The Effect of Concomitant Arthroscopic Lateral Retinacular Release on Postoperative Patellar Position and Orientation in Open Wedge High Tibial Osteotomy

Knee Surgery & Related Research
Kazuhiro MurayamaToshiya Tachibana

Abstract

The purpose of this study was to evaluate the effect of concomitant arthroscopic lateral release (LR) in open wedge high tibial osteotomy (OWHTO) by comparing the pre- and postoperative radiological parameters of patellar position and orientation. The study was comprised of 19 knees undergoing OWHTO and concomitant LR and 18 knees undergoing OWHTO alone. Radiological parameters for patellar position and orientation included the Caton-Deschamps index (CDI), Blackburne-Peel index (BPI), patellar tilting angle (PTA), patellar lateral shift (PLS), and patellofemoral distance (PFD), which were evaluated in the preoperative period and at one year after surgery. Patellar height was significantly reduced after surgery as indicated by the decrease in BPI (p=0.03) in the OWHTO/LR group, and decrease in CDI (p=0.03) and BPI (p=0.04) in the OWHTO alone group. PTA and PLS were significantly reduced after the combined OWHTO/LR procedure (p=0.04 and p=0.04, respectively). By contrast, no significant changes were detected when isolated OWHTO was performed. OWHTO induced a postoperative decrease in patellar height in both groups. Regarding the change in patellofemoral alignment, concomitant LR in OWHTO significantly decreased lateral patellar t...Continue Reading

References

Nov 1, 1984·The Journal of Bone and Joint Surgery. British Volume·D J Ogilvie-Harris, R W Jackson
Jan 1, 1997·Clinics in Sports Medicine·D H Ford, W R Post
Feb 27, 2001·The Journal of Arthroplasty·B P KaperS J Macdonald
Apr 20, 2004·Osteoarthritis and Cartilage·Charlene M FlahiffLori A Setton
Sep 1, 2005·The Journal of Bone and Joint Surgery. British Volume·R W BrouwerJ A N Verhaar
Dec 7, 2005·Clinical Orthopaedics and Related Research·Nicolaos Ath ChristodoulouAndreas F Mavrogenis
Mar 8, 2007·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Karl StoffelMarkus Kuster
May 8, 2007·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Robert GaasbeekAlbert van Kampen
Sep 2, 2008·The Journal of Bone and Joint Surgery. British Volume·H El-AzabS Hinterwimmer
Mar 11, 2010·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Haruhiko BitoTomoyuki Saito
Aug 3, 2010·The Journal of Bone and Joint Surgery. British Volume·C L PhillipsV Mandalia
Jan 14, 2012·Journal of Orthopaedic Surgery and Research·Jason C H Fan
May 12, 2012·Clinical Orthopaedics and Related Research·Hussein Elkousy
Nov 26, 2015·Journal of Natural Science, Biology, and Medicine·Sanjay AgarwalaPranshu Agrawal

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Citations

Jun 25, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Jae Ang SimByung Hoon Lee
Jan 22, 2019·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Tetsuro IshimatsuWoon-Hwa Jung
Mar 23, 2021·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Joo Sung KimYong Seuk Lee

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