Difference in the anterior displacement of the tibial tuberosity relative to the proximal tibial fragment between opening wedge and closed wedge high tibial osteotomies.
Anterior displacement
Closed wedge
High tibial osteotomy
Opening wedge
Tibial tuberosity
Journal
SICOT-J
ISSN: 2426-8887
Titre abrégé: SICOT J
Pays: France
ID NLM: 101675099
Informations de publication
Date de publication:
2024
2024
Historique:
received:
31
01
2024
accepted:
04
05
2024
medline:
31
5
2024
pubmed:
31
5
2024
entrez:
31
5
2024
Statut:
ppublish
Résumé
This study aimed to investigate the anterior-posterior (AP) displacement of the tibial tuberosity (TT) and to assess the difference between closed wedge and opening wedge high tibial osteotomies (OWHTO and CWHTO). One hundred consecutive knees with osteoarthritis that underwent OWHTO (50 knees) or CWHTO (50 knees) were investigated retrospectively. The femorotibial angle (FTA) was measured on AP radiographs of the knee. AP displacement of the TT, posterior tibial slope (PTS), the modified Blackburne-Peel index (mBPI), and the modified Caton-Deschamps index (mCDI) were measured on lateral radiographs of the knee. Patients had a mean correction angle of 12.58 ± 2.84° and 18.98 ± 5.14° (P < 0.001), with a mean AP displacement of TT of 0.84 ± 2.66 mm and 7.78 ± 3.41 mm (P < 0.001) in OWHTO and CWHTO, respectively. The AP displacement of the TT per correction of 1° was significantly greater in CWHTO than in OWHTO (P < 0.001). A significant correlation was found between the correction angle and AP displacement of the TT in CWHTO (r = -0.523, P < 0.001), but not in OWHTO. The change of PTS per correction of 1° was significantly greater in OWHTO than in CWHTO (P < 0.001). The changes of mBPI and mCDI per correction of 1° were significantly greater in CWHTO than in OWHTO (P < 0.001 and P < 0.001, respectively). There was greater anterior displacement of the TT in CWHTO than in OWHTO, which was correlated with the correction angle. The results suggested that CWHTO would be better than OWHTO when a concomitant anteriorization of TT is required.
Identifiants
pubmed: 38819291
doi: 10.1051/sicotj/2024020
pii: sicotj240008
doi:
Types de publication
Journal Article
Langues
eng
Pagination
21Informations de copyright
© The Authors, published by EDP Sciences, 2024.
Références
Coventry MB, Ilstrup DM, Wallrichs SL (1993) Proximal tibial osteotomy. A critical long-term study of eighty-seven cases. J Bone Joint Surg Am 75, 196–201.
Koshino T, Yoshida T, Ara Y, Saito I, Saito T (2004) Fifteen to twenty-eight years’ follow-up results of high tibial valgus osteotomy for osteoarthritic knee. Knee 11, 439–444.
Cheng X, Liu F, Xiong F, Huang Y, Paulus AC (2019) Radiographic changes and clinical outcomes after open and closed wedge high tibial osteotomy: A systematic review and meta-analysis. J Orthop Surg Res 14, 179.
Bito H, Takeuchi R, Kumagai K, Aratake M, Saito I, Hayashi R, et al. (2010) Opening wedge high tibial osteotomy affects both the lateral patellar tilt and patellar height. Knee Surg Sports Traumatol Arthrosc 18, 955–960.
Portner O (2014) High tibial valgus osteotomy: closing, opening or combined? Patellar height as a determining factor. Clin Orthop Relat Res 472, 3432–3440.
Gaasbeek R, Welsing R, Barink M, Verdonschot N, van Kampen A (2007) The influence of open and closed high tibial osteotomy on dynamic patellar tracking: A biomechanical study. Knee Surg Sports Traumatol Arthrosc 15, 978–984.
Javidan P, Adamson GJ, Miller JR, Durand P Jr, Dawson PA, Pink MM, et al. (2013) The effect of medial opening wedge proximal tibial osteotomy on patellofemoral contact. Am J Sports Med 41, 80–86.
Stoffel K, Willers C, Korshid O, Kuster M (2007) Patellofemoral contact pressure following high tibial osteotomy: A cadaveric study. Knee Surg Sports Traumatol Arthrosc 15, 1094–1100.
Akizuki S, Shibakawa A, Takizawa T, Yamazaki I, Horiuchi H (2008) The long-term outcome of high tibial osteotomy: A ten- to 20-year follow-up. J Bone Joint Surg Br 90, 592–596.
Saito T, Kumagai K, Akamatsu Y, Kobayashi H, Kusayama Y (2014) Five- to ten-year outcome following medial opening-wedge high tibial osteotomy with rigid plate fixation in combination with an artificial bone substitute. Bone Joint J 96-B, 339–344.
Akamatsu T, Kumagai K, Yamada S, Nejima S, Sotozawa M, Ogino T, et al. (2021) No differences in clinical outcomes and cartilage repair between opening wedge and closed wedge high tibial osteotomies at short-term follow-up: A retrospective case series analysis. J Orthop Surg (Hong Kong) 29, 23094990211020366.
Kumagai K, Fujimaki H, Yamada S, Nejima S, Matsubara J, Inaba Y (2021) Difference in the early postoperative change of the joint line convergence angle between opening wedge and closed wedge high tibial osteotomies. J Orthop Surg Res 16, 66.
Blackburne JS, Peel TE (1977) A new method of measuring patellar height. J Bone Joint Surg Br 59, 241–242.
Akaoka Y, Iseki T, Kanto R, Onishi S, Tachibana T, Tensho K, et al. (2020) Changes in patellar height and patellofemoral alignment following double level osteotomy performed for osteoarthritic knees with severe varus deformity. Asia Pac J Sports Med Arthrosc Rehabil Technol 22, 20–26.
Caton J, Deschamps G, Chambat P, Lerat JL, Dejour H (1982) Patella infera. Apropos of 128 cases. Rev Chir Orthop Reparatrice Appar Mot 68, 317–325.
Schober P, Boer C, Schwarte LA (2018) Correlation coefficients: Appropriate use and interpretation. Anesth Analg 126, 1763–1768.
El-Azab H, Glabgly P, Paul J, Imhoff AB, Hinterwimmer S (2010) Patellar height and posterior tibial slope after open- and closed-wedge high tibial osteotomy: A radiological study on 100 patients. Am J Sports Med 38, 323–329.
Nerhus TK, Ekeland A, Solberg G, Sivertsen EA, Madsen JE, Heir S (2017) Radiological outcomes in a randomized trial comparing opening wedge and closing wedge techniques of high tibial osteotomy. Knee Surg Sports Traumatol Arthrosc 25, 910–917.
Otsuki S, Murakami T, Okamoto Y, Nakagawa K, Okuno N, Wakama H, et al. (2019) Hybrid high tibial osteotomy is superior to medial opening high tibial osteotomy for the treatment of varus knee with patellofemoral osteoarthritis. Knee Surg Sports Traumatol Arthrosc 27, 1332–1338.
Song SJ, Yoon KH, Park CH (2020) Patellofemoral cartilage degeneration after closed- and open-wedge high tibial osteotomy with large alignment correction. Am J Sports Med 48, 2718–2725.
Amis AA (2013) Biomechanics of high tibial osteotomy. Knee Surg Sports Traumatol Arthrosc 21, 197–205.
Petrigliano FA, Suero EM, Voos JE, Pearle AD, Allen AA (2012) The effect of proximal tibial slope on dynamic stability testing of the posterior cruciate ligament- and posterolateral corner-deficient knee. Am J Sports Med 40, 1322–1328.
Zheng Y, Wang Z, Lv H, Li J, Zhuo R, Wang J (2022) Patellofemoral joint after opening wedge high tibial osteotomy: A comparative study of uniplane versus biplane osteotomies. Orthop Surg 14, 2607–2617.
Fulkerson JP (1983) Anteromedialization of the tibial tuberosity for patellofemoral malalignment. Clin Orthop Relat Res 177, 176–181.
Maquet P (1976) Advancement of the tibial tuberosity. Clin Orthop Relat Res 115, 225–230.
Rue JP, Colton A, Zare SM, Shewman E, Farr J, Bach BR Jr, et al. (2008) Trochlear contact pressures after straight anteriorization of the tibial tuberosity. Am J Sports Med 36, 1953–1959.
Sadek AF, Osman MK, Laklok MA (2016) Management of combined knee medial compartmental and patellofemoral osteoarthritis. Knee 23, 857–861.
Saito T, Takeuchi R, Ara Y, Yoshida T, Koshino T (2002) High tibial osteotomy with anterior advancement of distal fragment for medial and patellofemoral compartmental osteoarthritis of the knee. Knee 9, 127–132.
Kim KI, Kim DK, Song SJ, Lee SH, Bae DK (2017) Medial open-wedge high tibial osteotomy may adversely affect the patellofemoral joint. Arthroscopy 33, 811–816.
Tanaka T, Matsushita T, Miyaji N, Ibaraki K, Nishida K, Oka S, et al. (2019) Deterioration of patellofemoral cartilage status after medial open-wedge high tibial osteotomy. Knee Surg Sports Traumatol Arthrosc 27, 1347–1354.
Yoon TH, Choi CH, Kim SJ, Kim SH, Kim NH, Jung M (2019) Effect of medial open-wedge high tibial osteotomy on the patellofemoral joint according to postoperative realignment. Am J Sports Med 47, 1863–1873.
Ishimatsu T, Takeuchi R, Ishikawa H, Yamaguchi Y, Maeyama A, Osawa K, et al. (2019) Hybrid closed wedge high tibial osteotomy improves patellofemoral joint congruity compared with open wedge high tibial osteotomy. Knee Surg Sports Traumatol Arthrosc 27, 1299–1309.