Staple versus locking compression plate fixation after lateral closing wedge high tibial osteotomy

Journal of Orthopaedic Surgery
S Agarwala, S B Shah

Abstract

To compare the results of staple versus locking compression plate fixation after closing wedge high tibial osteotomy. A group of 23 patients (24 knees) who underwent box high tibial osteotomy and staple fixation was compared with another group of 19 patients (22 knees) who underwent a similar procedure but with locking compression plate fixation. Both groups were followed up for 3 years. The range of movement, Hospital for Special Surgery (HSS) Knee Score, time to full weight bearing, incidence of delayed union, femorotibial angle, and stage of osteoarthritis were compared. At 6 months after the operation, the median HSS score and the proportion of patients with excellent or good scores were significantly higher in the locking compression plate than the staple fixation group (76 vs 62, p=0.003; 75% vs 42%, p=0.0354), but not at one and 3 years. The range of movement was significantly greater in the locking compression plate fixation group in the short term (6 weeks, 3 and 6 months), but not after one year. The median time to full weight bearing was significantly shorter in the locking compression plate fixation group (86 vs 116 days, p<0.001). There were fewer delayed unions in the locking compression plate fixation group but n...Continue Reading

References

Dec 29, 2000·Clinical Orthopaedics and Related Research·T MajimaK Kaneda

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Citations

Aug 2, 2017·Veterinary and Comparative Orthopaedics and Traumatology : V.C.O.T·Alen LaiWilliam R Walsh

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