Is there a difference in bony stability at three months postoperatively between opening-wedge high tibial osteotomy and opening-wedge distal tuberosity osteotomy?
| Autor: | Suguru Koyama, Keiji Tensho, Kazushige Yoshida, Hiroki Shimodaira, Daiki Kumaki, Yusuke Maezumi, Hiroshi Horiuchi, Jun Takahashi |
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| Jazyk: | angličtina |
| Rok vydání: | 2025 |
| Předmět: | |
| Zdroj: | Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology, Vol 39, Iss , Pp 1-8 (2025) |
| Druh dokumentu: | article |
| ISSN: | 2214-6873 29712645 |
| DOI: | 10.1016/j.asmart.2024.10.001 |
| Popis: | Objective: To compare the initial postoperative stability of opening-wedge high tibial osteotomy (HTO) and opening-wedge distal tuberosity osteotomy (DTO) and investigate the factors that influence initial stability. Methods: Patients with the same operative indications who underwent HTO (n = 51) and DTO (n = 55) were included. Demographic and preoperative radiographic data (weight-bearing line percentage [%WBL], femoral-tibial angle [FTA], medial proximal tibial angle [MPTA], posterior tibial slope and correction angle), and postoperative computed tomography (CT) scan data (initial postoperative stability [12 weeks postoperative], and hinge fracture [1 and 12 weeks postoperatively], and hinge length, flange thickness, flange length, axial flange osteotomy angle, sagittal flange osteotomy angle [1 week postoperatively]) were statistically analyzed. As a subgroup analysis, HTO and DTO patients were divided into Stable and Unstable groups respectively based on postoperative CT at 12 weeks; demographic and radiological data were compared. Results: Patients with DTO was significantly younger (median [range]; 59 [22, 73] vs 64 [45, 75], P = 0.02) and had a smaller preoperative deformity (%WBL: median [range]; 28.9 [12.8, 46.0] vs 24.3 [4.9, 44.3], P |
| Databáze: | Directory of Open Access Journals |
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