Opening wedge high tibial osteotomy in varus osteoarthritis of the knee without bone graft

2018 ◽  
Vol 53 (1) ◽  
pp. 38 ◽  
Author(s):  
MohamedE Attia
Keyword(s):  
Bone Graft ◽  
High Tibial Osteotomy ◽  
Osteoarthritis Of The Knee ◽  
Tibial Osteotomy ◽  
Opening Wedge ◽  
Wedge High Tibial Osteotomy ◽  
Without Bone Graft

scholarly journals Medial Opening Wedge High Tibial Osteotomy Fixation with Short Plate without any Graft, Synthetic Material or Spacer

2014 ◽  
Vol 2 (11_suppl3) ◽  
pp. 2325967114S0016
Author(s):  
Faik Türkmen ◽  
Cem Sever ◽  
Burkay Kutluhan Kacıra ◽  
Mehmet Demirayak ◽  
Mehmet Ali Acar ◽  
...  
Keyword(s):  
Bone Graft ◽  
High Tibial Osteotomy ◽  
Varus Deformity ◽  
Bone Grafts ◽  
Osteotomy Site ◽  
Osteoarthritis Of The Knee ◽  
Tibial Osteotomy ◽  
Opening Wedge ◽  
Synthetic Materials ◽  
Wedge High Tibial Osteotomy

Objectives: Medial opening-wedge high tibial osteotomy (MOWHTO) is an effective surgical procedure for patients who have medial compartmental osteoarthritis of the knee with varus deformity of the limb. The abnormal load on the medial compartment of the knee relocates to the lateral compartment with this procedure. A gap occurs on the proximal tibia during the correction of varus deformity. Filling this gap with bone grafts or synthetic materials has gained wide acceptance for preventing nonunion or osteotomy site collapse. The aim of this study is to report our results of MOWHTOs performed without any bone graft or any other synthetic materials. Methods: We evaluated 41 MOWHTOs performed between 2009 and 2012 with no use of bone grafts, synthetic materials or spacers. Age of the patients ranged from 43 to 67. Thirty five of the patients were female and 3 of them were male. The follow-up time was 6 months. Results: There were no any non-unions or loss of correction. The mean bone union time was 12,8 weeks. No major complications were seen. Conclusion: The results of our study has shown that achieve satisfactory results can be obtained in MOWHTO without using any bone graft, synthetic materials or spacer.

Opening-wedge high tibial osteotomy without bone graft

2010 ◽  
Vol 18 (7) ◽  
pp. 961-966 ◽  
Author(s):  
Maher A. El-Assal ◽  
Yaser E. Khalifa ◽  
Mohamed M. Abdel-Hamid ◽  
Hatem G. Said ◽  
Hatem M. A. Bakr
Keyword(s):  
Bone Graft ◽  
High Tibial Osteotomy ◽  
Tibial Osteotomy ◽  
Opening Wedge ◽  
Wedge High Tibial Osteotomy ◽  
Without Bone Graft

Opening-Wedge High Tibial Osteotomy With and Without Bone Graft

2010 ◽  
Vol 35 (3) ◽  
pp. 301-307 ◽  
Author(s):  
Alessandro Rozim Zorzi ◽  
Hesojy G.P.V. da Silva ◽  
Carlos Muszkat ◽  
Luiz C. Marques ◽  
Alberto Cliquet Jr ◽  
...  
Keyword(s):  
Bone Graft ◽  
High Tibial Osteotomy ◽  
Tibial Osteotomy ◽  
Opening Wedge ◽  
Wedge High Tibial Osteotomy ◽  
Without Bone Graft

Early complications of medial opening wedge high tibial osteotomy using autologous tricortical iliac bone graft and T-plate fixation

The Knee ◽  
2011 ◽  
Vol 18 (4) ◽  
pp. 278-284 ◽  
Author(s):  
Dong Ju Chae ◽  
Gautam M. Shetty ◽  
Kook Hyun Wang ◽  
Antonio Santa Cruz Montalban Jr ◽  
Jong In Kim ◽  
...  
Keyword(s):  
Bone Graft ◽  
High Tibial Osteotomy ◽  
Plate Fixation ◽  
Iliac Bone ◽  
Tibial Osteotomy ◽  
Early Complications ◽  
Opening Wedge ◽  
Iliac Bone Graft ◽  
Wedge High Tibial Osteotomy

Opening-Wedge High Tibial Osteotomy Using Autograft versus Allograft: A Systematic Review and Meta-analysis

2019 ◽  
Vol 33 (06) ◽  
pp. 565-575 ◽  
Author(s):  
Yi-Ming Ren ◽  
Yuan-Hui Duan ◽  
Yun-Bo Sun ◽  
Tao Yang ◽  
Wei-Yu Hou ◽  
...  
Keyword(s):  
Bone Graft ◽  
Bone Grafting ◽  
Operative Time ◽  
Meta Analysis ◽  
Tibial Osteotomy ◽  
Opening Wedge ◽  
Loss Of Correction ◽  
Randomized Controlled ◽  
Wedge High Tibial Osteotomy ◽  
Without Bone Graft

AbstractBone grafting is a good alternative for filling the inevitable void that is created following opening-wedge high tibial osteotomy (OWHTO). This systematic review and meta-analysis evaluated whether bone grafting is necessary for OWHTO and the successful outcomes of OWHTO using either autograft (AU) or allograft (AL). All analyzed studies were acquired from PubMed, Medline, Embase, CNKI, Google Scholar, and Cochrane Library. Data were independently extracted by two coauthors and were analyzed using RevMan5.3. Mean differences, odds ratios, and 95% confidence intervals were calculated. Cochrane Collaboration's Risk of Bias Tool and Newcastle–Ottawa Scale were used to assess the risk of bias. In total, 10 studies were assessed including three randomized controlled trials and seven observational studies. The methodological quality of the trials ranged from low to high. The overall estimate demonstrated that the difference between OWHTO using AU and AL groups and OWHTO using no filling group was not statistically significant for the loss of correction, and complications, but OWHTO using no filling group statistically showed better knee society score. Pooled results of reoperations, lateral cortex breaches, complications, and clinical function assessments showed no significant difference between AU and AL materials. Using AL statistically reduced the operative time compared with using AU. OWHTO with or without bone graft does not affect postoperative complications. No loss of correction was observed due to the lack of bone grafting. In addition, OWHTO without bone graft performs better for postoperative clinical function assessment. Complications and clinical results of medial OWHTO were similar using AL and AU and neither reported a median loss of correction of following OWHTO. Compared with using AU, using AL avoids harvest site complications and reduces operative time. To sum up, OWHTO without any bone graft is recommended for medial unicompartmental osteoarthritis of the knee. Further large-sample, multicenter, high-quality, randomized controlled trials are warranted to verify the outcomes of this meta-analysis.

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