Stability of medial opening wedge high tibial osteotomy: a failure analysis

被引:118
|
作者
Nelissen, E. M. [1 ]
van Langelaan, E. J. [2 ]
Nelissen, R. G. H. H. [1 ]
机构
[1] Leiden Univ Hosp LUMC, Dept Orthopaed Surg, NL-2300 RC Leiden, Netherlands
[2] Rijnland Hosp, Dept Orthopaed Surg, Leiderdorp, Netherlands
关键词
KNEE; VALGUS;
D O I
10.1007/s00264-009-0723-3
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
Medial opening wedge high tibial osteotmy (HTO) is often used to treat varus gonarthrosis in young, active, highly demanding patients, although it has many pitfalls, which were evaluated in a consecutive cohort of patients. A retrospective analysis of a consecutive series of 45 patients with 49 medial opening HTO for varus gonarthrosis using a spacer plate (Puddu I, Arthrex, USA) were included. A Chi square test was used to study the effect between the wedge size and complications. Complications occurred in 22 knees (45%). There was no significant difference between groups for individual complications; however, when combined, there were significantly more complications in the > 10 mm wedge group (Chi square p = 0.05). The overall complication rate in this series was 45%. The majority were related to intrinsic instability at the osteotomy site (24%) and surgical technique (20%). The evaluated spacer provided inadequate stability.
引用
收藏
页码:217 / 223
页数:7
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