Clinical and radiologic results after open-wedge high tibial osteotomy in haemophilic knee arthropathy with varus deformity

Haemophilia : the Official Journal of the World Federation of Hemophilia
Y J ChoCheol Hee Park

Abstract

The previous studies have described only closed-wedge high tibial osteotomy (HTO) in haemophilic arthropathy (HA). The purpose of this study was to evaluate clinical and radiographic results after open-wedge HTO in HA with varus knee deformity. We included 13 open-wedge HTOs in HA performed between 2005 and 2016. The mean age of patients was 28.9 years. Visual analogue scale (VAS), Western Ontario and McMaster Universities (WOMAC), and range of motion (ROM) indices were assessed. Any complications or requirements for total knee arthroplasty (TKA) were investigated. Mechanical axis (MA), minimal joint space width (mJSW) and Pettersson score were measured. Bone union rates at 3 and 6 months postoperative were evaluated. VAS improved from 5.1 to 2.4 (P < .001). WOMAC was 66.5 preoperatively, and 26.6 postoperatively (P < .001). Pre- and postoperative ROM did not differ significantly. There were no cases of HTO converted to TKA, but one case of HTO required TKA 152 months postoperative. No complications were observed. The MA was corrected from varus 5.1° to valgus 1.2° (P < .001). Pre- and postoperative mJSW did not significantly differ. Pettersson score improved from 3.84 to 2.47 (P < .001). The bone union rates at the osteotomy g...Continue Reading

References

Mar 1, 1990·The Journal of Bone and Joint Surgery. British Volume·I IvarssonJ Gillquist
Mar 1, 1989·Acta Radiologica·R ErlemannR Calleja
Aug 1, 1981·The Journal of Bone and Joint Surgery. British Volume·M A SmithG F Savidge
Feb 1, 1993·The Journal of Bone and Joint Surgery. American Volume·M B CoventryS L Wallrichs
Sep 12, 2000·Haemophilia : the Official Journal of the World Federation of Hemophilia·M S Gilbert
Feb 1, 2003·Haemophilia : the Official Journal of the World Federation of Hemophilia·T WallnyC N Kraft
Nov 18, 2003·Langenbeck's Archives of Surgery·K TriebA Wanivenhaus
Jan 7, 2005·The Journal of Bone and Joint Surgery. American Volume·Mauricio Silva, James V Luck
Nov 15, 2005·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·J D AgneskirchnerP Lobenhoffer
Nov 29, 2005·The Journal of Arthroplasty·Dae Kyung BaeSang Jun Song
Feb 27, 2007·The Journal of Bone and Joint Surgery. British Volume·E C Rodriguez-Merchan
Oct 11, 2007·The Journal of Arthroplasty·Gavan P DuffyDaniel J Berry
Dec 2, 2008·The Journal of Bone and Joint Surgery. British Volume·J-M BrinkmanR J van Heerwaarden
Oct 8, 2011·The Journal of the American Academy of Orthopaedic Surgeons·Roberto RossiAnnunziato Amendola
Dec 23, 2011·Haemophilia : the Official Journal of the World Federation of Hemophilia·J M-L WongN J Goddard
Jul 11, 2012·Haemophilia : the Official Journal of the World Federation of Hemophilia·A SrivastavaUNKNOWN Treatment Guidelines Working Group on Behalf of The World Federation Of Hemophilia
Mar 19, 2014·The American Journal of Sports Medicine·Robin MartinJ Robert Giffin
Sep 19, 2014·The Journal of Bone and Joint Surgery. American Volume·William J LongW Norman Scott
Dec 3, 2014·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Steffen SchröterRonald van Heerwaarden
May 2, 2015·Haemophilia : the Official Journal of the World Federation of Hemophilia·A C StraussP H Pennekamp
Jul 15, 2015·The Journal of Arthroplasty·Johannes M GiesingerKarlmeinrad Giesinger
Jul 21, 2015·Injury·H CavigliaD Neme
Jun 24, 2016·World Journal of Orthopedics·E Carlos Rodriguez-Merchan, Leonard A Valentino
Aug 27, 2016·Haemophilia : the Official Journal of the World Federation of Hemophilia·S M J MortazaviG Toogeh
Nov 5, 2016·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Lukas ErnstbrunnerSandro F Fucentese
Jul 5, 2017·Journal of Clinical Medicine·Daniela MelchiorreMarco Matucci-Cerinic
Sep 30, 2017·The American Journal of Sports Medicine·Cheol Hee ParkSang Jun Song

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Citations

Apr 2, 2019·Expert Review of Hematology·E Carlos Rodriguez-Merchan
Aug 9, 2020·The American Journal of Sports Medicine·Sang Jun SongCheol Hee Park

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