Knee surgery & related research

Korean Knee Society (대한슬관절학회)
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Does Coronal Knee and Ankle Alignment Affect Recurrence of the Varus Deformity after High Tibial Osteotomy?

  • Lee, O-Sung (Department of Orthopaedic Surgery, Mediplex Sejong Hospital) ;
  • Lee, Seung Hoon (Department of Orthopaedic Surgery, Incheon Metropolitan City Medical Center) ;
  • Lee, Yong Seuk (Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine)
  • Received : 2018.05.24
  • Accepted : 2018.09.21
  • Published : 2018.12.01
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Abstract

Purpose: The purpose of this study was to evaluate changes in the coronal alignment of the knee and ankle joints after open wedge high tibial osteotomy (OWHTO) to determine factors related to the recurrence (R) of the varus deformity by serial analysis. Materials and Methods: Sixty-four OWHTOs were enrolled in this study. The weight bearing line (WBL) ratio, joint line convergence angle (JLCA), knee joint inclination, mechanical axis-tibial plateau angle, talar inclination (TI), and distal tibia articular angle (DTAA) were serially assessed. Serial correlation analysis between all parameters was performed. Patients were divided into R group and no recurrence (NR) group according to the WBL ratio (55%) at postoperative one year. Results: The preoperative WBL ratio showed significantly negative correlation with serial changes of JLCA, TI, and DTAA (p<0.05). The JLCA, TI, and DTAA as well as WBL ratio showed a significantly larger degree of varus alignment in the R group than in NR group at postoperative 6 weeks and 1 year after OWHTO (p<0.05). Conclusions: Sufficient correction of the WBL and restoration of the JLCA during OWHTO are essential to prevention of the R of varus deformity after the surgery because they are the only modifiable factors during surgery. Level of Evidence: IV, Case series.

Keywords

Acknowledgement

Supported by : National Research Foundation of Korea (NRF)

References

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