Rotational Changes in the Distal Tibial Fragment Relative to the Proximal Tibial Fragment at the Osteotomy Site after Open-Wedge High-Tibial Osteotomy.
Journal
BioMed research international
ISSN: 2314-6141
Titre abrégé: Biomed Res Int
Pays: United States
ID NLM: 101600173
Informations de publication
Date de publication:
2021
2021
Historique:
received:
26
05
2020
revised:
19
12
2020
accepted:
15
01
2021
entrez:
19
2
2021
pubmed:
20
2
2021
medline:
26
5
2021
Statut:
epublish
Résumé
The present study is aimed at assessing the changes in tibial rotation at the osteotomy site after an open-wedge, high-tibial osteotomy (OWHTO) and analysing the factors that affect rotational changes in the distal tibial fragment relative to the proximal tibial fragment at the same site. This study involved 53 patients (60 knees; 16 males and 37 females) with medial osteoarthritis (OA) who underwent OWHTO and preoperative and 3-month postoperative computed tomography (CT) scans. Rotational angles of the distal tibia were measured using Stryker OrthoMap 3D by comparing preoperative and postoperative CTs. The mean rotational angle yielded an external rotation of 2.9° ± 4.8°. There were 17 knees with internal rotations, 37 knees with external rotations, and one knee with no rotation. The rotational angle significantly correlated with the resultant change in the femorotibial angle (correction angle) and the angle between the ascending and transverse osteotomy lines on the anterior osteotomised surface on which a flange was formed with the distal tibial osteotomised surface (flange angle). The flange angle affected the rotation, but it may have been affected by our surgical technique. The rotational angle did not significantly correlate with the change in the angle of the posterior tibial slope or body mass index. There were significant correlations between the rotational angle and correction angle (
Identifiants
pubmed: 33604377
doi: 10.1155/2021/6357109
pmc: PMC7870301
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
6357109Informations de copyright
Copyright © 2021 Takahiro Sasaki et al.
Déclaration de conflit d'intérêts
The authors declare that there is no conflict of interest regarding the publication of this paper.
Références
Knee Surg Sports Traumatol Arthrosc. 2016 Dec;24(12):3704-3712
pubmed: 26154482
Acta Orthop Scand. 1999 Oct;70(5):473-7
pubmed: 10622480
Knee Surg Sports Traumatol Arthrosc. 2017 Mar;25(3):918-923
pubmed: 26531184
J Knee Surg. 2004 Jul;17(3):164-9
pubmed: 15366272
Knee. 2017 Jan;24(1):70-75
pubmed: 27810434
Bone Joint J. 2014 Mar;96-B(3):339-44
pubmed: 24589788
Clin Orthop Relat Res. 2004 Mar;(420):213-9
pubmed: 15057100
Am J Sports Med. 2000 May-Jun;28(3):282-96
pubmed: 10843117
Knee Surg Sports Traumatol Arthrosc. 2016 Jan;24(1):129-33
pubmed: 25288336
Biometrics. 1977 Mar;33(1):159-74
pubmed: 843571
PLoS One. 2020 Jan 16;15(1):e0227969
pubmed: 31945112
Knee. 2017 Mar;24(2):362-371
pubmed: 28169100
Knee Surg Sports Traumatol Arthrosc. 2008 Oct;16(10):904-10
pubmed: 18536903
J Bone Joint Surg Am. 2003 Jan;85(1):78-85
pubmed: 12533576
J Orthop Res. 1989;7(1):132-7
pubmed: 2908904
Am J Sports Med. 2016 Nov;44(11):3006-3013
pubmed: 26872893
Knee Surg Relat Res. 2012 Jun;24(2):61-9
pubmed: 22708105
Knee Surg Sports Traumatol Arthrosc. 2013 Jan;21(1):90-5
pubmed: 22009558
Arthroscopy. 2004 Apr;20(4):366-72
pubmed: 15067275
Orthop Clin North Am. 1979 Jul;10(3):585-608
pubmed: 460834
J Arthroplasty. 2016 Jan;31(1):59-63
pubmed: 26387921
Int Orthop. 2016 Sep;40(9):1849-54
pubmed: 26753845
Acta Radiol Diagn (Stockh). 1968;:Suppl 277:7-72
pubmed: 5706059
HSS J. 2007 Sep;3(2):155-8
pubmed: 18751786
Int Orthop. 1979;3(1):37-45
pubmed: 549864
Arthroscopy. 2009 Jan;25(1):46-53
pubmed: 19111218
Knee Surg Sports Traumatol Arthrosc. 2006 May;14(5):454-9
pubmed: 16292683