Eight respectively nine out of ten patients return to sport and work after distal femoral osteotomy

Autor: P. Paul F. M. Kuijer, Ronald J. van Heerwaarden, Gino M. M. J. Kerkhoffs, Rutger C. I. van Geenen, Koen L. M. Koenraadt, Berbke T. van Ginneken, Alexander Hoorntje
Přispěvatelé: Graduate School, APH - Societal Participation & Health, Coronel Institute of Occupational Health, APH - Quality of Care, AMS - Sports & Work, Orthopedic Surgery and Sports Medicine
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Male
Knee Joint
medicine.medical_treatment
Osteoarthritis
Osteotomy
Lateral opening wedge
Return to sport
0302 clinical medicine
Surveys and Questionnaires
Orthopedics and Sports Medicine
Femur
Postoperative Period
Supracondylar osteotomy (SCO)
Distal femoral osteotomy (DFO)
030222 orthopedics
biology
Participation
Middle Aged
Osteoarthritis
Knee
Prognosis
Treatment Outcome
De-rotation osteotomy
Female
Sports
Adult
medicine.medical_specialty
Return to work
Adolescent
Medial closing wedge
03 medical and health sciences
Young Adult
medicine
Humans
Knee
Distal femoral osteotomy
Retrospective Studies
business.industry
Retrospective cohort study
030229 sport sciences
Lysholm Knee Score
biology.organism_classification
medicine.disease
Arthroplasty
Surgery
Valgus
Cross-Sectional Studies
Orthopedic surgery
business
Zdroj: Knee surgery, sports traumatology, arthroscopy, 27(7), 2345-2353. Springer Verlag
Knee Surgery, Sports Traumatology, Arthroscopy, 27(7), 2345-2353. Springer Verlag
Knee Surgery, Sports Traumatology, Arthroscopy
Hoorntje, A, van Ginneken, B T, Kuijer, P P F M, Koenraadt, K L M, van Geenen, R C I, Kerkhoffs, G M M J & van Heerwaarden, R J 2019, ' Eight respectively nine out of ten patients return to sport and work after distal femoral osteotomy ', Knee Surgery, Sports Traumatology, Arthroscopy, vol. 27, no. 7, pp. 2345-2353 . https://doi.org/10.1007/s00167-018-5206-x
ISSN: 0942-2056
DOI: 10.1007/s00167-018-5206-x
Popis: Purpose Distal femoral osteotomy (DFO) is a well-accepted procedure for the treatment of femoral deformities and associated symptoms including osteoarthritis, especially in younger and physically active patients in whom knee arthroplasty is undesirable. Still, there is an apparent need for evidence on relevant patient outcomes, including return to sport (RTS) and work (RTW), to further justify the use of knee osteotomy instead of surgical alternatives. Therefore, the purpose of the present study was to investigate the extent and timing of patients’ RTS and RTW after DFO. Methods This monocentre, retrospective cohort study included consecutive DFO patients, operated between 2012 and 2015. Out of 126 eligible patients (18–70 years, 63% female), all patients responded, and 100 patients completed the questionnaire. Median follow-up was 3.4 years (range 1.5–5.2). The predominant indication for surgery was symptomatic unicompartmental osteoarthritis and valgus or varus leg alignment caused by a femoral deformity. The primary outcome measure was the percentage of RTS and RTW. Secondary outcome measures included time to RTS/RTW, sports level and frequency, the median pre-symptomatic and postoperative Tegner activity score (1–10, higher is more active) and the postoperative Lysholm score (0–100, higher is better). Results Out of 84 patients participating in sports preoperatively, 65 patients (77%) returned to sport postoperatively. Forty-six patients (71%) returned to sports within 6 months. Postoperative participation in high-impact sports was possible though less frequent compared to preoperative participation. Out of 80 patients working preoperatively, 73 (91%) returned to work postoperatively, of whom 59 patients (77%) returned within 6 months. The median pre-symptomatic Tegner activity score [4.0 (range 0–10)] was significantly higher (p
Databáze: OpenAIRE
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