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Safdari, Mohammadreza, Dastjerdi, Ali, Makhmalbaf, Nahid, Makhmalbaf, Mahshid, Makhmalbaf, Hadi. (1402). Closing-Wedge and Opening-Wedge High Tibial Osteotomy as Successful Treatments of Symptomatic Medial Osteoarthritis of the Knee: A Randomized Controlled Trial. , 11(6), 421-428. doi: 10.22038/abjs.2023.68944.3253
Mohammadreza Safdari; Ali Dastjerdi; Nahid Makhmalbaf; Mahshid Makhmalbaf; Hadi Makhmalbaf. "Closing-Wedge and Opening-Wedge High Tibial Osteotomy as Successful Treatments of Symptomatic Medial Osteoarthritis of the Knee: A Randomized Controlled Trial". , 11, 6, 1402, 421-428. doi: 10.22038/abjs.2023.68944.3253
Safdari, Mohammadreza, Dastjerdi, Ali, Makhmalbaf, Nahid, Makhmalbaf, Mahshid, Makhmalbaf, Hadi. (1402). 'Closing-Wedge and Opening-Wedge High Tibial Osteotomy as Successful Treatments of Symptomatic Medial Osteoarthritis of the Knee: A Randomized Controlled Trial', , 11(6), pp. 421-428. doi: 10.22038/abjs.2023.68944.3253
Safdari, Mohammadreza, Dastjerdi, Ali, Makhmalbaf, Nahid, Makhmalbaf, Mahshid, Makhmalbaf, Hadi. Closing-Wedge and Opening-Wedge High Tibial Osteotomy as Successful Treatments of Symptomatic Medial Osteoarthritis of the Knee: A Randomized Controlled Trial. , 1402; 11(6): 421-428. doi: 10.22038/abjs.2023.68944.3253

Closing-Wedge and Opening-Wedge High Tibial Osteotomy as Successful Treatments of Symptomatic Medial Osteoarthritis of the Knee: A Randomized Controlled Trial

The Archives of Bone and Joint Surgery
مقاله 7، دوره 11، شماره 6، شهریور 2023، صفحه 421-428    اصل مقاله (727.32 K)
نوع مقاله: RESEARCH PAPER
شناسه دیجیتال (DOI): 10.22038/abjs.2023.68944.3253
نویسندگان
Mohammadreza Safdari1؛ Ali Dastjerdi2؛ Nahid Makhmalbaf2؛ Mahshid Makhmalbaf2؛ Hadi Makhmalbaf* 2
11 Orthopedic Research Center, Mashhad University of Medical Sciences, Mashhad, Iran 2 Department of Orthopedic Surgery, North Khorasan University of Medical Sciences, Bojnurd, Iran
2Orthopedic Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
چکیده
Objectives: Closing-wedge high tibial osteotomy (CWHTO) and opening-wedge high tibial osteotomy (OWHTO) are commonly used osteotomy techniques for the symptomatic knee osteoarthritis treatment. However, there is no consensus on which method provides superior outcomes. In this study, we compared the clinical outcomes, radiologic outcomes, and postoperative complications of these techniques. Methods: In a randomized controlled trial, 76 patients with medial compartment knee osteoarthritis and associated varus malalignment were randomized into the CWHTO and OWHTO groups (n=38). The primary outcome measures were knee function evaluated by Knee Injury and Osteoarthritis Outcome Score (KOOS) and knee pain assessed by a visual analog scale. The secondary outcome measures were posterior tibial slope (PTS), tibial bone varus angle, and postoperative complications. Results: Both techniques significantly improved the clinical and radiologic outcome measures. The mean improvement of total KOOS was not significantly different between the CWHTO and OPHTO groups (P=0.55). Moreover, the improvement in various KOOS subscales was not significantly different between the two groups. The mean improvement of Visual Analogue Scale (VAS) was not significantly different between the CWHTO and OWHTO groups (P=0.89). The mean PTS change was not significantly different between the two groups (P=0.34). The mean improvement of the varus angle was not significantly different between the two groups (P=0.28). The rate of postoperative complications was not remarkably different between the CWHTO and OWHTO groups. Conclusion: Considering no observed superiority of each osteotomy technique over the other one, two techniques could be used interchangeably and based on the surgeon's preference. Level of evidence: I
کلیدواژه‌ها
Closing-wedge؛ High tibial osteotomy؛ Opening-wedge؛ Osteoarthritis
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