Short-Term Results of Hybrid Closed-Wedge High Tibial Osteotomy: A Case Series with a Minimum 3-Year Follow-up

Overview

Journal Knee Surg Relat Res

Publisher Biomed Central

Date 2018 Nov 24

PMID 30466250

Citations 13

Authors

Hidetomo Saito

Kimio Saito

Yoichi Shimada

Toshiaki Yamamura

Shin Yamada

Takahiro Sato

Koji Nozaka

Hiroaki Kijima

Naohisa Miyakoshi

Affiliations

Soon will be listed here.

Abstract

Purpose: High tibial valgus osteotomy (HTO) is a well-established surgical procedure for patients with medial compartment osteoarthritis (OA) of the knee. The hybrid closed-wedge HTO (CWHTO) procedure permits extensive correction in patients with severe deformities or patellofemoral joint OA. The aim of this study was to report the short-term results in a consecutive series of patients treated with hybrid CWHTO.

Materials And Methods: We retrospectively evaluated the clinical outcomes and radiographic parameters in 29 consecutive knees that underwent hybrid CWTHO to correct medial compartment OA at an average follow-up of 52.6 months. Clinical outcomes were assessed using the Lysholm score and knee scoring system of the Japanese Orthopedic Association (JOA). The Kellgren-Lawrence grading system and pre- and postoperative mechanical axis (MA), femorotibial angle (FTA), posterior tibial slope, and patella height were assessed.

Results: The FTA and MA significantly changed from 180.7° to 170.4° and from 22.0° to 60.2°, respectively. No significant differences were observed between the mean pre- and postoperative posterior tibial slope, Insall-Salvati ratio, or Caton-Deschamps index. The postoperative JOA and Lysholm scores significantly improved from 76.7 to 95.8 and from 58.8 to 90.2, respectively.

Conclusions: Satisfactory outcomes can be achieved with hybrid CWHTO in patients with medial OA.

Citing Articles

Influence of different standing positions on anatomical parameters of coronal whole-leg weight-bearing radiographs in preoperative planning for high tibial osteotomy.

Kamiya T, Hamaoka K, Ono A, Okada Y, Emori M, Teramoto A J Exp Orthop. 2024; 11(3):e12085.

PMID: 38974048 PMC: 11227596. DOI: 10.1002/jeo2.12085.

Derotational Hybrid Closed-Wedge High Tibial Osteotomy for Knee Osteoarthritis With Patellar Subluxation Caused by Tibial Torsional Deformity.

Nakamura R, Kawashima F, Amemiya M, Shimakawa T, Okano A Arthrosc Tech. 2023; 12(10):e1687-e1694.

PMID: 37942092 PMC: 10627868. DOI: 10.1016/j.eats.2023.05.017.

In-hospital grouping rehabilitation of hybrid closed-wedge high tibial osteotomy results in shorter hospital stays and better clinical outcomes.

Azuma T, Ueno K, Sugiki S, Kurokawa R, Izumoji T, Yamada N J Phys Ther Sci. 2023; 35(8):575-580.

PMID: 37529062 PMC: 10390034. DOI: 10.1589/jpts.35.575.

Flexion Contracture in Knee Osteoarthritis Can Be Fully Eliminated by Hybrid Closed Wedge High Tibial Osteotomy Using a Reduction-Insertion-Compression Handle.

Nakamura R, Amemiya M, Kawashima F, Okano A Arthrosc Tech. 2023; 12(2):e247-e253.

PMID: 36879863 PMC: 9984776. DOI: 10.1016/j.eats.2022.10.014.

Femoral-varus tibial-valgus osteotomy (FVTVO) for neutrally-aligned knee osteoarthritis with severe joint line obliquity enables return to sports activities: A case series study.

Nakamura R, Amemiya M, Shimakawa T, Takahashi M, Kuroda K, Katsuki Y Asia Pac J Sports Med Arthrosc Rehabil Technol. 2023; 31:11-17.

PMID: 36825133 PMC: 9941361. DOI: 10.1016/j.asmart.2023.01.002.

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