Proximal tibia osteotomy with absorbable spacer combined with fibular osteotomy versus high tibial osteotomy for medial compartmental knee osteoarthritis.

Humans Osteoarthritis, Knee / surgery Tibia / surgery Knee Joint / diagnostic imaging Osteotomy / adverse effects Pain Retrospective Studies
Absorbable spacer insertion Knee osteoarthritis Opening wedge high tibial osteotomy

Journal

International orthopaedics
ISSN: 1432-5195
Titre abrégé: Int Orthop
Pays: Germany
ID NLM: 7705431

Informations de publication

Date de publication:
07 2023
Historique:
received: 18 03 2023
accepted: 30 03 2023
medline: 16 6 2023
pubmed: 19 4 2023
entrez: 19 04 2023
Statut: ppublish

Résumé

The study aimed to compare the perioperative complications, short-term clinical outcomes, patient-reported outcomes, and radiographic parameters of tibiofibular proximal osteotomy combined with absorbable spacer insertion (TPOASI) and open-wedge high tibial osteotomy (OWHTO) in a two year postoperative time period. A total of 160 patients with Kellgren-Lawrence classification grade 3 medial compartmental knee OA were randomized to receive either TPOASI (n = 82) or OWHTO (n = 78). The primary and secondary outcomes were measured preoperatively, postoperatively, and at each follow-up examination. The primary outcomes were the between-group change in the Western Ontario and McMaster Universities Global score (WOMAC). Secondary measures included visual analog scale (VAS), radiographic parameters, American Knee Society Score (KSS), operation time, blood loss, length of incision, hospital stay, and relevant complications. Postoperative radiographic parameters, including the femorotibial angle (FTA), varus angle (VA), and joint line convergence angle (JLCA), were measured to evaluate the correction of varus deformity. No significant differences were found in the baseline data between the two groups. Both methods improved functional status and pain postoperatively. For primary outcomes of both groups, statistical difference was observed in WOMAC scores at the 6-month follow-up (P < 0.001). For secondary outcomes, no statistical difference was observed between the groups during the 2-year follow-up (P > 0.05). For TPOASI vs. OWHTO, the mean hospital stay (6.6 ± 1.3 days vs. 7.8 ± 2.1 days) was shorter (P < 0.001), and both blood loss (70.56 ± 35.58 vs. 174.00 ± 66.33 mL) and complication rate (3.7% vs. 12.8%) were significantly lower (P < 0.005 for both). Both approaches showed satisfactory functional outcomes and alleviated pain. However, TPOASI is a simple, feasible method with few complications, and it could be widely used.

Identifiants

DOI: 10.1007/s00264-023-05808-8 PMID: 37074375
pubmed: 37074375
doi: 10.1007/s00264-023-05808-8
pii: 10.1007/s00264-023-05808-8
doi:

Banques de données

ChiCTR
['ChiCTR1800017442']

Types de publication

Randomized Controlled Trial Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1715-1727

Informations de copyright

© 2023. The Author(s) under exclusive licence to SICOT aisbl.

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Auteurs

Wei Chen (W)

Department of Orthopedic Surgery, The Third Hospital of Hebei Medical University, Qiaoxi District, No. 139 Ziqiang Road, Shijiazhuang, 050051, China.
NHC Key Laboratory of Intelligent Orthopedic Equipment (The Third Hospital of Hebei Medical University), Shijiazhuang, China.
Key Laboratory of Biomechanics of Hebei Province, Shijiazhuang, Hebei, People's Republic of China.

Ruipeng Zhang (R)

Department of Orthopedic Surgery, The Third Hospital of Hebei Medical University, Qiaoxi District, No. 139 Ziqiang Road, Shijiazhuang, 050051, China.
NHC Key Laboratory of Intelligent Orthopedic Equipment (The Third Hospital of Hebei Medical University), Shijiazhuang, China.
Key Laboratory of Biomechanics of Hebei Province, Shijiazhuang, Hebei, People's Republic of China.

Siming Jia (S)

Department of Orthopedic Surgery, The Third Hospital of Hebei Medical University, Qiaoxi District, No. 139 Ziqiang Road, Shijiazhuang, 050051, China.
NHC Key Laboratory of Intelligent Orthopedic Equipment (The Third Hospital of Hebei Medical University), Shijiazhuang, China.
Key Laboratory of Biomechanics of Hebei Province, Shijiazhuang, Hebei, People's Republic of China.

Yunwei Cui (Y)

Department of Orthopedic Surgery, The Third Hospital of Hebei Medical University, Qiaoxi District, No. 139 Ziqiang Road, Shijiazhuang, 050051, China.
NHC Key Laboratory of Intelligent Orthopedic Equipment (The Third Hospital of Hebei Medical University), Shijiazhuang, China.
Key Laboratory of Biomechanics of Hebei Province, Shijiazhuang, Hebei, People's Republic of China.

Kuo Zhao (K)

Department of Orthopedic Surgery, The Third Hospital of Hebei Medical University, Qiaoxi District, No. 139 Ziqiang Road, Shijiazhuang, 050051, China.
NHC Key Laboratory of Intelligent Orthopedic Equipment (The Third Hospital of Hebei Medical University), Shijiazhuang, China.
Key Laboratory of Biomechanics of Hebei Province, Shijiazhuang, Hebei, People's Republic of China.

Tianrui Wang (T)

Department of Orthopedic Surgery, The Third Hospital of Hebei Medical University, Qiaoxi District, No. 139 Ziqiang Road, Shijiazhuang, 050051, China.
NHC Key Laboratory of Intelligent Orthopedic Equipment (The Third Hospital of Hebei Medical University), Shijiazhuang, China.
Key Laboratory of Biomechanics of Hebei Province, Shijiazhuang, Hebei, People's Republic of China.
Department of Orthopedic Surgery, Affiliated Hospital of Qingdao University, No. 16 Jiangsu Road, Qingdao, 266003, Shandong, People's Republic of China.

Hongzhi Lv (H)

Department of Orthopedic Surgery, The Third Hospital of Hebei Medical University, Qiaoxi District, No. 139 Ziqiang Road, Shijiazhuang, 050051, China.
NHC Key Laboratory of Intelligent Orthopedic Equipment (The Third Hospital of Hebei Medical University), Shijiazhuang, China.
Key Laboratory of Biomechanics of Hebei Province, Shijiazhuang, Hebei, People's Republic of China.

Yanbin Zhu (Y)

Department of Orthopedic Surgery, The Third Hospital of Hebei Medical University, Qiaoxi District, No. 139 Ziqiang Road, Shijiazhuang, 050051, China.
NHC Key Laboratory of Intelligent Orthopedic Equipment (The Third Hospital of Hebei Medical University), Shijiazhuang, China.
Key Laboratory of Biomechanics of Hebei Province, Shijiazhuang, Hebei, People's Republic of China.

Hongtao Tian (H)

Department of Orthopedic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, Hubei, China.

Bo Wang (B)

Department of Orthopedic Surgery, The Third Hospital of Hebei Medical University, Qiaoxi District, No. 139 Ziqiang Road, Shijiazhuang, 050051, China.
NHC Key Laboratory of Intelligent Orthopedic Equipment (The Third Hospital of Hebei Medical University), Shijiazhuang, China.
Key Laboratory of Biomechanics of Hebei Province, Shijiazhuang, Hebei, People's Republic of China.

Jidong Li (J)

Department of Orthopedic Surgery, Jingxing Xian Hospital, No. 20 Jianshe South Road, Jingxing, 050300, China.

Tonglin Wang (T)

Department of Orthopedic Surgery, Lincheng People's Hospital, No. 86 Linquan Road, Lincheng, 054399, China.

Shaw-Ruey Lyu (SR)

International Health Promotion Center of the Knee Tzu-Chi Dalin General Hospital, Min-Shen Road, Dalin, Chiayi, Taiwan, 222.

Juan Wang (J)

Department of Orthopedic Surgery, The Third Hospital of Hebei Medical University, Qiaoxi District, No. 139 Ziqiang Road, Shijiazhuang, 050051, China. 84133719@qq.com.
NHC Key Laboratory of Intelligent Orthopedic Equipment (The Third Hospital of Hebei Medical University), Shijiazhuang, China. 84133719@qq.com.
Key Laboratory of Biomechanics of Hebei Province, Shijiazhuang, Hebei, People's Republic of China. 84133719@qq.com.

Yingze Zhang (Y)

Department of Orthopedic Surgery, The Third Hospital of Hebei Medical University, Qiaoxi District, No. 139 Ziqiang Road, Shijiazhuang, 050051, China. dryzzhang@126.com.
NHC Key Laboratory of Intelligent Orthopedic Equipment (The Third Hospital of Hebei Medical University), Shijiazhuang, China. dryzzhang@126.com.
Key Laboratory of Biomechanics of Hebei Province, Shijiazhuang, Hebei, People's Republic of China. dryzzhang@126.com.
ORCID: 0000-0001-8042-6105

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Proximal tibia osteotomy with absorbable...
questionsmedicales.fr › Maladies ostéomusculaires › Arthrose › Gonarthrose › Proximal tibia osteotomy with absorbable...
questionsmedicales.fr › Appareil locomoteur › Squelette › Os du membre inférieur › Os de la jambe › Tibia › Proximal tibia osteotomy with absorbable...
questionsmedicales.fr › Appareil locomoteur › Squelette › Articulations › Articulation du genou › Proximal tibia osteotomy with absorbable...
questionsmedicales.fr › Procédures de chirurgie opératoire › Procédures orthopédiques › Ostéotomie › Proximal tibia osteotomy with absorbable...
questionsmedicales.fr › Phénomènes physiologiques de l'appareil locomoteur et du système nerveux › Phénomènes physiologiques du système nerveux › Sensation › Douleur › Proximal tibia osteotomy with absorbable...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études de cohortes › Études rétrospectives › Proximal tibia osteotomy with absorbable...