Infratuberositary slope‐decreasing anterior closed wedge proximal tibial osteotomy is safe and shows rapid bone healing
Rattachement africain : de, fr. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
PURPOSE: Different techniques of slope-decreasing anterior closed-wedge proximal tibial osteotomy (ACW-PTO) have been described. To determine the peri- and post-operative complication rate and obtain data on bone healing in ACW-PTO with an infratuberositary approach. METHODS: A total of 170 consecutive ACW-PTO of two sports-orthopaedic centres were retrospectively evaluated (97 and 73, respectively). Routine follow-up was performed after 6 weeks and was available in 166 cases (97.7%). Medical charts and x-rays of these cases were reviewed with regard to technique-specific complications. Lateral x-rays (n = 155) at 6 weeks post-operatively were evaluated with regard to bone healing (completely healed, partially healed or with no or delayed signs of bone healing). A multivariate binary logistic regression was performed to detect factors that influence bone healing. RESULTS: There was one case with haematoma and superficial wound-healing problems after 5 weeks with progression to a deep wound infection and revision surgery (plate exchange) at 11 weeks after the index surgery. One case with delayed bone healing was treated with plate exchange combined with revision anterior cruciate ligament reconstruction after 4 months. The further course of both cases was uneventful. No other complications were observed. Therefore, the overall complication rate was 1.2% (2 out of 166). Radiologic evaluation at 6 weeks showed complete healing in 104 cases (67.1%), partial healing in 50 cases (32.3%) and delayed healing only in the aforementioned case (0.6%), respectively. All cases of partial healing showed complete healing at 12 weeks. In regression analysis, a completely closed osteotomy (odds ratio [OR] = 3.5, p = 0.003) and compression of the osteotomy (OR = 2.5, p = 0.026) were significantly associated with complete bone healing at 6 weeks. CONCLUSIONS: ACW-PTO using an infratuberositary approach is very safe with regard to complication rate and shows rapid bone healing. The osteotomy should be completely closed and compression should be applied for optimal bone healing. STUDY DESIGN: Case series with pooled data of two centres. LEVEL OF EVIDENCE: Level 4.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Infratuberositary slope‐decreasing anterior closed wedge proximal tibial osteotomy is safe and shows rapid bone healing
- Date Crossref
- 15/12/2024
- Éditeur
- Wiley
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
-
German Knee Society pays non établi dans la noticeInstitution
-
Nuremberg Hospital pays non établi dans la noticeÉtablissement de santé
-
Agaplesion Markus Hospital pays non établi dans la noticeÉtablissement de santé
-
Sozialstiftung Bamberg pays non établi dans la noticeÉtablissement de santé
-
Hôpital Pasteur pays non établi dans la noticeÉtablissement de santé
-
Friedrich-Alexander-Universität Erlangen-Nürnberg pays non établi dans la noticeUniversité ou école supérieure
-
Universitätsklinikum Erlangen pays non établi dans la noticeÉtablissement de santé
-
Klinikum Nuremberg Paracelsus Medical University Nuremberg Germany Department of Orthopedics and Traumatology pays non établi dans la noticeUniversité ou école supérieure
-
Orthopedic Hospital Markgroeningen pays non établi dans la noticeÉtablissement de santé
-
Department of Orthopedics and Traumatology Klinikum Bamberg Bamberg Germany pays non établi dans la noticeInstitution
-
iULS‐University Institute for Locomotion and Sports pays non établi dans la noticeUniversité ou école supérieure
-
Department of Trauma and Orthopedic Surgery University Hospital Erlangen pays non établi dans la noticeUniversité ou école supérieure
German Knee Society, Nuremberg Hospital et Agaplesion Markus Hospital, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.