Outcome of total knee arthroplasty following closing wedge high tibialosteotomy: a review of 40 cases.

Autor: Naouar N, Kaziz H, Mouelhi T, Triki MA, Bouattour K, Ben Ayeche ML
Jazyk: angličtina
Zdroj: La Tunisie medicale [Tunis Med] 2018 May; Vol. 96 (5), pp. 293-297.
Abstrakt: Introduction: Total knee replacement after high tibial osteotomy becomes more and more indicated. This intervention needs to identify some pearls and pitfalls.
Aim: To evaluate results of total knee arthroplasty after closing wedge high tibial osteotomy.
Method: Fourty total knee arthroplasty following closing wedge high tibial osteotomy were identified. Demographic features, tibiofemoral alignment and radiolucent lines were documented on postoperatively. Clinical and functional evaluations were performed preoperatively and postoperatively according IKSS score.
Results: The average duration of follow-up was 11,5 years. The mean function score increased from 39 points to 70,4 points postoperatively. The mean knee score increased from 40 points to 84,9 points postoperatively. The mean average tibio-femoral angle was 177,7° in preoperatively and 178° (min 176°, max 185°) at the last follow-up.
Conclusion: The closing wedge high tibial osteotomy does not compromise subsequent total knee replacement. Knowing pearls and pitfalls lead to better outcome.
Databáze: MEDLINE