Abstract：
PURPOSE:The purpose of this study was to clarify the indication for opening wedge high tibial osteotomy (OWHTO) in terms of lower limb alignment to achieve satisfactory clinical results. METHODS:Ninety-two patients (98 knees) with medial compartment knee osteoarthritis were investigated in this study. The average follow-up period was 34 months (range, 24-68 months). The average age of the patients at the time of surgery was 63 years (range, 41-77 years). RESULTS:The patients were divided into the following two groups according to the preoperative femorotibial angle (FTA) on anteroposterior full-length radiographs of the lower limbs while weight bearing: 29 knees with a preoperative FTA of ≥185° were defined as those with severe varus (S group), and the remaining 69 knees with a preoperative FTA of <185° were defined as those with mild varus (M group). Knees with a postoperative FTA of >175° were defined as undercorrected. The Lysholm score was used to assess the clinical results. The average postoperative FTA was 175.7° ± 4.1° in the S group and 174.6° ± 3.1° in the M group ( p = 0.013). Significantly, more undercorrected knees were observed in the S than M group ( p = 0.00035). The postoperative Lysholm score was 85.6 ± 8.5 in the S group and 88.5 ± 5.7 in the M group at the last follow-up ( p = 0.0033). CONCLUSION:Based on these results, we recommend that a preoperative FTA of <185° should be included as a criterion for OWHTO alone.
journal_name
J Orthop Surg (Hong Kong)journal_title
Journal of orthopaedic surgery (Hong Kong)authors
Kamada S,Shiota E,Saeki K,Kiyama T,Maeyama A,Yamamoto Tdoi
10.1177/2309499019846660subject
Has Abstractpub_date
2019-05-01 00:00:00pages
2309499019846660issue
2eissn
1022-5536issn
2309-4990journal_volume
27pub_type
杂志文章abstract：PURPOSE:To review the outcome of acetabular revision with bone grafting and cementation for aseptic loosening after primary Charnley low-friction hip arthroplasty with structural bulk autografts in 15 patients. METHODS:Records were reviewed for 3 men and 12 women aged 31 to 72 (mean, 53) years who underwent acetabular...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/1602400311
更新日期：2016-12-01 00:00:00
abstract：PURPOSE:This study is performed to identify risk factors for delirium in osteoporotic hip fractures and to evaluate the hospitalization cost and clinical outcomes of delirium in osteoporotic hip. METHODS:A total of 221 patients with osteoporotic hip fractures were assessed for eligibility between 2010 and 2014. Among ...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/2309499017739485
更新日期：2017-09-01 00:00:00
abstract：PURPOSE:To assess the clinical results of pelvic reconstruction using a saddle prosthesis following limb salvage operation for periacetabular tumour. METHODS:12 patients with sarcoma and 4 with metastasis involving the pelvis were treated using the saddle prosthesis between 1995 and 2003 inclusive. Wide pelvic resecti...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949900601400210
更新日期：2006-08-01 00:00:00
abstract：PURPOSE:To compare quality of life, knee function, and physical activity in 33 elderly women with or without early-stage knee osteoarthritis (OA). METHODS:33 Japanese elderly women (mean age, 66 years) with (n=18) or without (n=15) early-stage knee OA symptoms (knee pain and decreased range of motion [ROM]) were recru...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949901001800107
更新日期：2010-04-01 00:00:00
abstract：BACKGROUND:Juvenile hallux valgus (JHV) frequently results in an impaired quality of life because of pain and deformity. We used a validated clinical score to investigate the efficacy of lateral hemiepiphysiodesis of the first metatarsal base as a treatment for JHV. METHODS:We conducted a prospective, nonrandomized, s...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 临床试验,杂志文章
doi：10.1177/2309499018801135
更新日期：2018-05-01 00:00:00
abstract：PURPOSE:Global sagittal spinal alignment undergoes changes on the basis of sagittal malalignment (trunk inclined forward) in natural degenerative progression. We hypothesized that this change would associate with the disease state of the degenerative lumbar spondylolisthesis (DS). This study aimed to evaluate the globa...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/2309499019885190
更新日期：2019-09-01 00:00:00
abstract：PURPOSE:To report the clinical, functional, and magnetic resonance imaging (MRI)-based outcomes of a novel autologous-made matrix consisting of hyaline cartilage chips combined with mixed plasma poor rich in platelets clot and plasma rich in growth factors (PRGF) for the treatment of knee full-thickness cartilage or os...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/2309499019887547
更新日期：2020-01-01 00:00:00
abstract：INTRODUCTION:Hyalofast grafting with microfracture is a new minimally invasive treatment method being proposed for joint cartilage defects. This study was done to measure the clinical efficacy of Hyalofast grafting after microfractures. METHODS:Forty-six patients were assessed for knee function using knee injury and o...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/2309499020905158
更新日期：2020-01-01 00:00:00
abstract：PURPOSE:To report outcomes in 6 patients with the terrible triad of the elbow treated with our modified protocol. METHODS:6 men aged 26 to 54 years underwent surgery for the terrible triad of the elbow by a single surgeon. All the patients had a displaced comminuted fracture of the radius, posterior dislocation of the...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949900901700108
更新日期：2009-04-01 00:00:00
abstract：PURPOSE:To assess mortality, disability, and health-related quality of life (HRQL) in patients surgically treated for spondylodiscitis. METHODS:A retrospective longitudinal study was conducted on all patients surgically treated for spondylodiscitis over a 6-year period at a single tertiary spine center. Indications fo...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/2309499017716068
更新日期：2017-05-01 00:00:00
abstract：:Tophaceous pseudogout in the knee joint is rare. We report an 82-year-old man who presented with a one-year history of pain and swelling of the right knee joint. Treatment with non-steroidal anti-inflammatory drugs and aspiration of the joint effusion had not been effective. The mass continued to enlarge, and the pati...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949901001800127
更新日期：2010-04-01 00:00:00
abstract：PURPOSE:To review the long-term results of 14 cases of histopathologically confirmed schwannoma of the hand and wrist treated with intracapsular tumour removal. METHODS:All operations were performed under loupe magnification and microsurgical dissection, and the tumour was removed after capsular (including endoneurium...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章,评审
doi：10.1177/230949900501300309
更新日期：2005-12-01 00:00:00
abstract：:PURPOSE. To compare the rates of joint hypermobility in patients with and without anterior cruciate ligament (ACL) injury. METHODS. Records of 135 men and 75 women (mean age, 24.6 years) who underwent ACL reconstructions were reviewed and compared with 55 male and 35 female controls with no knee injury. Joint hypermob...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949901302100213
更新日期：2013-08-01 00:00:00
abstract：PURPOSE:Expandable endoprosthesis allows limb salvage in children with an option to leading a better life. However, the revision rate and implant-related complications impose as a limitation in the skeletal immature. This study investigates the functional outcomes and complications related to expandable endoprosthesis ...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/2309499019850313
更新日期：2019-05-01 00:00:00
abstract：PURPOSE:Sacral insufficiency fractures (SIFs) can cause severe lower back pain and immobility, which have limited therapeutic options. No previous studies have compared clinical outcomes and radiographic findings of sacroplasty with or without balloon assistance for the treatment of SIFs. METHODS:Forty-five patients w...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/2309499018782575
更新日期：2018-05-01 00:00:00
abstract：PURPOSE:To evaluate the intra- and inter-observer reproducibility of the Gartland radiographic classification for supracondylar humeral fractures in children. METHODS:Anteroposterior and lateral radiographs of 50 supracondylar humeral fractures in children were graded on 2 separate occasions by 4 orthopaedic surgeons ...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949900701500104
更新日期：2007-04-01 00:00:00
abstract：:An 84-year-old man who was receiving oral anticoagulation therapy presented with complete lumbar plexus palsy caused by a massive psoas haematoma. Conservative treatment rather than drainage of the haematoma was undertaken, because of the risk of bleeding complications and mortality. At the one-year follow-up, the pat...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949901202000119
更新日期：2012-04-01 00:00:00
abstract：:We report on a 30-year-old haemophilic man with a pelvic pseudotumour compressing adjacent structures causing pain and swelling and destruction of surrounding soft tissues and bones. He underwent evacuation of the pseudotumour, acetabular reconstruction using the Harrington procedure, and total hip arthroplasty. ...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949901402200232
更新日期：2014-08-01 00:00:00
abstract：PURPOSE:To determine risk factors of venous thromboembolism (VTE) in Indian patients undergoing surgery for pelvic-acetabular fractures. METHODS:48 men and 8 women aged 17 to 61 (mean, 36) years who underwent open reduction and internal fixation for pelvic-acetabular fractures were evaluated for VTE in the postoperati...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949901101900105
更新日期：2011-04-01 00:00:00
abstract：:We conducted a study on dried cadaveric pelvic bones to determine the relation between acetabular diameter and thickness of the acetabular wall. The acetabulum was divided into four quadrants: antero-superior, postero-superior, postero-inferior, and antero-inferior. The diameters of the acetabulum were measured for 15...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949900201000108
更新日期：2002-06-01 00:00:00
abstract：BACKGROUND:First metatarsophalangeal joint (MTPJ) arthrodesis is a common treatment modality for hallux rigidus with successful outcomes. However, the effect of arthrodesis on flexor digitorum longus (FDL) is poorly understood. The purpose of this study was to investigate this effect in a biomechanical model. METHODS:...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/2309499019826325
更新日期：2019-01-01 00:00:00
abstract：PURPOSE:To evaluate 12 patients with delayed or nonunion of bones treated with bone marrow injections. METHODS:6 men and 6 women aged 15 to 70 (mean, 45) years underwent bone marrow injections for delayed union (n=2) or atrophic non-union (n=10) of the ulna (n=6), femur (n=3), humerus (n=2), or metacarpal (n=1). Bone ...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949901302100116
更新日期：2013-04-01 00:00:00
abstract：:Acetabular wedge augmentation is a useful technique and is recommended in situations where cup revision is likely to be excessively difficult. Numerous augmentation designs that improve the stability of the hip are now available in the market. Occasionally, however, these devices are not readily available, particularl...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949900501300221
更新日期：2005-08-01 00:00:00
abstract：:Cervical endoscopic spinal surgery (CESS) is now regularly performed in some centres in the Far East, yet rarely in Europe and the United States. This review describes the application of CESS through anterior and posterior approaches with analysis of the available evidence supporting current techniques. An electronic ...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章,评审
doi：10.1177/2309499018758520
更新日期：2018-01-01 00:00:00
abstract：:Rhinosporidiosis is a chronic granulomatous fungal disease caused by Rhinosporidiosis seeberi. It usually affects the mucocutaneous tissue of the nose; bone involvement is rare. We report the clinical features, diagnosis, and management of rhinosporidiosis involving the face, forehead, and right foot. As antimicrobial...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949900801600123
更新日期：2008-04-01 00:00:00
abstract：:We report a 20-year-old man who sustained lumbar fractures involving 5 vertebrae following a road traffic accident. He was initially treated non-operatively to allow multiple pedicles to heal. He developed post-traumatic kyphosis for which corrective osteotomy and posterior spinal instrumented fusion was performed. He...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949901101900329
更新日期：2011-12-01 00:00:00
abstract：PURPOSE:Interleukin 6 (IL-6) and the acute phase C-reactive protein (CRP) blood concentrations after lumbar spine fusion may be affected by age. The purpose of this prospective observational study was to assess postoperative serum levels of pro-inflammatory IL-6 and CRP after instrumented lumbar spine fusion surgery. W...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/2309499019826406
更新日期：2019-01-01 00:00:00
abstract：PURPOSE:This study compared the results of a culture method using sonication with those yielded by the conventional culture method, for patients with infected total knee arthroplasty (TKA). We also evaluated the usefulness of sonication for the identification of pathogens in infected TKA cases. METHODS:Isolates were c...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/2309499019832417
更新日期：2019-01-01 00:00:00
abstract：PURPOSE:To review medium-term results of 49 consecutive patients who underwent Oxford phase-3 medial unicompartmental knee arthroplasty by a single surgeon. METHODS:Records of 28 women (mean age, 71 years) and 21 men (mean age, 68 years) who underwent minimally invasive Oxford phase-3 medial unicompartmental knee arth...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949901202000204
更新日期：2012-08-01 00:00:00
abstract：:We report 2 adult cases where the diagnosis of acute plastic bowing of the forearm was either delayed or missed. In a 21-year-old man, ulnar bowing was missed and fixation was not performed because the patient had no limitation to his range of movement or pain. In a 24-year-old woman, the presentation of bowing in bot...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949900801600222
更新日期：2008-08-01 00:00:00
