scholarly journals Changes in patellar height and tibia inclination angle following open-wedge high tibial osteotomy

2008 ◽  
Vol 42 (4) ◽  
pp. 265-271 ◽  
Author(s):  
Ufuk Ozkaya
Keyword(s):  
High Tibial Osteotomy ◽  
Inclination Angle ◽  
Patellar Height ◽  
Tibial Osteotomy ◽  
Open Wedge ◽  
Wedge High Tibial Osteotomy

scholarly journals Open Wedge High Tibial Osteotomy with Distal Tubercle Osteotomy Lessens Change in Patellar Position

2017 ◽  
Vol 2017 ◽  
pp. 1-10 ◽  
Author(s):  
Hoon Park ◽  
Hyun Woo Kim ◽  
Jin Hwa Kam ◽  
Dong Hoon Lee
Keyword(s):  
High Tibial Osteotomy ◽  
Proximal Tibia ◽  
Young Patients ◽  
Patellar Height ◽  
Tibial Osteotomy ◽  
Open Wedge ◽  
Patellar Tilt ◽  
Mean Values ◽  
Patellar Position ◽  
Wedge High Tibial Osteotomy

The purpose of this study was to investigate the change in patellar position after open wedge high tibial osteotomy (OWHTO) with distal tubercle osteotomy (DTO), comparing outcomes of conventional OWHTO in young adults with proximal tibia varus deformity but no arthritic manifestations. Thirty-three patients (mean age, 31.8 years) subjected to OWHTO/DTO were matched with 30 patients (mean age, 33.5 years) undergoing conventional OWHTO. Patellar position, as measured in pre- and postoperative standing lateral radiographs, was compared. Patellar height was assessed via Insall-Salvati ratio, modified Insall-Salvati ratio, Blackburne-Peel (BP) index, Caton-Deschamps (CD) index, and modified Miura-Kawamura index. Computed tomography was used to measure lateral patellar tilt and shift. In the OWHTO group, all patellar height indices decreased significantly following surgery. Although mean values of BP and CD indices decreased significantly in the OWHTO/DTO group, other determinants of patellar height showed no significant postoperative differences. Significant postoperative declines in average lateral patellar tilt were also evident in both groups, but pre- and postoperative lateral patellar shift did not differ significantly. OWHTO/DTO can be performed without significant changes in patellar height. The results obtained support that OWHTO/DTO is suitable for relatively young patients with proximal tibia vara but no arthritic change.

Changes in the patellar height following open wedge high tibial osteotomy

2021 ◽  
Vol 0 (0) ◽  
pp. 0-0
Author(s):  
Abd Al Rahman Al Shewehi ◽  
samir Zahed ◽  
hatem elgohary ◽  
Hesham Al Attar
Keyword(s):  
High Tibial Osteotomy ◽  
Patellar Height ◽  
Tibial Osteotomy ◽  
Open Wedge ◽  
Wedge High Tibial Osteotomy

No change in patellar height following open wedge high tibial osteotomy using a novel femur-referenced measurement method

The Knee ◽  
2017 ◽  
Vol 24 (5) ◽  
pp. 1118-1128 ◽  
Author(s):  
C. Ihle ◽  
M. Ahrend ◽  
L. Grünwald ◽  
A. Ateschrang ◽  
U. Stöckle ◽  
...  
Keyword(s):  
High Tibial Osteotomy ◽  
Measurement Method ◽  
Patellar Height ◽  
Tibial Osteotomy ◽  
Open Wedge ◽  
Wedge High Tibial Osteotomy

scholarly journals Risk Factor Analysis for Infection after Medial Open Wedge High Tibial Osteotomy

2021 ◽  
Vol 10 (8) ◽  
pp. 1727
Author(s):  
Ta-Wei Liu ◽  
Chih-Hao Chiu ◽  
Alvin Chao-Yu Chen ◽  
Shih-Sheng Chang ◽  
Yi-Sheng Chan
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Multivariate Analysis ◽  
High Tibial Osteotomy ◽  
Univariate Analysis ◽  
Arthroscopic Surgery ◽  
Underlying Disease ◽  
Tibial Osteotomy ◽  
Open Wedge ◽  
Wedge High Tibial Osteotomy

Background: Medial open wedge high tibial osteotomy (MOWHTO) is a well-established treatment for osteoarthritis of the medial tibiofemoral compartment. Surgical site infection (SSI) after MOWHTO is a devastating complication that may require further surgery. In this study, we aimed to identify the risk factors for infection after MOWHTO over 1 to 4 years of follow-up. Methods: Fifty-nine patients who underwent MOWHTO combined with knee arthroscopic surgery were included in this prospective study. Artificial bone grafts were used in all cases. Possible risk factors, including sex, age, body mass index (BMI), underlying disease, hospitalization length, correction angle, and surgery time, were recorded. Both univariate and multivariate analysis were used. Results: A total of 59 patients who underwent 61 operations were included. Eleven patients (18.0%) were reported to have SSI. Univariate analysis showed that smoking and diabetes mellitus were positively associated with SSI. Multivariate analysis showed that smoking and age were positively associated with SSI. Three patients (4.9%) were reported to suffer from deep SSI, requiring surgical debridement, all of whom were male smokers. Conclusion: Smoking, diabetes mellitus, and old age were identified to be possible risk factors of SSI after MOWHTO. These findings are common risk factors of SSI after orthopedic surgery according to the literature. Patient selection should be performed cautiously, and postoperative prognosis for MOWHTO should be carefully explained to patients who smoke.

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