The results of allogenic cancellous bone graft in medial opening wedge high tibial osteotomy.
Cancellous bone allograft
Medial opening wedge high tibial osteotomy
Outcome
Tomofix plate
Journal
European journal of orthopaedic surgery & traumatology : orthopedie traumatologie
ISSN: 1432-1068
Titre abrégé: Eur J Orthop Surg Traumatol
Pays: France
ID NLM: 9518037
Informations de publication
Date de publication:
Apr 2023
Apr 2023
Historique:
received:
06
04
2022
accepted:
28
06
2022
pubmed:
23
7
2022
medline:
28
3
2023
entrez:
22
7
2022
Statut:
ppublish
Résumé
There is no clear consensus regarding the optimal filling agent in the medial opening wedge high tibial osteotomy (MOWHTO). In this study, we evaluated the clinical and radiologic outcomes of MOWHTO with an allogeneic cancellous bone graft and TomoFix plate. Medical profiles of 122 patients who underwent MOWHTO with cancellous bone graft from iliac crest were retrospectively reviewed. One hundred and two patients (120 knees) who met the study criteria were included in the analysis. The osteotomy site was fixed with a TomoFix plate. The mean age of the patients was 40.85 ± 22.15 years. The mean follow-up of the patients was 33.2 ± 29 months. The primary outcome measures were the union of osteotomy site and loss of correction that were investigated on postoperative radiographs. Secondary outcome measures were postoperative complications that were extracted from the patients' medical records. Union of the osteotomy site was observed in all patients within three months after the operation. Loss of correction at the osteotomy site occurred in two knees (1.7%), both of which underwent revision surgery. Three patients had non-infected prolonged wound drainage and underwent reoperation for allograft removal. Nine other complications were also recorded that did not require intervention, including superficial infection (n = 2), compartment syndrome (n = 1), deep vein thrombosis (n = 1), loss of knee flexion (n = 2), and transient pain at the site of the osteotomy (n = 3). Allogenic cancellous bone graft provides efficient gap healing in MOWHTO and can be used as an effective alternative to the autogenous bone graft.
Identifiants
pubmed: 35867166
doi: 10.1007/s00590-022-03335-7
pii: 10.1007/s00590-022-03335-7
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
623-627Informations de copyright
© 2022. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.
Références
Matsumoto K, Ogawa H, Yoshioka H, Akiyama H (2020) Differences in patient-reported outcomes between medial opening-wedge high tibial osteotomy and total knee arthroplasty. J Orthop Surg 28(1):2309499019895636. https://doi.org/10.1177/2309499019895636
doi: 10.1177/2309499019895636
Gomoll AH (2011) High tibial osteotomy for the treatment of unicompartmental knee osteoarthritis: a review of the literature, indications, and technique. Phys Sportsmed 39(3):45–54. https://doi.org/10.3810/psm.2011.09.1920
doi: 10.3810/psm.2011.09.1920
pubmed: 22030940
Noyes FR, Mayfield W, Barber-Westin SD, Albright JC, Heckmann TP (2006) Opening wedge high tibial osteotomy: an operative technique and rehabilitation program to decrease complications and promote early union and function. Am J Sports Med 34(8):1262–1273. https://doi.org/10.1177/0363546505286144
doi: 10.1177/0363546505286144
pubmed: 16493168
Ahlmann E, Patzakis M, Roidis N, Shepherd L, Holtom P (2002) Comparison of anterior and posterior iliac crest bone grafts in terms of harvest-site morbidity and functional outcomes. J Bone Joint Surg Am 84(5):716–720. https://doi.org/10.2106/00004623-200205000-00003
doi: 10.2106/00004623-200205000-00003
pubmed: 12004011
Ren YM, Duan YH, Sun YB, Yang T, Hou WY, Zhu RS, Tian MQ (2020) Opening-wedge high tibial osteotomy using autograft versus allograft: a systematic review and meta-analysis. J Knee Surg 33(6):565–575. https://doi.org/10.1055/s-0039-1681065
doi: 10.1055/s-0039-1681065
pubmed: 30861539
Brouwer RW, Bierma-Zeinstra SM, van Raaij TM, Verhaar JA (2006) Osteotomy for medial compartment arthritis of the knee using a closing wedge or an opening wedge controlled by a puddu plate a one-year randomised, controlled study. J Bone Joint Surg Br 88(11):1454–1459. https://doi.org/10.1302/0301-620x.88b11.17743
doi: 10.1302/0301-620x.88b11.17743
pubmed: 17075089
Heary RF, Schlenk RP, Sacchieri TA, Barone D, Brotea C (2002) Persistent iliac crest donor site pain: independent outcome assessment. Neurosurgery 50(3):510–516. https://doi.org/10.1097/00006123-200203000-00015
doi: 10.1097/00006123-200203000-00015
pubmed: 11841718
Yacobucci GN, Cocking MR (2008) Union of medial opening-wedge high tibial osteotomy using a corticocancellous proximal tibial wedge allograft. Am J Sports Med 36(4):713–719. https://doi.org/10.1177/0363546507312646
doi: 10.1177/0363546507312646
pubmed: 18227231
Cho SW, Kim DH, Lee GC, Lee SH, Park SH (2013) Comparison between autogenous bone graft and allogenous cancellous bone graft in medial open wedge high tibial osteotomy with 2-year follow-up. Knee Surg Relat Res 25(3):117–125. https://doi.org/10.5792/ksrr.2013.25.3.117
doi: 10.5792/ksrr.2013.25.3.117
pubmed: 24032100
pmcid: 3767897
Whelan DB, Bhandari M, McKee MD, Guyatt GH, Kreder HJ, Stephen D, Schemitsch EH (2002) Interobserver and intraobserver variation in the assessment of the healing of tibial fractures after intramedullary fixation. J Bone Joint Surg Br 84(1):15–18. https://doi.org/10.1302/0301-620x.84b1.11347
doi: 10.1302/0301-620x.84b1.11347
pubmed: 11837825
Kumagai K, Yamada S, Nejima S, Muramatsu S, Akamatsu Y, Inaba Y (2020) Lateral hinge fracture delays healing of the osteotomy gap in opening wedge high tibial osteotomy with a beta-tricalcium phosphate block. Knee 27(1):192–197. https://doi.org/10.1016/j.knee.2019.10.027
doi: 10.1016/j.knee.2019.10.027
pubmed: 31883759
Bei T, Yang L, Huang Q, Wu J, Liu J (2022) Effectiveness of bone substitute materials in opening wedge high tibial osteotomy: a systematic review and meta-analysis. Ann Med 54(1):565–577
doi: 10.1080/07853890.2022.2036805
pubmed: 35166617
pmcid: 8856078
Goshima K, Sawaguchi T, Shigemoto K, Iwai S, Fujita K, Kataoka T, Taninaka A (2020) Factors associated with patient satisfaction after opening-wedge high tibial osteotomy. Orthop J Sports Med 8(11):2325967120967964. https://doi.org/10.1177/2325967120967964
doi: 10.1177/2325967120967964
pubmed: 33283012
pmcid: 7682235
Floerkemeier S, Staubli AE, Schroeter S, Goldhahn S, Lobenhoffer P (2014) Does obesity and nicotine abuse influence the outcome and complication rate after open-wedge high tibial osteotomy? a retrospective evaluation of five hundred and thirty three patients. Int Orthop 38(1):55–60. https://doi.org/10.1007/s00264-013-2082-3
doi: 10.1007/s00264-013-2082-3
pubmed: 24022738
Neirynck J, van Beek N, Claes T, Claes S, Bartholomeeusen S (2021) Simultaneous bilateral opening-wedge high tibial osteotomy with structural allograft impaction results in excellent early recovery and pain reduction similar unilateral osteotomy. Knee 30:283–290
doi: 10.1016/j.knee.2021.04.016
pubmed: 33984747
Van Genechten W, Van den Bempt M, Van Tilborg W, Bartholomeeusen S, Van Den Bogaert G, Claes T, Claes S (2020) Structural allograft impaction enables fast rehabilitation in opening-wedge high tibial osteotomy: a consecutive case series with one year follow-up. Knee Surg Sports Traumatol Arthrosc 28(12):3747–3757. https://doi.org/10.1007/s00167-019-05765-z
doi: 10.1007/s00167-019-05765-z
pubmed: 31713662
Kuremsky MA, Schaller TM, Hall CC, Roehr BA, Masonis JL (2010) Comparison of autograft vs allograft in opening-wedge high tibial osteotomy. J Arthroplast 25(6):951–957. https://doi.org/10.1016/j.arth.2009.07.026
doi: 10.1016/j.arth.2009.07.026
Darees M, Putman S, Brosset T, Roumazeille T, Pasquier G, Migaud H (2018) Opening-wedge high tibial osteotomy performed with locking plate fixation (Tomofix) and early weight-bearing but without filling the defect a concise follow-up note of 48 cases at 10 years’ follow-up. Orthop Traumatol Surg Res OTSR 104(4):477–480. https://doi.org/10.1016/j.otsr.2017.12.021
doi: 10.1016/j.otsr.2017.12.021
pubmed: 29572182
Zaki SH, Rae PJ (2009) High tibial valgus osteotomy using the Tomofix plate–medium-term results in young patients. Acta Orthop Belg 75(3):360–367
pubmed: 19681323
Sabzevari S, Ebrahimpour A, Roudi MK, Kachooei AR (2016) High tibial osteotomy: a systematic review and current concept. Arch Bone Joint Surg 4(3):204–212
pubmed: 27517063
pmcid: 4969364
Golovakha ML, Orljanski W, Benedetto KP, Panchenko S, Büchler P, Henle P, Aghayev E (2014) Comparison of theoretical fixation stability of three devices employed in medial opening wedge high tibial osteotomy: a finite element analysis. BMC Musculoskelet Disord 15:230. https://doi.org/10.1186/1471-2474-15-230
doi: 10.1186/1471-2474-15-230