Patellofemoral Alignment and Anterior Knee Pain After Closing- and Opening-Wedge Valgus High Tibial Osteotomy

被引:48
|
作者
Song, Il-Hyeon [1 ]
Song, Eun-Kyoo [1 ]
Seo, Hyoung-Yeon [1 ]
Lee, Keun-Bae [1 ]
Yim, Ji-Hyeon [1 ]
Seon, Jong-Keun [1 ]
机构
[1] Chonnam Natl Univ Hwasun Hosp, Dept Orthoped, Ctr Joint Dis, Jeonnam 519809, South Korea
来源
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY | 2012年 / 28卷 / 08期
关键词
MEDIAL COMPARTMENT OSTEOARTHRITIS; PATELLAR HEIGHT; POROUS HYDROXYAPATITE; CONTACT PRESSURE; PROXIMAL TIBIA; CLOSED-WEDGE; COMPLICATIONS; ARTHROPLASTY; SLOPE;
D O I
10.1016/j.arthro.2012.02.002
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Purpose: The purpose of this study was to compare the clinical and radiographic outcomes of opening-and closing-wedge valgus high tibial osteotomy (HTO) for the treatment of medial unicompartmental knee osteoarthritis with a minimum follow-up of 3 years, with a focus on patellofemoral alignment and anterior knee pain. Methods: We performed a retrospective comparison of 50 patients who underwent closing-wedge HTO and 50 patients who underwent opening-wedge HTO for isolated medial joint arthritis of the knee with varus deformity. All patients were evaluated and the 2 study groups were compared after a minimum follow-up of 3 years with a focus on patellofemoral alignment, patellofemoral osteoarthritis, and anterior knee pain while climbing stairs. Results: Patellar alignment (patellar tilt and lateral patellar displacement) was not significantly different in the 2 groups either preoperatively or at follow-up. Furthermore, there were no significant differences in the extent of patellofemoral arthritis and incidence of anterior knee pain at follow-up between the 2 groups. In addition, no significant intergroup difference was found in terms of the incidence of anterior knee pain (28% in closing-wedge group and 32% in opening-wedge group at follow-up). Conclusions: The results of closing-and opening-wedge valgus HTO were not found to be significantly different with respect to patellar alignment, osteoarthritis of the patellofemoral joint, or anterior knee pain. Level of Evidence: Level III, retrospective comparative study.
引用
收藏
页码:1087 / 1093
页数:7
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