Changes in patellofemoral alignment do not cause clinical impact after open-wedge high tibial osteotomy
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Lee, Yong Seuk | - |
dc.contributor.author | Lee, Sang Bok | - |
dc.contributor.author | Oh, Won Seok | - |
dc.contributor.author | Kwon, Yong Eok | - |
dc.contributor.author | Lee, Beom Koo | - |
dc.date.available | 2020-02-28T03:42:07Z | - |
dc.date.created | 2020-02-06 | - |
dc.date.issued | 2016-01 | - |
dc.identifier.issn | 0942-2056 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/8697 | - |
dc.description.abstract | The objectives of this study were (1) to evaluate the clinical and radiologic outcomes of open-wedge high tibial osteotomy focusing on patellofemoral alignment and (2) to search for correlation between variables and patellofemoral malalignment. A total of 46 knees (46 patients) from 32 females and 14 males who underwent open-wedge high tibial osteotomy were included in this retrospective case series. Outcomes were evaluated using clinical scales and radiologic parameters at the last follow-up. Pre-operative and final follow-up values were compared for the outcome analysis. For the focused analysis of the patellofemoral joint, correlation analyses between patellofemoral variables and pre- and post-operative weight-bearing line (WBL), clinical score, posterior slope, Blackburn Peel ratio, lateral patellar tilt, lateral patellar shift, and congruence angle were performed. The minimum follow-up period was 2 years and median follow-up period was 44 months (range 24-88 months). The percentage of weight-bearing line was shifted from 17.2 +/- A 11.1 to 56.7 +/- A 12.7 %, and it was statistically significant (p < 0.01). Regarding the clinical results, statistical significance was observed using all scores (p < 0.01). In the radiologic evaluation, patellar descent was observed with statistical significance (p < 0.01). Last follow-up lateral patellar tilt was decreased with statistical significance (p < 0.01). In correlation analysis between variables of patellofemoral malalignment, the pre-operative weight-bearing line showed an association with the change in lateral patellar tilt and lateral patellar shift (correlation coefficient: 0.3). After open-wedge high tibial osteotomy, clinical results showed improvement, compared to pre-operative values. The patellar tilt and lateral patellar shift were not changed; however, descent of the patella was observed. Therefore, mild patellofemoral problems should not be a contraindication of the open-wedge high tibial osteotomy. Case series, Level IV. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | SPRINGER | - |
dc.relation.isPartOf | KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY | - |
dc.subject | TOTAL KNEE ARTHROPLASTY | - |
dc.subject | PRESSURE | - |
dc.title | Changes in patellofemoral alignment do not cause clinical impact after open-wedge high tibial osteotomy | - |
dc.type | Article | - |
dc.type.rims | ART | - |
dc.description.journalClass | 1 | - |
dc.identifier.wosid | 000368546900021 | - |
dc.identifier.doi | 10.1007/s00167-014-3349-y | - |
dc.identifier.bibliographicCitation | KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, v.24, no.1, pp.129 - 133 | - |
dc.identifier.scopusid | 2-s2.0-84958163675 | - |
dc.citation.endPage | 133 | - |
dc.citation.startPage | 129 | - |
dc.citation.title | KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY | - |
dc.citation.volume | 24 | - |
dc.citation.number | 1 | - |
dc.contributor.affiliatedAuthor | Lee, Sang Bok | - |
dc.contributor.affiliatedAuthor | Oh, Won Seok | - |
dc.contributor.affiliatedAuthor | Lee, Beom Koo | - |
dc.type.docType | Article | - |
dc.subject.keywordAuthor | Knee | - |
dc.subject.keywordAuthor | Osteoarthritis | - |
dc.subject.keywordAuthor | Open-wedge high tibial osteotomy | - |
dc.subject.keywordAuthor | Patellofemoral indices | - |
dc.subject.keywordPlus | TOTAL KNEE ARTHROPLASTY | - |
dc.subject.keywordPlus | PRESSURE | - |
dc.relation.journalResearchArea | Orthopedics | - |
dc.relation.journalResearchArea | Sport Sciences | - |
dc.relation.journalResearchArea | Surgery | - |
dc.relation.journalWebOfScienceCategory | Orthopedics | - |
dc.relation.journalWebOfScienceCategory | Sport Sciences | - |
dc.relation.journalWebOfScienceCategory | Surgery | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.
1342, Seongnam-daero, Sujeong-gu, Seongnam-si, Gyeonggi-do, Republic of Korea(13120)031-750-5114
COPYRIGHT 2020 Gachon University All Rights Reserved.
Certain data included herein are derived from the © Web of Science of Clarivate Analytics. All rights reserved.
You may not copy or re-distribute this material in whole or in part without the prior written consent of Clarivate Analytics.