Clinical observation of high tibial osteotomy for knee osteoarthritis:10 years follow-up.
10.3969/j.issn.1003-0034.2019.08.006
- Author:
Guang-Rui ZHANG
;
Jin JIANG
;
Jia-Xin LIU
;
Shuan-Hu LEI
;
Xiao-Yi TAN
;
Xiang-Dong YUN
1
,
2
;
Ya-Yi XIA
Author Information
1. Department of Orthopaedics, Lanzhou University Second Hospital, Lanzhou 730030, Gansu, China
2. xiangdongyun@126.com.
- Publication Type:Journal Article
- Keywords:
Osteoarthritis, knee;
Osteotomy;
Tibia
- MeSH:
Adult;
Aged;
Female;
Follow-Up Studies;
Humans;
Knee Joint;
Male;
Middle Aged;
Osteoarthritis, Knee;
surgery;
Osteotomy;
Tibia;
Treatment Outcome
- From:
China Journal of Orthopaedics and Traumatology
2019;32(8):707-711
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To explore long-term following-up clinical effects of lateral closed high tibial osteotomy for the treatment of knee osteoarthritis.
METHODS:Twenty patients with medial unicompartmental knee osteoarthritis were treated with lateral closed high tibial osteotomy and screw fixation from June 2005 to December 2015. Among them, including 17 females and 3 males, aged from 43 to 76 years old with an average of (57.80±8.05) years old. VAS score and KSS score were applied to evaluate recovery degree of pain and function before operation and after operation at 1, 5 and 10 years, and postoperative complications were observed.
RESULTS:Sixteen patients were followed-up, the time ranged from 9 to 11(10.0±0.8) years, 4 patients were loss to follow-up. Preoperative VAS score was 7.88±1.15 and decreased to 3.19±0.91, 3.44±0.96, 3.69±1.20 at 1, 5 and 10 years after operation, and there were statistical differences in VAS score between before and after operation at different time points (<0.05). Clinical score of KSS increased from 61.94±5.74 before opertaion to 75.50±4.62, 80.13±3.97, 77.38±6.40 at 1, 5 and 10 years after operation, and there were statistical differences in clinical score of KSS between before and after operation at different time points(<0.05); functional score of KSS increased from 62.81±13.03 before operation to 77.50±8.56, 81.88±6.55, 76.88±10.78, and there were statistical differences in functional score of KSS between before and after operation at different time points(<0.05). All incisions healed well without complications such as fibula nerve injury and fracture nonunion.
CONCLUSIONS:Lateral closed high tibial osteotomy and screw fixation for knee osteoarthritis could receive good clinical results, stop and delay progress of knee osteoarthritis, and long-term following-up could achieve the same effect as total knee arthroplasty.
