Abstract:
:Background and purpose - Patients having a total knee arthroplasty (TKA) after a previous high tibial osteotomy (HTO) constitute a minor group among those undergoing primary TKA for knee osteoarthritis (OA). There have been few reports on whether such patients differ pre- and postoperatively from those who undergo TKA as the first measure. We evaluated patient characteristics, knee-related pain, function, quality of life, and general health before and 1 year after TKA surgery in these 2 groups of patients. Patients and methods - We included 119 HTOs that were operated on for knee OA in the Skåne region, Sweden, in the period1998-2007 and that had been converted to a TKA during 2009-2013 (the C group). We also included 5,013 primary TKAs performed for knee OA in the same region, during the same period, and in patients of the same age range (42-82 years) (the P group). The patients were evaluated with the Knee Injury and Osteoarthritis Outcome Score (KOOS) and the EQ-VAS preoperatively and 1 year after the TKA surgery, when they were also asked about their satisfaction with the surgery. Case-mix variables available were Charnley category, American Society of Anesthesiologists (ASA) classification, sex, age, and body mass index (BMI). Results - Most of the HTOs were performed using open-wedge osteotomy with external fixation (81 of 119). Compared to the P group, the patients in the C group were more often men, were younger, and were healthier (according to the ASA classification). With respect to pre- and postoperative knee-related pain, function, quality of life, and general health, the 2 groups had similar mean values without any statistically significant differences. A similar proportion of patients in the 2 groups were satisfied with the surgery 1 year postoperatively (82% vs. 80%). Interpretation - Our findings indicate that HTO is a reasonable alternative for delaying TKA surgery in younger and/or physically active OA patients.
journal_name
Acta Orthopjournal_title
Acta orthopaedicaauthors
W-Dahl A,Robertsson Odoi
10.1080/17453674.2016.1195663subject
Has Abstractpub_date
2016-08-01 00:00:00pages
395-400issue
4eissn
1745-3674issn
1745-3682journal_volume
87pub_type
杂志文章abstract::Background and purpose - Larger prospective studies investigating periacetabular osteotomy (PAO) with patient-reported outcome measures developed for young patients are lacking. We investigated changes in patient-reported outcome (PRO), changes in muscle-tendon pain, and any associations between them from before to 1 ...
journal_title:Acta orthopaedica
pub_type: 杂志文章
doi:10.1080/17453674.2018.1555637
更新日期:2019-02-01 00:00:00
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journal_title:Acta orthopaedica
pub_type: 杂志文章
doi:10.3109/17453670903389782
更新日期:2009-10-01 00:00:00
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journal_title:Acta orthopaedica
pub_type: 杂志文章
doi:10.3109/17453674.2014.889981
更新日期:2014-04-01 00:00:00
abstract:BACKGROUND AND PURPOSE:There are limited population-based data on utilization, outcomes, and trends in total knee arthroplasty (TKA). The purpose of this study was to examine TKA utilization and short-term outcomes in a pre-paid health maintenance organization (HMO), and to determine whether rates and revision burden c...
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pub_type: 杂志文章
doi:10.1080/17453670810016902
更新日期:2008-12-01 00:00:00
abstract::Background and purpose - Early postoperative mortality is relatively high after total hip arthroplasty (THA) that has been performed due to femoral neck fracture. However, this has rarely been investigated after adjustment for medical comorbidity and comparison with the mortality in an age-matched population. We there...
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pub_type: 杂志文章,多中心研究
doi:10.1080/17453674.2016.1234869
更新日期:2016-12-01 00:00:00
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journal_title:Acta orthopaedica
pub_type: 杂志文章,评审
doi:10.1080/17453674.2017.1368899
更新日期:2017-12-01 00:00:00
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journal_title:Acta orthopaedica
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更新日期:2007-12-01 00:00:00
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journal_title:Acta orthopaedica
pub_type: 评论,杂志文章
doi:10.3109/17453674.2016.1166876
更新日期:2016-06-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Problems during knee extension, due to kinematic alterations, are not uncommon after total knee arthroplasty. Hinged prostheses provide higher stability than non-hinged designs and may minimize these alterations. Thus, in this in vitro study we investigated the quadriceps force required to extend...
journal_title:Acta orthopaedica
pub_type: 杂志文章
doi:10.1080/17453670710014734
更新日期:2008-02-01 00:00:00
abstract:BACKGROUND:Laboratory tests and early clinical studies have shown that highly cross-linked polyethylene (PE) markedly improves wear resistance compared to conventional PE. We evaluated this type of PE in two randomized clinical studies using radiostereometric analysis (RSA). The 2- and 3-year follow-up of these studies...
journal_title:Acta orthopaedica
pub_type: 杂志文章,随机对照试验
doi:10.1080/17453670710014518
更新日期:2007-12-01 00:00:00
abstract::Background and purpose - The uncemented Symax hip stem has shown early proximal ingrowth as result of the BONIT-hydroxyapatite (HA) coating and the distal DOTIZE surface treatment. We evaluated 2-year postoperative radiostereometric analysis (RSA) migration of the Symax hip stem in THA patients. We also investigated t...
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pub_type: 杂志文章,随机对照试验
doi:10.1080/17453674.2019.1709956
更新日期:2020-04-01 00:00:00
abstract::Background and purpose - Virtual reality simulation of hip fracture surgery is available for orthopedic residents nationwide in Denmark. Summative assessment of learning applying the learning curve cumulative summation test (LC-CUSUM) has not been utilized in orthopedic simulation training. The strength of the LC-CUSU...
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pub_type: 杂志文章
doi:10.1080/17453674.2020.1777511
更新日期:2020-12-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2008-06-01 00:00:00
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journal_title:Acta orthopaedica
pub_type: 杂志文章
doi:10.1080/17453670710015562
更新日期:2008-08-01 00:00:00
abstract::Background and purpose - Impaction bone grafting (IBG) is an established method in hip revision surgery to reconstruct loss of bone stock. There is limited knowledge concerning the actual bone remodelling process within the allograft. We investigated with repeated bone mineral density (BMD) measurements the biological...
journal_title:Acta orthopaedica
pub_type: 杂志文章
doi:10.1080/17453674.2018.1460776
更新日期:2018-06-01 00:00:00
abstract:BACKGROUND:The mechanism of failure of metal-on-metal (MoM) total hip arthroplasty (THA) has been related to a high rate of metal wear debris, which is partly generated from the head-trunnion interface. However, it is not known whether implant fixation is affected by metal wear debris. PATIENTS AND METHODS:49 cases of...
journal_title:Acta orthopaedica
pub_type: 杂志文章
doi:10.3109/17453674.2014.922731
更新日期:2014-08-01 00:00:00
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pub_type: 杂志文章
doi:10.1080/17453674.2019.1643632
更新日期:2019-12-01 00:00:00
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journal_title:Acta orthopaedica
pub_type: 杂志文章
doi:10.1080/17453674.2019.1624336
更新日期:2019-10-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2006-02-01 00:00:00
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pub_type: 杂志文章
doi:10.1080/17453674.2017.1376526
更新日期:2018-02-01 00:00:00
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journal_title:Acta orthopaedica
pub_type: 杂志文章,随机对照试验
doi:10.3109/17453674.2012.747053
更新日期:2012-12-01 00:00:00
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journal_title:Acta orthopaedica
pub_type: 杂志文章
doi:10.3109/17453674.2015.1128781
更新日期:2016-01-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Extracorporeal shock wave treatment has been used successfully for the treatment of avascular necrosis of the femoral head. The pathway of biological events by which this is accomplished has not been fully elucidated. BMP-2 is a key mediator of bone development and repair, and is uniquely require...
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pub_type: 杂志文章
doi:10.1080/17453670710014833
更新日期:2008-02-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Instrumented 3-D gait analyses (GA) in children with cerebral palsy (CP) have shown improved gait function 1 year postoperatively. Using GA, we assessed the outcome after 5 years and evaluated parental satisfaction with the surgery and the need for additional surgery. PATIENTS AND METHODS:34 amb...
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pub_type: 杂志文章
doi:10.3109/17453674.2015.1011927
更新日期:2015-01-01 00:00:00
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journal_title:Acta orthopaedica
pub_type: 杂志文章
doi:10.1080/17453670710015463
更新日期:2008-08-01 00:00:00
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journal_title:Acta orthopaedica
pub_type: 杂志文章
doi:10.1080/17453670510045372
更新日期:2005-12-01 00:00:00
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journal_title:Acta orthopaedica
pub_type: 杂志文章
doi:10.3109/17453674.2010.501747
更新日期:2010-08-01 00:00:00
abstract::Background and purpose - Patient-specific instrumentation (PSI) for total knee arthroplasty (TKA) has been introduced to improve alignment and reduce outliers, increase efficiency, and reduce operation time. In order to improve our understanding of the outcomes of patient-specific instrumentation, we conducted a meta-...
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pub_type: 杂志文章,评审
doi:10.1080/17453674.2016.1193799
更新日期:2016-08-01 00:00:00