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High Tibial Osteotomy versus Unicompartmental Knee Arthroplasty for Medial Compartment Arthrosis with Kissing Lesions in Relatively Young Patients
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논문 기본 정보

Type
Academic journal
Author
Journal
대한슬관절학회 Knee Surgery and Related Research Knee Surgery and Related Research 제30권 제1호 KCI Accredited Journals
Published
2018.1
Pages
17 - 22 (6page)

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High Tibial Osteotomy versus Unicompartmental Knee Arthroplasty for Medial Compartment Arthrosis with Kissing Lesions in Relatively Young Patients
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Purpose: The purpose of this study is to compare the clinical and radiographic outcomes of high tibial osteotomy (HTO) and unicompartmental arthroplasty (UKA) in advanced medial compartment arthritis accompanied by kissing lesions in relatively young patients. Materials and Methods: Forty-five patients were divided into the HTO (n=23) and UKA (n=22) groups. Clinically, we evaluated the Lysholm knee scoring scale, visual analogue scale, Hospital for Special Surgery, and Western Ontario and McMaster Universities Osteoarthritis index scores preoperatively, 6 and 12 months postoperatively, and at the final follow-up. Radiographically, we measured the femoral-tibial angle and mechanical axis deviation preoperatively and at the final follow-up. Results: All clinical outcomes gradually improved in both groups from the postoperative period to the final follow-up. At the final follow-up, all clinical outcomes were slightly better in the UKA group than in the HTO group; however, differences were not statistically significant. Conclusions: HTO is comparable to UKA in terms of clinical outcomes. Thus, the results of this study suggest that HTO might be a good alternative treatment to UKA for medial unicompartmental arthritis accompanied by kissing lesions in relatively young patients.

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References (30)

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Billings A / 2000 / High tibial osteotomy with a calibrated osteotomy guide, rigid internal fixation, and early motion: long-term follow-up / J Bone Joint Surg Am 82:70~79 google schola Murphy SB / 1994 / Tibial osteotomy for genu varum. Indications, preoperative planning, and technique / Orthop Clin North Am 25:477~482 google schola Weale AE / 2001 / High tibial osteotomy using a dynamic axial external fixator / Clin Orthop Relat Res (382):154~167 google schola Naudie D / 1999 / The Install Award: survivorship of the high tibial valgus osteotomy: a 10- to -22-year followup study / Clin Orthop Relat Res (367):18~27 google schola Preston S / 2014 / Total knee arthroplasty after high tibial osteotomy: no differences between medial and lateral osteotomy approaches / Clin Orthop Relat Res 472:105~110 Crossref

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