Posteromedial Open-Wedge High Tibial Osteotomy to Avoid Posterior Tibial Slope Increase

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dc.contributor.authorKaya, Huseyin
dc.contributor.authorDastan, Ali Engin
dc.contributor.authorBicer, Elcil Kaya
dc.contributor.authorTaskiran, Emin
dc.date.accessioned2020-12-01T11:57:56Z
dc.date.available2020-12-01T11:57:56Z
dc.date.issued2020
dc.departmentEge Üniversitesien_US
dc.description.abstractPurpose: the primary aim was to evaluate the influence of the surgical modification on posterior tibial slope (PTS) and patellar height in open-wedge high tibial osteotomy (OWHTO). the secondary aim was to evaluate the influence of preoperative mechanical axis deviations (MA) on PTS Methods: Between January 2014 and February 2016, patients with a diagnosis of medial-compartment osteoarthritis who had undergone OWHTO with posteromedial osteotomy technique with a minimum follow-up of 3 months were included in this retrospective study. Preoperative and postoperative PTS angles with 3 different methods and patellar heights with respect to the InsalleSalvati and CatoneDeschamps indices were measured on lateral radiographs by 2 observers. Patients were grouped according to preoperative MA (either <10 degrees or >= 10 degrees). PTS changes were compared between groups Results: Thirty consecutive knees of 28 patients were evaluated. Preoperative mean PTS angles were 9.50 degrees +/- 4.47 degrees (posterior tibial cortex referenced), 11.51 degrees +/- 4.50 degrees (tibial anatomical axis referenced), and 10.80 degrees +/- 4.58 degrees (posterior fibular cortex referenced); postoperative angles were 6.10 degrees +/- 4.23 degrees, 8.78 degrees +/- 4.57 degrees, and 8.11 degrees +/- 4.55 degrees, respectively. PTS was significantly decreased postoperatively with respect to all 3 methods (P <.0001). Mean preoperative and postoperative InsalleSalvati indices were 1.04 +/- 0.16 and 1.07 +/- 0.17, respectively (P 1/4 .088). Mean preoperative and postoperative CatoneDeschamps indices were 0.87 +/- 0.18 and 0.78 +/- 0.18, respectively (P = .017). PTS changes were not statistically significant between groups with respect to MA (P values.861,.723, and.727, respectively) Conclusions:en_US
dc.identifier.doi10.1016/j.arthro.2020.06.024en_US
dc.identifier.endpage2717en_US
dc.identifier.issn0749-8063
dc.identifier.issn1526-3231
dc.identifier.issue10en_US
dc.identifier.pmid32634477en_US
dc.identifier.scopus2-s2.0-85088559234en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage2710en_US
dc.identifier.urihttps://doi.org/10.1016/j.arthro.2020.06.024
dc.identifier.urihttps://hdl.handle.net/11454/61870
dc.identifier.volume36en_US
dc.identifier.wosWOS:000580657000023en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherW B Saunders Co-Elsevier Incen_US
dc.relation.ispartofArthroscopy-The Journal of Arthroscopic and Related Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.titlePosteromedial Open-Wedge High Tibial Osteotomy to Avoid Posterior Tibial Slope Increaseen_US
dc.typeArticleen_US

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