Simoultaneous bilateral medial opening wedge high tibial osteotomy can be performed safely and effectively without bone grafting: analysis of a monocentric retrospective series.
| Title: | Simoultaneous bilateral medial opening wedge high tibial osteotomy can be performed safely and effectively without bone grafting: analysis of a monocentric retrospective series. |
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| Authors: | Screpis D; IRCCS Ospedale Sacro Cuore-Don Calabria; Viale Luigi Rizzardi 4, Negrar, VR, Italia.; Baldini M; Clinica Ortopedica dell'adulto e pediatrica, Università Politecnica delle Marche, Via Tronto 10/A, Ancona, AN, Italia. Baldini.m93@gmail.com.; AST Pesaro UrbinoOspedale San Salvatore Pesaro, Piazzale Cinelli 4, Pesaro, PU, Marche, Italy. Baldini.m93@gmail.com.; Piovan G; IRCCS Ospedale Sacro Cuore-Don Calabria; Viale Luigi Rizzardi 4, Negrar, VR, Italia.; Santamaria F; Clinica Ortopedica dell'adulto e pediatrica, Università Politecnica delle Marche, Via Tronto 10/A, Ancona, AN, Italia.; Iacono V; IRCCS Ospedale Sacro Cuore-Don Calabria; Viale Luigi Rizzardi 4, Negrar, VR, Italia.; Gigante A; Clinica Ortopedica dell'adulto e pediatrica, Università Politecnica delle Marche, Via Tronto 10/A, Ancona, AN, Italia.; Zorzi C; IRCCS Ospedale Sacro Cuore-Don Calabria; Viale Luigi Rizzardi 4, Negrar, VR, Italia. |
| Source: | BMC musculoskeletal disorders [BMC Musculoskelet Disord] 2024 Dec 19; Vol. 25 (1), pp. 1035. Date of Electronic Publication: 2024 Dec 19. |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: BioMed Central Country of Publication: England NLM ID: 100968565 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2474 (Electronic) Linking ISSN: 14712474 NLM ISO Abbreviation: BMC Musculoskelet Disord Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: London : BioMed Central, [2000- |
| MeSH Terms: | Osteotomy*/methods ; Osteotomy*/adverse effects ; Tibia*/surgery ; Tibia*/diagnostic imaging ; Osteoarthritis, Knee*/surgery; Knee Joint/surgery ; Knee Joint/diagnostic imaging ; Knee Joint/physiopathology ; Bone Transplantation/methods ; Humans ; Retrospective Studies ; Male ; Female ; Middle Aged ; Treatment Outcome ; Aged ; Patient Satisfaction ; Bone Plates ; Adult ; Follow-Up Studies |
| Abstract: | Background: Simultaneous bilateral high tibial osteotomy (SBHTO) is a potential solution to treat bilateral medial osteoarthritis (OA) associated with tibial varus deformity. Concerns on the potential problems related to bone healing exists, and most of the surgeon performing SBHTO use bone void filler as associated procedure. This paper aim to evaluate safety and efficacy of SBHTO using locking plate, autologous cancellous bone mobilization and no bone void filler with immediate weight bearing at tolerance protocol.; Methods: Consecutive patients performing primary SBHTO between January 2019 and December 2022 were retrospectively evaluated. Functional and pain score, subjective satisfaction and complications were noted at 2, 3, 6 months and final follow up, with a minimum of 12 months.; Results: A total of 40 patients (80 knees) were included. Mean correction for each limb was 8.67° ± 2.24°. No patients presented with major complications. Pain was reduced but activity level worsened 2 months after surgery. All pain and functional scores improved significantly from months 3 up to final follow up. 95% of patients reported to be subjectively satisfied with surgery.; Conclusions: This paper showed that SBHTO can be performed safely and with good results without bone grafting the osteotomy gap, even for correction up to 12°. Pain improved already 2 months after surgery, while activity level and function start to improve at 3 months after surgery.; Level of Evidence: IV.; (© 2024. The Author(s).) |
| Competing Interests: | Declarations. Ethics approval and consent to participate: All patients gave informed consent to the use of their anonymized clinical data for the purpose of this research, according to the declaration of Helsinki. IRB of IRCCS Sacro Cuore Don Calabria gave approval to the treatment of personal data for the purpose of this research paper. (Unità per la Ricerca Clinica, IRCCS Sacro Cuore – Don Calabria, Piano Terra – Ex Palazzina, Ufficio Tecnico, Via Don A. Sempreboni, 5, 37024 Negrar di Valpolicella (VR)) Consent for publication: Not applicable. Competing interests: The authors declare no competing interests. |
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| Contributed Indexing: | Keywords: Bone healing; High tibial osteotomy; Medial knee osteoarthritis; Tibial varus |
| Entry Date(s): | Date Created: 20241220 Date Completed: 20241220 Latest Revision: 20250104 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC11660864 |
| DOI: | 10.1186/s12891-024-08022-8 |
| PMID: | 39702037 |
| Database: | MEDLINE |
Journal Article