Comparison of radiological features of high tibial osteotomy and tibial condylar valgus osteotomy.

Abstract:

BACKGROUND:The purpose of this study was to compare radiological features between high tibial osteotomy (HTO) and tibial condylar valgus osteotomy (TCVO), in order to define the radiological indication criteria for TCVO. METHODS:Thirty-two cases involving 35 knees that had undergone HTO and the same number that had undergone TCVO for knee osteoarthritis were retrospectively evaluated. Characteristics of both groups did not differ significantly. Lower limb alignment, bone morphology, joint congruity, and joint instability were measured in standing full-length leg and knee radiographs obtained before and after surgery. RESULTS:Radiological features in the TCVO group included greater frequencies of advanced knee OA grade, varus lower limb malalignment, depression of the medial tibial plateau, and varus-valgus joint instability compared to the HTO group before surgery. However, tibial morphology, alignment of the lower limb, and joint instability improved to comparable levels after surgery in both groups. CONCLUSIONS:TCVO appears preferable in cases with advanced knee OA, destroyed or inclined medial tibial plateau, widened and subluxated lateral joint, and high varus-valgus joint instability.

authors

Higuchi T,Koseki H,Yonekura A,Chiba K,Nakazoe Y,Sunagawa S,Noguchi C,Osaki M

doi

10.1186/s12891-019-2764-0

subject

Has Abstract

pub_date

2019-09-04 00:00:00

pages

409

issue

1

issn

1471-2474

pii

10.1186/s12891-019-2764-0

journal_volume

20

pub_type

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