Evaluation of Changes in the Tibiotalar joint after High Tibial Osteotomy | ||
The Archives of Bone and Joint Surgery | ||
مقاله 5، دوره 5، شماره 3، مرداد 2017، صفحه 149-152 اصل مقاله (528.46 K) | ||
نوع مقاله: RESEARCH PAPER | ||
شناسه دیجیتال (DOI): 10.22038/abjs.2017.8430 | ||
نویسندگان | ||
Seyed Morteza Kazemi1؛ Mohamad Qoreishi* 1؛ Ehsan Behboudi2؛ Alireza Manafi2؛ Seyed Kamyar Kazemi3 | ||
1Bone Joint and Related Tissues Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran | ||
2Shahid Beheshti University of Medical Sciences, Tehran, Iran | ||
3Undergraduate program in Mathematics university of California Irvine, California, USA | ||
چکیده | ||
Background: There are limited studies regarding the effects of high tibial osteotomy (HTO) on other areas of lower extremity. In current study, we investigated the changes of tibiotalar joint following HTO. Methods: A total of 39 patients with genu varum requiring HTO were enrolled in this before and after study. The genu varus, joint diversion (JDA), lateral distal tibial (LDTA) and lateral distal tibial-ground surface (LDT-GSA) angles were measured before the operation and compared with 6 months after the surgery. Results: Twenty threeout of39 patients (59%) were females. The genu varus angle decreased significantly (130±1.70versus 0.60±10). No significant changes were seen in JDA (P=0.45) and LDTA (P=0.071). LDT-GSA changed significantly (P=0.011) from 8.10±10 in varus to -0.30±0.50 in valgus. Conclusion: Although HTO did not change the JDA and LDTA, however, significant change in LDT-GSAindicates that HTO can significantly decrease the shearing forces exerted on the ankle joint. | ||
کلیدواژهها | ||
ankle joint؛ genu varum؛ High tibial osteotomy؛ lateral distal tibial angle؛ lower extremity؛ joint diversion angle؛ Tibiotalar joint | ||
مراجع | ||
1. Kazemi SM, Minaei R, Safdari F, Keipourfard A, Forghani R, Mirzapourshafiei A. Supracondylar osteotomy in valgus knee: angle blade plate versus locking compression plate. Arch Bone Jt Surg. 2016; 4(1):29-34. 2. Issın A, Sahin V, Koçkara N, Gürsu SS, Kurtuldu A, Yıldırım T. Is proximal tibia the major problem in varus gonarthrosis? Evaluation of femur and ankle. Eklem Hastalik Cerrahisi. 2012; 23(3):128-33. 3. Madadi F, Eajazi A, Madadi F, Daftari Besheli L, Rokni R, Abbasian MR, et al. Clinical results of reversed V-shaped high tibial corticotomy with minimally invasive surgery without internal fixation devices. Orthopedics. 2010; 33(6):388-92. 4. Baumgarten KM, Meyers KN, Fealy S, Wright TM, Wickiewicz TL. The coronal plane high tibial osteotomy. Part II: a comparison of axial rotation with the opening wedge high tibial osteotomy. HSS J. 2007; 3(2):155-8. 5. Kendoff D, Lo D, Goleski P, Warkentine B, O’Loughlin PF, Pearle AD. Open wedge tibial osteotomies influence on axial rotation and tibial slope. Knee Surg Sports Traumatol Arthrosc. 2008; 16(10):904-10. 6. Puddu G, Cipolla M, Cerullo G, Franco V, Giannì E. Which osteotomy for a valgus knee? Int Orthop. 2010; 34(2):239-47. 7. Dowd GS, Somayaji HS, Uthukuri M. High tibial osteotomy for medial compartment osteoarthritis. Knee. 2006; 13(2):87-92. 8. Saragaglia D, Mercier N, Colle PE. Computer-assisted osteotomies for genu varum deformity: which osteotomy for which varus? Int Orthop. 2010; 34(2):185-90. 9. Nelissen EM, van Langelaan EJ, Nelissen RG. Stability of medial opening wedge high tibial osteotomy: a failure analysis. Int Orthop. 2010; 34(2):217-23. 10. Tunggal JA, Higgins GA, Waddell JP. Complications of closing wedge high tibial osteotomy. Int Orthop. 2010; 34(2):255-61. 11. Watanabe K, Tsuchiya H, Matsubara H, Kitano S, Tomita K. Revision high tibial osteotomy with the Taylor spatial frame for failed opening-wedge high tibial osteotomy. J Orthop Sci. 2008; 13(2):145-9. 12. Weidenhielm L, Svensson OK, Broström LÅ . Change of adduction moment about the hip, knee and ankle joints after high tibial osteotomy in osteoarthrosis of the knee. Clin Biomech (Bristol, Avon). 1992; 7(3):177-80. 13. Tarr RR, Resnick CT, Wagner KS, Sarmiento A. Changes in tibiotalar joint contact areas following experimentally induced tibial angular deformities. Clin Orthop Relat Res. 1985; 3(199):72-80. 14. Takeuchi R, Saito T, Koshino T. Clinical results of a valgus high tibial osteotomy for the treatment of osteoarthritis of the knee and the ipsilateral ankle. Knee. 2008; 15(3):196-200. 15. Tallroth K, Harilainen A, Kerttula L, Sayed R. Ankle osteoarthritis is associated with knee osteoarthritis. Conclusions based on mechanical axis radiographs. Arch Orthop Trauma Surg. 2008; 128(6):555-60. | ||
آمار تعداد مشاهده مقاله: 981 تعداد دریافت فایل اصل مقاله: 1,207 |