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Delayed- and non-union following opening wedge high tibial osteotomy: surgeons' results from 182 completed cases
- Source :
- Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA. 13(1)
- Publication Year :
- 2003
-
Abstract
- Opening wedge high tibial osteotomy (OWHTO) is a recently described procedure for medial compartment arthritis of the knee in the active, younger population. Despite having a number of advantages over the traditional closing wedge high tibial osteotomy (CWHTO) a potential complication of OWHTO is a high rate of delayed- and non-union. This study reports the occurrence of delayed- and non-union following OWHTO for medial compartment arthritis of the knee. Questionnaires were sent to all current members of the Australian Knee Society (n=45), a special interest group of the Australian Orthopaedic Group. Surgeons were asked primarily to indicate how many OWHTOs they had performed, and how many of these had progressed to union, delayed-union and non-union. All 45 questionnaires were returned, with 21 surgeons (47%) performing OWHTOs. A total of 188 OWHTO cases were reported, of which 182 were complete. Of these complete cases 167 (91.8%) were classed as united, 12 (6.6%) delay-united and 3 (1.6%) non-united. The results of this study demonstrate that the rate of delayed- and non-union following OWHTO for medial compartment arthritis of the knee is relatively low and comparable to that reported for traditional CWHTO.
- Subjects :
- Joint Instability
medicine.medical_specialty
Knee Joint
medicine.medical_treatment
Population
Osteotomy
Ilium
Weight-Bearing
High tibial osteotomy
Surveys and Questionnaires
Fracture fixation
Bone plate
Medicine
Humans
Orthopedics and Sports Medicine
Tibia
Postoperative Period
Practice Patterns, Physicians'
education
Retrospective Studies
education.field_of_study
Wound Healing
business.industry
Australia
Osteoarthritis, Knee
Surgery
Orthopedic surgery
business
Bone Plates
Subjects
Details
- ISSN :
- 09422056
- Volume :
- 13
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
- Accession number :
- edsair.doi.dedup.....cb14d4d1051c4d5f7c73648835719719