دورية أكاديمية
Is single-stage bilateral medial opening wedge high tibial osteotomy advisable?
| العنوان: | Is single-stage bilateral medial opening wedge high tibial osteotomy advisable? |
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| المؤلفون: | Wen PY; Orthopaedic Research Institute, Shijiazhuang, Hebei Province, People's Republic of China., Sun H; The Second Hospital of Hebei Medical University, No. 215 Heping West Road, Shijiazhuang, 050004, People's Republic of China., Li J; Orthopaedic Research Institute, Shijiazhuang, Hebei Province, People's Republic of China., Fu C; Orthopaedic Research Institute, Shijiazhuang, Hebei Province, People's Republic of China., Chen P; Orthopaedic Research Institute, Shijiazhuang, Hebei Province, People's Republic of China., Yu J; Orthopaedic Research Institute, Shijiazhuang, Hebei Province, People's Republic of China., Chen W; Trauma Emergency Center, Shijiazhuang, People's Republic of China.; Department of Orthopedic Surgery, NHC Key Laboratory of Intelligent Orthopaedic Equipment, The Third Hospital of Hebei Medical University, No. 139 Ziqiang Road, Qiaoxi District, Shijiazhuang, 050051, People's Republic of China.; Hebei Orthopaedic Clinical Research Center, Shijiazhuang, People's Republic of China., Zhang Y; Orthopaedic Research Institute, Shijiazhuang, Hebei Province, People's Republic of China. yzling_liu@163.com.; Trauma Emergency Center, Shijiazhuang, People's Republic of China. yzling_liu@163.com.; Department of Orthopedic Surgery, NHC Key Laboratory of Intelligent Orthopaedic Equipment, The Third Hospital of Hebei Medical University, No. 139 Ziqiang Road, Qiaoxi District, Shijiazhuang, 050051, People's Republic of China. yzling_liu@163.com.; Hebei Orthopaedic Clinical Research Center, Shijiazhuang, People's Republic of China. yzling_liu@163.com.; Engineering Research Center of Orthaepedic, The Third Hospital of Hebei Medical University, 139 Ziqiang Road, Shijiazhuang, 050051, People's Republic of China. yzling_liu@163.com. |
| المصدر: | BMC musculoskeletal disorders [BMC Musculoskelet Disord] 2024 Jun 26; Vol. 25 (1), pp. 497. Date of Electronic Publication: 2024 Jun 26. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: BioMed Central Country of Publication: England NLM ID: 100968565 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2474 (Electronic) Linking ISSN: 14712474 NLM ISO Abbreviation: BMC Musculoskelet Disord Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: London : BioMed Central, [2000- |
| مواضيع طبية MeSH: | Osteotomy*/methods , Osteotomy*/adverse effects , Tibia*/surgery , Osteoarthritis, Knee*/surgery , Length of Stay*/statistics & numerical data , Operative Time*, Humans ; Female ; Male ; Middle Aged ; Treatment Outcome ; Postoperative Complications/etiology ; Postoperative Complications/epidemiology ; Aged ; Propensity Score ; Knee Joint/surgery ; Knee Joint/physiopathology ; Prospective Studies ; Arthroplasty, Replacement, Knee/methods ; Arthroplasty, Replacement, Knee/adverse effects ; Adult |
| مستخلص: | Purpose: To validate the safety and clinical results of single-stage bilateral versus unilateral medial opening wedge high tibial osteotomy (HTO). Methods: A propensity-matched cohort study was performed from March 2020 to March 2021 in our medical center. Data were prospectively collected. Including 34 patients who underwent single-stage bilateral medial opening HTO(SSBHTO), and 68 cases in the unilateral group. Propensity-matched ration was 2:1 based on age, sex, and body mass index using R software. Comparisons of the length of hospital stay, operative time, blood loss, postoperative adverse events, 90-day readmission rate, conversion to TKA rate, self-reported VAS and WOMAC scores were made to investigate the safety and clinical results of bilateral HTO. Results: The mean length of hospital stay was 7.36 ± 2.23 days for SSBHTO and 7 days (IQR, 3 days; range, 4 to 23 days) for the unilateral group (P = 0.219). The mean operative time was 144 ± 47 min for bilateral HTO and 105(37.5) mins for a unilateral OWHTO (P < 0.001). The mean blood loss was 150(100) ml for SSBHTO and 100(50) ml for unilateral OWHTO (P < 0.001). There were no significant difference of the adverse events and 90-day readmission rate between two groups. No failed HTO or conversion to knee arthroplasty were observed at the end of follow-up. VAS, pain, stiffness, and functional scores of the WOMAC scale were essentially comparable of two groups one year after surgery (P > 0.05). Conclusions: A single-stage bilateral medial opening wedge high tibial osteotomy is advisable for patients with knee osteoarthritis. Patients benefit from avoiding secondary anesthesia, postoperative complications, and substantial cost savings. Level of Evidence: Therapeutic Level III. (© 2024. The Author(s).) |
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| فهرسة مساهمة: | Keywords: Knee osteoarthritis; Opening-wedge proximal tibia osteotomy; Safety |
| تواريخ الأحداث: | Date Created: 20240626 Date Completed: 20240627 Latest Revision: 20240629 |
| رمز التحديث: | 20240629 |
| مُعرف محوري في PubMed: | PMC11201859 |
| DOI: | 10.1186/s12891-024-07501-2 |
| PMID: | 38926688 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1471-2474 |
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| DOI: | 10.1186/s12891-024-07501-2 |