nach oben

Archives of Orthopaedic and Trauma Surgery

Erschienen in:

Open Access 30.01.2020 | Knee Arthroplasty

A meta-analysis of total knee arthroplasty following high tibial osteotomy versus primary total knee arthroplasty

verfasst von: Xuedong Sun, Jun Wang, Zheng Su

Erschienen in: Archives of Orthopaedic and Trauma Surgery | Ausgabe 4/2020

Abstract

Background

This study was performed to compare the clinical and radiographic outcomes of total knee arthroplasty (TKA) following high tibial osteotomy (HTO) versus primary TKA.

Methods

Relevant trials were identified via a search of Ovid, PubMed and the Cochrane Central Register of Controlled Trials from inception to 10 January 2019. A meta-analysis was performed to compare postoperative outcomes between revising HTO to TKA (RHTO) and primary TKA (PTKA) with respect to Knee Society Score (KSS), 10-year survival rate, operative time, flexion and extension angle, infection rate and radiographic results.

Results

Sixteen of 340 studies involving 103,552 adult patients (RHTO group, n = 3955; PTKA group, n = 99,597) were eligible for inclusion in the meta-analysis. Compared with primary TKA, revising HTO to TKA required longer operative time and had a higher infection rate (P < 0.05). The PTKA group had better flexion angle than the RHTO group (P < 0.05). There were no significant differences between the two groups in the KSS, extension angle, radiographic results and 10-year survival rate (P > 0.05).

Conclusion

Patients who undergo conversion of HTO to TKA have similar 10-year survival rate, KSS, extension angle and radiographic results as patients who undergo primary TKA. However, conversion of HTO to TKA required longer operative time and had a higher infection rate than performing primary TKA. Moreover, conversion of HTO to TKA is associated with poorer flexion angle than primary TKA.

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Background

Total knee arthroplasty (TKA) and high tibial osteotomy (HTO) are both used to treat osteoarthritis of the knee. High tibial osteotomy is a well-established technique for the treatment of medial osteoarthritis of the knee with varus malalignment, especially in young and active patients [1, 2]. Some knees may need a conversion to TKA because of failure such as the progression of osteoarthritis. However, the outcome of TKA after HTO remains uncertain. Some authors [3, 4] reported that the results of TKA following HTO were similar to those of primary TKA, whereas others [5‐7] described worse results and a higher number of complications in cases previously treated by tibial osteotomy. Therefore, we performed a meta-analysis of clinical studies to answer the following question: Does a previous HTO influence the function or survival of a TKA?

Methods

Search strategy

The Cochrane Central Register of Controlled Trials, Ovid and PubMed databases were searched to identify relevant studies published in English from inception to 10 January 2019. The following search strategy was used to maximize search specificity and sensitivity: [(revision hto) OR (revised hto) OR (revised high tibial osteotomy) OR (revision high tibial osteotomy)] AND [(total knee) OR tka OR tkr], where “tkr” stands for total knee replacement.

Selection of studies

Three independent authors (X.D.S, J.W, and Z.S.) initially selected studies based on their titles and abstracts. Full papers were retrieved if a decision regarding study inclusion could not be made based on the titles and abstracts. The same three authors independently assessed each full paper to determine whether it met the inclusion criteria. Any disagreement was resolved by consensus; when a consensus could not be reached, the study was excluded.

Inclusion criteria

Cohort studies, case control studies, and randomized controlled trials were eligible for inclusion if they met the following criteria:

Comparison of the clinical outcomes of revised HTO versus primary TKA.
Mean follow-up duration of at least 2 years.
Evaluation of at least one of the following outcomes: Knee Society Score (KSS), 10-year survival rate, operative time, flexion and extension angles, infection rate, and radiographic results.
Sufficient data for extraction and pooling (i.e., reporting of the mean, standard deviation, and number of subjects for continuous outcomes, and reporting of the number of subjects for dichotomous outcomes).

Data extraction

Three reviewers (X.D.S. and J.W. and Z.S) independently performed data extraction using standardized data extraction forms. The general characteristics of each study were extracted [i.e., age, sex, body mass index (BMI), weight, follow-up, Knee Society Score (KSS), 10-year survival rate, operative time, flexion and extension angle, infection rate and radiographic results]. Any disagreement were resolved by consensus.

Statistical analysis

Dichotomous outcomes are expressed as the risk ratio (RR) with 95% confidence interval (CI), while continuous outcomes are expressed as the mean difference (MD) or Standard mean difference (SMD) with 95% CI. Heterogeneity is expressed as P and I². This value of I² ranges from 0% (complete consistency) to 100% (complete inconsistency). If the P value of the heterogeneity test was < 0.1 or I² > 50%, a random-effects model was used in place of the fixed modality. Publication bias was tested using funnel plots. Forest plots were used to graphically present the results of individual studies and the respective pooled estimate of effect size. All statistical analyses were performed with Review Manager (version 5.3.0 for Windows; Cochrane Collaboration, Nordic Cochrane Centre, Copenhagen, Denmark).

Results

Search results

A flowchart of the studies considered for inclusion in our review is shown in Fig. 1. We identified 340 potential citations (124 from PubMed, 195 from Ovid, 21 from the Cochrane Library) comparing the clinical and radiographic outcomes of RHTO and PTKA. After reading the articles, Sixteen of the 340 citations were selected for the meta-analysis. The characteristics and data of these 16 studies [8‐23] are shown in Tables 1 and 2.

Table 1

Characteristics of included studies

References	Technique of HTO	No. of patients	No. of knees	Age (years)	Female/male	BMI (kg/m²)	Mean time interval between HTO and TKA (months)	Follow-up (years)	Outcome
Amendola (2010) [8]	RHTO-C(19), RHTO-O(5)	24	29	68.5	19/5	NA	100.7	8.1	KSS, flexion angle, femorotibial angle
Amendola (2010) [8]	PTKA	28	29	71	NA	NA	–	8.1	KSS, flexion angle, femorotibial angle
Badawy (2015) [9]	RHTO	NA	1399	69	NA	NA	NA	> 10	Infections, 10-year survival rate
Badawy (2015) [9]	PTKA	NA	31077	71	NA	NA	–	> 10	Infections, 10-year survival rate
Bae (2017) [10]	RHTO-C	29	32	68.3	29/0	26.6	150	6.2	KSS, flexion and extension angle, femorotibial angle, IS ratio
Bae (2017) [10]	PTKA	29	32	68.8	29/0	26.3	–	7.1
Bergenudd (1997) [11]	RHTO	14	14	70	NA	NA	96	4–9	Flexion angle, infections, femorotibial angle, operative time
Bergenudd (1997) [11]	PTKA	99	99	73	NA	NA	–	4–9
Cross (2014) [12]	RHTO	43	43	54.2	12/32	33.36	106.2	8.47	KSS, infections, operative time
Cross (2014) [12]	PTKA	97	97	58.9	50/47	32.76	–	3.59	KSS, infections, operative time
Efe (2010) [13]	RHTO-C	41	41	69	20/21	NA	86	6.8	KSS, Infections, flexion and extension angle, IS ratio, operative time
Efe (2010) [13]	PTKA	41	41	73	24/17	NA	–	7.1
El-Galaly (2018) [14]	RHTO	1044	1044	62	448/596	NA	NA	> 10	Infections, 10-year survival rate
El-Galaly (2018) [14]	PTKA	63762	63762	70	41142/22621	NA	–	> 10	Infections, 10-year survival rate
Haddad (2000) [15]	RHTO-C(42), RHTO-D(8)	42	50	65	26/16	NA	87.6	6.2	KSS, femorotibial angle, infections
Haddad (2000) [15]	PTKA	42	50	66	24/18	NA	–	6.2	KSS, femorotibial angle, infections
Haslam (2007) [16]	RHTO-C	40	51	78	20/19	NA	58	12.6	Infections
Haslam (2007) [16]	PTKA	44	51	78	22/21	NA	–	12.6	Infections
Karabatsos (2002) [17]	RHTO-C	20	17	64	10/10	NA	100.8	5.2	Infections, operative time
Karabatsos (2002) [17]	PTKA	20	17	65	10/10	NA	–	4.7	Infections, operative time
Kazakos (2008) [18]	RHTO-C	32	38	67.2	24/8	NA	87.6	4.5	KSS, flexion and extension angle, femorotibial angle, IS ratio, operative time
Kazakos (2008) [18]	PTKA	32	38	68.4	25/7	NA	–	4.5
Meding (2011) [19]	RHTO-C	39	19	66.9	12/27	NA	104.4	16.7	KSS, flexion and extension angle, femorotibial angle
Meding (2011) [19]	PTKA	39	19	66.9	12/27	NA	–	16.6	KSS, flexion and extension angle, femorotibial angle
Niinimäki (2014) [20]	RHTO	NA	1036	64.3	NA	NA	NA	> 10	Infections, 10-year survival rate
Niinimäki (2014) [20]	PTKA	NA	4143	64.7	NA	NA	–	> 10	Infections, 10-year survival rate
Nizard (1998) [21]	RHTO	55	57	71.8	NA	NA	116.4	4.5	KSS, IS ratio, infections
Nizard (1998) [21]	PTKA	NA	57	70.5	NA	NA	–	4	KSS, IS ratio, infections
Saragaglia (2015) [22]	RHTO-O	40	45	69	10/30	29.7	NA	3.9	KSS, flexion angle, operative time
Saragaglia (2015) [22]	PTKA	40	45	69	10/30	29	–	4.8	KSS, flexion angle, operative time
Toksvig-Larsen (1998) [23]	RHTO	40	40	69	26/14	NA	120	10	Operative time
Toksvig-Larsen (1998) [23]	PTKA	40	40	70	27/13	NA	–	10	Operative time

No number, C closing, O opening, D dome, RHTO revising high tibial osteotomy to total knee arthroplasty, PTKA primary total knee arthroplasty, BMI body mass index, KSS Knee Society Score, IS ratio Insall–Salvat ratio, NA not available

Table 2

The data of included studies

References		KKS	KFS	10-Survival rate	IS ratio	Femorotibial angle	Extension angle	Flexion angle	Operative time (min)	No of infections
Amendola (2010) [8]	RHTO	92.7	89.8	–	–	5.0°	–	103°	–	–
Amendola (2010) [8]	PTKA	91	84	–	–	4.0°	–	100°	–	–
Badawy (2015) [9]	RHTO	–	–	92.6%	–	–	–	–	–	10/1399
Badawy (2015) [9]	PTKA	–	–	93.8%	–	–	–	–	–	289/31077
Bae (2017) [10]	RHTO	90.6	88.8	–	1.13	6.0°	0.2°	129.2°	–	–
Bae (2017) [10]	PTKA	89.4	88.8	–	1.14	5.4°	0.2°	130.6°	–	–
Bergenudd (1997) [11]	RHTO	–	–	–	–	3°	–	95°	110	2/14
Bergenudd (1997) [11]	PTKA	–	–	–	–	3°	–	95°	113	5/99
Cross (2014) [12]	RHTO	90	85	–	–	–	–	–	–	2/43
Cross (2014) [12]	PTKA	86	85	–	–	–	–	–	–	2/97
Efe (2010) [13]	RHTO	78.8	91	–	0.94	–	1.7°	106°	95	1/41
Efe (2010) [13]	PTKA	78.2	87.8	–	0.90	–	0.2°	115°	90	2/41
El-Galaly (2018) [14]	RHTO	–	–	91%	–	–	–	–	–	21/1044
El-Galaly (2018) [14]	PTKA	–	–	94%	–	–	–	–	–	707/63762
Haddad (2000) [15]	RHTO	91	70	–	–	–	2°	95°	–	1/50
Haddad (2000) [15]	PTKA	89	66	–	–	–	0°	103°	–	2/50
Haslam (2007) [16]	RHTO	–	–	–	–	–	–	–	–	3/51
Haslam (2007) [16]	PTKA	–	–	–	–	–	–	–	–	0/51
Karabatsos (2002) [17]	RHTO	–	–	–	–	–	–	–	170	1/17
Karabatsos (2002) [17]	PTKA	–	–	–	–	–	–	–	118	0/17
Kazakos (2008) [18]	RHTO	91.6	83	–	1.12	6.5°	0.56°	115.0°	75	–
Kazakos (2008) [18]	PTKA	92.0	84.4	–	1.24	5.4°	0.64°	119.1°	50	–
Meding (2011) [19]	RHTO	87.2	70.1	–	–	4.6°	− 0.1°	110.6°	–	–
Meding (2011) [19]	PTKA	90.3	72.6	–	–	4.6°	− 0.3°	112.6°	–	–
Niinimäki (2014) [20]	RHTO	–	–	91.8%	–	–	–	–	–	14/1036
Niinimäki (2014) [20]	PTKA	–	–	94.5%	–	–	–	–	–	31/4143
Nizard (1998) [21]	RHTO	74.4	67.2	–	1.08	–	–	–	–	2/63
Nizard (1998) [21]	PTKA	80.9	64.1	–	1.1	–	–	–	–	0/63
Saragaglia (2015) [22]	RHTO	87.5	96.5	–	–	–	–	117.5°	73.5	–
Saragaglia (2015) [22]	PTKA	87.5	97	–	–	–	–	120.5°	68.5	–
Toksvig-Larsen (1998) [23]	RHTO	–	–	–	–	–	–	–	147	–
Toksvig-Larsen (1998) [23]	PTKA	–	–	–	–	–	–	–	134	–

No number, RHTO revising high tibial osteotomy to total knee arthroplasty, PTKA primary total knee arthroplasty, KKS Knee Society Knee Score, KFS Knee Society Function Score, IS ratio Insall–Salvat ratio

Meta-analysis results

The meta-analysis included 16 studies [8‐23], involving a total of 103,552 patients. The RHTO group included 3955 patients, while the PTKA group included 99,597 patients. A funnel plot based on the most frequently cited outcome was broadly symmetrical, indicating minimal publication bias (Fig. 2).

KSS

The KSS consists of the Knee Society Knee Score (KKS; 0–100) and the Knee Society Function Score (KFS; 0–100). There were no significant differences between these variables in the RHTO group versus the PTKA group (P > 0.05).

Radiographic results

The radiographic results consist of femorotibial angle and IS ratio, and are summarized in Table 2. No significant differences were observed between the RHTO group and the PTKA group in terms of femorotibial angle and IS ratio (P > 0.05) (Figs. 3, 4).

Flexion and extension angle

The MD of the flexion and extension angle for TKA with HTO were − 2.92 (P = 0.006; 95% CI − 4.98 to − 0.86) and 0.66 (P = 0.11; 95% CI − 0.15 to 1.46), respectively. These results imply that flexion angle was better in the PTKA group than RHTO group, but the extension angle between the two groups was no significant differences.

Operative time and infection rate

Six studies involving 475 patients provided data on operative time. The operative time used for the RHTO group was significantly longer than that used for the PKA group (SMD = 1.10; 95% CI 0.20–2.00; P = 0.02).

Ten studies involving 103,158 patients provided data on infections. There was a significantly higher infection rate in the RHTO group than in the PTKA group (RR = 1.51; P = 0.005; 95% CI 1.14–2.02).

Survival rate

Three studies involving 102,461 patients provided data on 10-year survival rate. No significant differences were found between the two groups (P > 0.05) (Fig. 5).

Discussion

The most important finding of the present meta-analysis was that there were no significant differences between the RHTO group and the PTKA group regarding the KSS, extension angle, radiographic results, and 10-year survival rate. However, the PTKA group showed better outcomes than the RHTO group in terms of the flexion angle, operative time, and infection rate.

The KSS is often used to evaluate the ability to perform walking and stair-climbing activities.. Bae et al. [10] and Meding et al. [19] reported that the mean KSS did not significantly differ between the RHTO group and the PTKA group, whereas Efe et al. [13] found that the KSS was significantly better in the PTKA group than the RHTO group. The present meta-analysis revealed that the KSS was similar in the RHTO and the PTKA groups. The function of the knee is also assessed based on the range of motion (ROM) of the joint. In the present meta-analysis, the RHTO group had a smaller flexion angle than the PTKA group, which is in accordance with the findings of other studies [12, 13, 15]. Furthermore, extension angle did not significantly differ between the two groups. However, Miner et al. [24] revealed that ROM is much less important than the overall results, and Ripanti et al. [25] reported that previous HTO has no adverse effect on the outcome and functional results of the subsequent TKA.

HTO can result in a coronal deformity of the tibial plateau [26]. Lee et al. [27] found loss of correction in the operated limb occurred in open-wedge osteotomy, especially in the bilateral open-wedge osteotomy. Some studies [8, 11, 19] reported that the femorotibial angle after TKA following HTO did not significantly differ from that after primary TKA. Furthermore, some studies found that the patellar height was altered after HTO [6, 28]. Bae et al. [10] and Efe et al. [13] reported that the IS ratio did not significantly differ between the RHTO and PTKA groups; however, Kazakos et al. [18] reported the opposite. The present meta-analysis revealed that the mean femorotibial angle and IS ratio did not differ significantly between the two groups. The patellar height and femorotibial angle should be considered in preoperative planning. As the deformity can be corrected intra-articularly at the time of the TKA, it is essential to assess the postoperative alignment on radiography.

Previous studies have revealed that HTO results in satisfactory clinical outcomes. Furthermore, the HTO located at the metaphyseal areas had a significantly higher percentage of bone healing regardless of open- and closed-wedge osteotomies [29]. However, osteoarthritis progression may occur with a long term follow-up, and requiring conversion to TKA [30‐32]. In addition, a systematic review and meta-analysis [33] found the HTO with concurrent cartilage procedures such as marrow stimulation procedure, mesenchymal stem cell transplantation, and injection were performed, but the concurrent procedures would produce little beneficial effect regarding clinical and radiological outcomes compared with HTO alone. In the included studies, the mean time interval between HTO and TKA ranged from 58 to 150 months (Table 1), which suggests that HTO is still a successful and reliable treatment method for unicompartmental knee osteoarthritis. However, previous studies have shown conflicting results regarding the survival rate after TKA following HTO versus that after primary TKA [34‐36]. Several related studies with adequate sample sizes have been recently published, but the conclusions were still inconsistent. These studies estimated the survival rate using the Kaplan–Meier analysis and performed Cox regression analysis adjusted for age and sex. The present meta-analysis of the pooled 10-year survival rate data from the 102,461 patients evaluated in these included studies suggests that previous HTO should not be considered a factor related to a worse survival rate.

Conversion TKA after HTO may be more technically demanding than primary TKA due to the difficulty of the surgical approach, the ligamentous imbalance, and the anatomical distortion of the proximal tibial metaphysis [17, 37]. Bastos et al. [28] reported that incidence of additional procedures were required for the surgical approach because of the difficult patellar eversion in conversion TKA after HTO. Nagamine et al. [38] reported that a tibial offset stem may be required to solve the problem of translational and meta-diaphyseal mismatch of the tibia. Therefore, the longer operative time required for TKA following HTO is probably due to the increased surgical difficulty compared with primary TKA. Moreover, some studies [39, 40] reported that prolonged operative times were associated with an increased risk of surgical site infection, and related studies have also shown an increased risk of infection in patients undergoing TKA after prior knee surgery [41, 42]. The present meta-analysis revealed a higher infection rate in the RHTO group than in the PTKA group, which is in accordance with previous studies. This increased infection rate may be caused by the longer operative time and previous history of internal fixation.

The limitations of the present meta-analysis are the lack of adjustments for BMI or weight, the variation in the types of prostheses used, and the retrospective study design.

Conclusion

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Unsere Produktempfehlungen

e.Med Interdisziplinär

Kombi-Abonnement

Für Ihren Erfolg in Klinik und Praxis - Die beste Hilfe in Ihrem Arbeitsalltag

Mit e.Med Interdisziplinär erhalten Sie Zugang zu allen CME-Fortbildungen und Fachzeitschriften auf SpringerMedizin.de.

Jetzt testen ¹

e.Med Orthopädie & Unfallchirurgie

Kombi-Abonnement

Mit e.Med Orthopädie & Unfallchirurgie erhalten Sie Zugang zu CME-Fortbildungen der Fachgebiete, den Premium-Inhalten der dazugehörigen Fachzeitschriften, inklusive einer gedruckten Zeitschrift Ihrer Wahl.

Jetzt testen ²

Habata T, Uematsu K, Hattori K et al (2006) High tibial osteotomy that does not cause recurrence of varus deformity for medial gonarthrosis. Knee Surg Sports Traumatol Arthrosc 14:962–967PubMed

Lobenhoffer P (2014) Importance of osteotomy around to the knee for medial gonarthritis: indications, technique and results. Orthopade 43:425–431PubMed

Amendola A, Rorabeck CH, Bourne RB et al (1989) Total knee arthroplasty following high tibial osteotomy for osteoarthritis. J Arthroplasty 4(Suppl):S11–S17PubMed

Staeheli JW, Cass JR, Morrey B (1987) Condylar total knee arthroplasty after failed proximal tibial osteotomy. J Bone Joint Surg Am 69(1):28–31PubMed

Katz MM, Hungerford DS, Krackow KA et al (1987) Results of knee arthroplasty after failed proximal tibial osteotomy for osteoarthritis. J Bone Joint Surg Am 69(2):225–233PubMed

Windsor RE, Insall JN, Vince KG (1988) Technical Considerations of total knee arthroplasty after proximal tibial osteotomy. J Bone Joint Surg Am 70(4):547–555PubMed

Tungall JA, Higgins GA, Waddell JP (2010) Complications of closing wedge high tibial osteotomy. Int Orthop 34(2):255–261

Amendola L, Fosco M, Cenni E, Tigani D (2010) Knee joint arthroplasty after tibial osteotomy. Int Orthop 34(2):289–295PubMed

Badawy M, Fenstad AM, Indrekvam K et al (2015) The risk of revision in total knee arthroplasty is not affected by previous high tibial osteotomy. Acta Orthop 86(6):734–739PubMedPubMedCentral

10.

Bae DK, Song SJ, Park CH et al (2017) Comparison of mid-term results between conversion total knee arthroplasties following closed wedge high tibial osteotomy and primary total knee arthroplasties: a matched pair study including patellar symptom and position. J Orthop Sci 22(3):495–500PubMed

11.

Bergenudd H, Sahlström A, Sanzén L (1997) Total knee arthroplasty after failed proximal tibial valgus osteotomy. J Arthroplast 12(6):635–638

12.

Cross MB, Yi PY, Moric M (2014) Revising an HTO or UKA to TKA: is it more like a primary TKA or a revision TKA? J Arthroplast 29(9 Suppl):229–231

13.

Efe T, Heyse TJ, Boese C et al (2010) TKA following high tibial osteotomy versus primary TKA—a matched pair analysis. BMC Musculoskelet Disord 11:207PubMedPubMedCentral

14.

El-Galaly A, Nielsen PT, Jensen SL et al (2018) Prior high tibial osteotomy does not affect the survival of total knee arthroplasties: results from the Danish Knee Arthroplasty Registry. J Arthroplast 33(7):2131–2135

15.

Haddad FS, Bentley G (2000) Total knee arthroplasty after high tibial osteotomy: a medium-term review. J Arthroplast 15(5):597–603

16.

Haslam P, Armstrong M, Geutjens G et al (2007) Total knee arthroplasty after failed high tibial osteotomy long-term follow-up of matched groups. J Arthroplast 22(2):245–250

17.

Karabatsos B, Mahomed NN, Maistrelli GL (2002) Functional outcome of total knee arthroplasty after high tibial osteotomy. Can J Surg 45(2):116–119PubMedPubMedCentral

18.

Kazakos KJ, Chatzipapas C, Verettas D et al (2008) Mid-term results of total knee arthroplasty after high tibial osteotomy. Arch Orthop Trauma Surg 128(2):167–173PubMed

19.

Meding JB, Wing JT, Ritter MA (2011) Does high tibial osteotomy affect the success or survival of a total knee replacement? Clin Orthop Relat Res 469(7):1991–1994PubMedPubMedCentral

20.

Niinimäki T, Eskelinen A, Ohtonen P et al (2014) Total knee arthroplasty after high tibial osteotomy: a registry-based case–control study of 1,036 knees. Arch Orthop Trauma Surg 134(1):73–77PubMed

21.

Nizard RS, Cardinne L, Bizot P et al (1998) Total knee replacement after failed tibial osteotomy results of a matched-pair study. J Arthroplast 13(8):847–853

22.

Saragaglia D, Massfelder J, Refaie R et al (2016) Computer-assisted total knee replacement after medial opening wedge high tibial osteotomy: medium-term results in a series of ninety cases. Int Orthop 40(1):35–40PubMed

23.

Toksvig-Larsen S, Magyar G, Onsten I et al (1998) Fixation of the tibial component of total knee arthroplasty after high tibial osteotomy: a matched radiostereometric study. J Bone Joint Surg Br 80(2):295–297PubMed

24.

Miner AL, Lingard EA, Wright EA et al (2003) Knee range of motion after total knee arthroplasty: how important is this as an outcome measure? J Arthroplast 18(3):286–294

25.

Ripanti S, Marin S, Romani G et al (2012) Total knee arthroplasty following high tibial osteotomy. J Bone Joint Surg Br 94:SUPP XXV 195

26.

Farfalli LA, Farfalli GL, Aponte-Tinao LA (2012) Complications in total knee arthroplasty after high tibial osteotomy. Orthopedics 35:e464–e468PubMed

27.

Lee OS, Kwon O, Lee YS (2018) Comparison of the outcome between unilateral and bilateral open wedge high tibial osteotomy in the bilateral varus knees. Arch Orthop Trauma Surg 138(3):307–316PubMed

28.

Bastos Filho R, Magnussen RA, Duthon V (2013) Total knee arthroplasty after high tibial osteotomy: a comparison of opening and closing wedge osteotomy. Int Orthop 37(3):427–431PubMed

29.

Simon MH, Grünwald L, Schenke M et al (2019) Corrective osteotomies of femur and tibia: which factors influence bone healing? Arch Orthop Trauma Surg. https://doi.org/10.1007/s00402-019-03217-4 CrossRefPubMed

30.

Aglietti P, Buzzi R, Vena LM et al (2003) High tibial valgus osteotomy for medial gonarthrosis: a 10- to 21-year study. J Knee Surg 16(1):21–26PubMed

31.

Coventry MB, Illstrup DM, Wallrichs SL (1993) Proximal tibial osteotomy. A critical long-term study of eighty cases. Bone Joint Surg Am 75(2):196–201

32.

Yasuda K, Majima T, Tsuchida T et al (1992) A 10- to 15-year follow-up observation of high tibial osteotomy in medial compartment osteoarthrosis. Clin Orthop Relat Res 282:186–195

33.

Lee OS, Ahn S, Ahn JH et al (2018) Effectiveness of concurrent procedures during high tibial osteotomy for medial compartment osteoarthritis: a systematic review and meta-analysis. Arch Orthop Trauma Surg 138(2):227–236PubMed

34.

Pearse AJ, Hooper GJ, Rothwell AG et al (2012) Osteotomy and unicompartmental knee arthroplasty converted to total knee arthroplasty: data from the New Zealand joint registry. J Arthroplast 27:1827–1831

35.

Parvizi J, Hanssen A, Spangehl MJ (2004) Total knee arthroplasty following proximal tibial osteotomy: risk factors for failure. J Bone Jt Surg Am 86:474–479

36.

Treuter S, Schuh A, Hönle W et al (2012) Long-term results of total knee arthroplasty following high tibial osteotomy according to Wagner. Int Orthop 36:761–764PubMed

37.

Bae DK, Song SJ, Yoon KH (2010) Total knee arthroplasty following closed wedge high tibial osteotomy. Int Orthop 34:283–287PubMed

38.

Nagamine R, Inoue S, Miura H et al (2007) Femoral shaft bowing influences the correction angle for high tibial osteotomy. J Orthop Sci 12:214–218PubMed

39.

Pugely AJ, Martin CT, Gao Y et al (2015) The incidence of and risk factors for 30-day surgical site infections following primary and revision total joint arthroplasty. J Arthroplast 30(9 Suppl):47–50

40.

George J, Mahmood B, Sultan AA et al (2018) How fast should a total knee arthroplasty be performed? An analysis of 140,199 surgeries. J Arthroplast 33(8):2616–2622

41.

Berbari EF, Hanssen AD, Duffy MC et al (1998) Risk factors for prosthetic joint infection: case–control study. Clin Infect Dis 27:1247–1254PubMed

42.

Oiestad BE, Engebretsen L, Storheim K et al (2009) Knee osteoarthritis after anterior cruciate ligament injury: a systematic review. Am J Sports Med 37:1434–1443PubMed

Titel: A meta-analysis of total knee arthroplasty following high tibial osteotomy versus primary total knee arthroplasty
verfasst von: Xuedong Sun
Jun Wang
Zheng Su
Publikationsdatum: 30.01.2020
Verlag: Springer Berlin Heidelberg
Erschienen in: Archives of Orthopaedic and Trauma Surgery / Ausgabe 4/2020
Print ISSN: 0936-8051
Elektronische ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-020-03333-6

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen.
» Jetzt entdecken

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

07.05.2024 Klinik aktuell Nachrichten

Extreme Arbeitsverdichtung und kaum Supervision: Dr. Andrea Martini, Sprecherin des Bündnisses Junge Ärztinnen und Ärzte (BJÄ) über den Frust des ärztlichen Nachwuchses und die Vorteile des Rucksack-Modells.

Aquatherapie bei Fibromyalgie wirksamer als Trockenübungen

03.05.2024 Fibromyalgiesyndrom Nachrichten

Bewegungs-, Dehnungs- und Entspannungsübungen im Wasser lindern die Beschwerden von Patientinnen mit Fibromyalgie besser als das Üben auf trockenem Land. Das geht aus einer spanisch-brasilianischen Vergleichsstudie hervor.

Endlich: Zi zeigt, mit welchen PVS Praxen zufrieden sind

IT für Ärzte Nachrichten

Darauf haben viele Praxen gewartet: Das Zi hat eine Liste von Praxisverwaltungssystemen veröffentlicht, die von Nutzern positiv bewertet werden. Eine gute Grundlage für wechselwillige Ärztinnen und Psychotherapeuten.

Proximale Humerusfraktur: Auch 100-Jährige operieren?

01.05.2024 DCK 2024 Kongressbericht

Mit dem demographischen Wandel versorgt auch die Chirurgie immer mehr betagte Menschen. Von Entwicklungen wie Fast-Track können auch ältere Menschen profitieren und bei proximaler Humerusfraktur können selbst manche 100-Jährige noch sicher operiert werden.

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Abstract

Background

Methods

Results

Conclusion

Publisher's Note

Background

Methods

Search strategy

Selection of studies

Inclusion criteria

Data extraction

Statistical analysis

Results

Search results

Meta-analysis results

KSS

Radiographic results

Flexion and extension angle

Operative time and infection rate

Survival rate

Discussion

Conclusion

Compliance with ethical standards

Conflict of interest

Ethical approval

Publisher's Note

Unsere Produktempfehlungen

e.Med Interdisziplinär

e.Med Orthopädie & Unfallchirurgie

Weitere Artikel der Ausgabe 4/2020

Radiation exposure in the treatment of pediatric supracondylar humerus fractures

Tactile techniques are associated with a high variability of tunnel positions in lateral extra-articular tenodesis procedures

Comparison of various tendon repair techniques in extansor zone 3 injuries: an experimental biomechanical cadaver study

Fewer patients undergo surgery when adding a comprehensive geriatric assessment in older patients with a hip fracture

Dual-energy CT as an innovative method for diagnosing fragility fractures of the pelvic ring: a retrospective comparison with MRI as the gold standard

Human umbilical cord blood-derived mesenchymal stem cell implantation for osteoarthritis of the knee

Arthropedia

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

Aquatherapie bei Fibromyalgie wirksamer als Trockenübungen

Endlich: Zi zeigt, mit welchen PVS Praxen zufrieden sind

Proximale Humerusfraktur: Auch 100-Jährige operieren?

Update Orthopädie und Unfallchirurgie