Intraoperatively accurate limb alignment after opening wedge high tibial osteotomy can be lost by large knee joint line convergence angle during surgery
Introduction The purpose of this study was to assess early postoperative loss of achieved correction and associated factors after opening wedge high tibial osteotomy (OWHTO). Materials and methods OWHTO was performed in 121 patients with osteoarthritis of the knee (mean age 66 years, 154 knees). Ant...
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| Veröffentlicht in: | Archives of orthopaedic and trauma surgery 2021, Vol.141 (1), p.23-28 |
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| creator | Kumagai, Ken Yamada, Shunsuke Akamatsu, Tomotaka Nejima, Shuntaro Ogino, Takehiro Sotozawa, Masaichi Inaba, Yutaka |
| description | Introduction
The purpose of this study was to assess early postoperative loss of achieved correction and associated factors after opening wedge high tibial osteotomy (OWHTO).
Materials and methods
OWHTO was performed in 121 patients with osteoarthritis of the knee (mean age 66 years, 154 knees). Anteroposterior radiographs of the knee and full-length leg, and varus and valgus stress radiographs of the knee were taken, and the femorotibial angle (FTA), joint line convergence angle (JLCA), and medial proximal tibial angle (MPTA) were measured. The changes in the FTA, JLCA, and MPTA were defined as ΔFTA, ΔJLCA, and ΔMPTA.
Results
The ΔFTA and ΔJLCA at postoperative 0–2 days were − 1.8 ± 1.2° and − 1.9 ± 1.4°, respectively. The ΔFTA, ΔJLCA and ΔMPTA at postoperative 1–12 months were 0.9 ± 1.3°, 0.2 ± 1.2° and − 0.8 ± 0.8°, respectively. A positive correlation was found between ΔFTA and ΔJLCA at postoperative 0–2 days (
ρ
= 0.642,
P
|
| doi_str_mv | 10.1007/s00402-020-03419-1 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2384205081</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2384205081</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-71fb6220891ce4672c261489d0e867278b45d8fb59430baecaa8537926d3033f3</originalsourceid><addsrcrecordid>eNp9kctu1TAQhi1ERQ-FF2CBLLFhExhfkjhLVHGpVIkNXVuOM0l9cOyDnRTlTfq4-HBakFiwsmb8zTeWf0JeMXjHANr3GUACr4BDBUKyrmJPyI5JISvRseYp2UEnmkpBzc7J85z3AIyrDp6Rc8E5Zy3IHbm_Cksy8YDJLO4O_UaNtWspkHo399R4N4UZw0LNuGCihQwuTPQnDhPSWzfd0sX1znga84JxifNGrQm0L_OlQ_uNepMK-j0g0n10xeRdQGpjuMNyESxSEyaPdFjT0ZzX0k3bC3I2Gp_x5cN5QW4-ffx2-aW6_vr56vLDdWVFWy9Vy8a-4RxUxyzKpuWWN0yqbgBUpWpVL-tBjX3dSQG9QWuMqkXb8WYQIMQoLsjbk_eQ4o8V86Jnly16bwLGNWsulORQg2IFffMPuo9rCuV1mstWqUbVDArFT5RNMeeEoz4kN5u0aQb6mJs-5aZLbvp3bvqofv2gXvsZhz8jj0EVQJyAfDj-Eqa_u_-j_QVzOqSX</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2478868510</pqid></control><display><type>article</type><title>Intraoperatively accurate limb alignment after opening wedge high tibial osteotomy can be lost by large knee joint line convergence angle during surgery</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Kumagai, Ken ; Yamada, Shunsuke ; Akamatsu, Tomotaka ; Nejima, Shuntaro ; Ogino, Takehiro ; Sotozawa, Masaichi ; Inaba, Yutaka</creator><creatorcontrib>Kumagai, Ken ; Yamada, Shunsuke ; Akamatsu, Tomotaka ; Nejima, Shuntaro ; Ogino, Takehiro ; Sotozawa, Masaichi ; Inaba, Yutaka</creatorcontrib><description>Introduction
The purpose of this study was to assess early postoperative loss of achieved correction and associated factors after opening wedge high tibial osteotomy (OWHTO).
Materials and methods
OWHTO was performed in 121 patients with osteoarthritis of the knee (mean age 66 years, 154 knees). Anteroposterior radiographs of the knee and full-length leg, and varus and valgus stress radiographs of the knee were taken, and the femorotibial angle (FTA), joint line convergence angle (JLCA), and medial proximal tibial angle (MPTA) were measured. The changes in the FTA, JLCA, and MPTA were defined as ΔFTA, ΔJLCA, and ΔMPTA.
Results
The ΔFTA and ΔJLCA at postoperative 0–2 days were − 1.8 ± 1.2° and − 1.9 ± 1.4°, respectively. The ΔFTA, ΔJLCA and ΔMPTA at postoperative 1–12 months were 0.9 ± 1.3°, 0.2 ± 1.2° and − 0.8 ± 0.8°, respectively. A positive correlation was found between ΔFTA and ΔJLCA at postoperative 0–2 days (
ρ
= 0.642,
P
< 0.001) and at postoperative 1–12 months (
ρ
= 0.402,
P
< 0.001). A negative correlation was found between ΔFTA and ΔMPTA at postoperative 1–12 months (
ρ
= − 0.534,
P
< 0.001). A discrepancy in alignment represented by the FTA occurred in the supine radiographs between the day of surgery and postoperative 2 days. Multiple regression analysis suggested that postoperative JLCA on the day of surgery was the factor related to early postoperative change of the FTA.
Conclusions
This study demonstrated the early loss of achieved correction after OWHTO due to change of the JLCA, even if the accurate alignment is obtained intraoperatively.</description><identifier>ISSN: 0936-8051</identifier><identifier>EISSN: 1434-3916</identifier><identifier>DOI: 10.1007/s00402-020-03419-1</identifier><identifier>PMID: 32221704</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Aged ; Arthritis ; General anesthesia ; Humans ; Intraoperative Period ; Knee ; Knee Joint - diagnostic imaging ; Knee Joint - surgery ; Medicine ; Medicine & Public Health ; Middle Aged ; Navigation systems ; Orthopaedic Surgery ; Orthopedics ; Osteoarthritis ; Osteoarthritis, Knee - diagnostic imaging ; Osteoarthritis, Knee - surgery ; Osteotomy ; Regression analysis ; Statistical analysis ; Surgery ; Tibia - diagnostic imaging ; Tibia - surgery</subject><ispartof>Archives of orthopaedic and trauma surgery, 2021, Vol.141 (1), p.23-28</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2020</rights><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-71fb6220891ce4672c261489d0e867278b45d8fb59430baecaa8537926d3033f3</citedby><cites>FETCH-LOGICAL-c375t-71fb6220891ce4672c261489d0e867278b45d8fb59430baecaa8537926d3033f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00402-020-03419-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00402-020-03419-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,777,781,27905,27906,41469,42538,51300</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32221704$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kumagai, Ken</creatorcontrib><creatorcontrib>Yamada, Shunsuke</creatorcontrib><creatorcontrib>Akamatsu, Tomotaka</creatorcontrib><creatorcontrib>Nejima, Shuntaro</creatorcontrib><creatorcontrib>Ogino, Takehiro</creatorcontrib><creatorcontrib>Sotozawa, Masaichi</creatorcontrib><creatorcontrib>Inaba, Yutaka</creatorcontrib><title>Intraoperatively accurate limb alignment after opening wedge high tibial osteotomy can be lost by large knee joint line convergence angle during surgery</title><title>Archives of orthopaedic and trauma surgery</title><addtitle>Arch Orthop Trauma Surg</addtitle><addtitle>Arch Orthop Trauma Surg</addtitle><description>Introduction
The purpose of this study was to assess early postoperative loss of achieved correction and associated factors after opening wedge high tibial osteotomy (OWHTO).
Materials and methods
OWHTO was performed in 121 patients with osteoarthritis of the knee (mean age 66 years, 154 knees). Anteroposterior radiographs of the knee and full-length leg, and varus and valgus stress radiographs of the knee were taken, and the femorotibial angle (FTA), joint line convergence angle (JLCA), and medial proximal tibial angle (MPTA) were measured. The changes in the FTA, JLCA, and MPTA were defined as ΔFTA, ΔJLCA, and ΔMPTA.
Results
The ΔFTA and ΔJLCA at postoperative 0–2 days were − 1.8 ± 1.2° and − 1.9 ± 1.4°, respectively. The ΔFTA, ΔJLCA and ΔMPTA at postoperative 1–12 months were 0.9 ± 1.3°, 0.2 ± 1.2° and − 0.8 ± 0.8°, respectively. A positive correlation was found between ΔFTA and ΔJLCA at postoperative 0–2 days (
ρ
= 0.642,
P
< 0.001) and at postoperative 1–12 months (
ρ
= 0.402,
P
< 0.001). A negative correlation was found between ΔFTA and ΔMPTA at postoperative 1–12 months (
ρ
= − 0.534,
P
< 0.001). A discrepancy in alignment represented by the FTA occurred in the supine radiographs between the day of surgery and postoperative 2 days. Multiple regression analysis suggested that postoperative JLCA on the day of surgery was the factor related to early postoperative change of the FTA.
Conclusions
This study demonstrated the early loss of achieved correction after OWHTO due to change of the JLCA, even if the accurate alignment is obtained intraoperatively.</description><subject>Aged</subject><subject>Arthritis</subject><subject>General anesthesia</subject><subject>Humans</subject><subject>Intraoperative Period</subject><subject>Knee</subject><subject>Knee Joint - diagnostic imaging</subject><subject>Knee Joint - surgery</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Navigation systems</subject><subject>Orthopaedic Surgery</subject><subject>Orthopedics</subject><subject>Osteoarthritis</subject><subject>Osteoarthritis, Knee - diagnostic imaging</subject><subject>Osteoarthritis, Knee - surgery</subject><subject>Osteotomy</subject><subject>Regression analysis</subject><subject>Statistical analysis</subject><subject>Surgery</subject><subject>Tibia - diagnostic imaging</subject><subject>Tibia - surgery</subject><issn>0936-8051</issn><issn>1434-3916</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kctu1TAQhi1ERQ-FF2CBLLFhExhfkjhLVHGpVIkNXVuOM0l9cOyDnRTlTfq4-HBakFiwsmb8zTeWf0JeMXjHANr3GUACr4BDBUKyrmJPyI5JISvRseYp2UEnmkpBzc7J85z3AIyrDp6Rc8E5Zy3IHbm_Cksy8YDJLO4O_UaNtWspkHo399R4N4UZw0LNuGCihQwuTPQnDhPSWzfd0sX1znga84JxifNGrQm0L_OlQ_uNepMK-j0g0n10xeRdQGpjuMNyESxSEyaPdFjT0ZzX0k3bC3I2Gp_x5cN5QW4-ffx2-aW6_vr56vLDdWVFWy9Vy8a-4RxUxyzKpuWWN0yqbgBUpWpVL-tBjX3dSQG9QWuMqkXb8WYQIMQoLsjbk_eQ4o8V86Jnly16bwLGNWsulORQg2IFffMPuo9rCuV1mstWqUbVDArFT5RNMeeEoz4kN5u0aQb6mJs-5aZLbvp3bvqofv2gXvsZhz8jj0EVQJyAfDj-Eqa_u_-j_QVzOqSX</recordid><startdate>2021</startdate><enddate>2021</enddate><creator>Kumagai, Ken</creator><creator>Yamada, Shunsuke</creator><creator>Akamatsu, Tomotaka</creator><creator>Nejima, Shuntaro</creator><creator>Ogino, Takehiro</creator><creator>Sotozawa, Masaichi</creator><creator>Inaba, Yutaka</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>2021</creationdate><title>Intraoperatively accurate limb alignment after opening wedge high tibial osteotomy can be lost by large knee joint line convergence angle during surgery</title><author>Kumagai, Ken ; Yamada, Shunsuke ; Akamatsu, Tomotaka ; Nejima, Shuntaro ; Ogino, Takehiro ; Sotozawa, Masaichi ; Inaba, Yutaka</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-71fb6220891ce4672c261489d0e867278b45d8fb59430baecaa8537926d3033f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Aged</topic><topic>Arthritis</topic><topic>General anesthesia</topic><topic>Humans</topic><topic>Intraoperative Period</topic><topic>Knee</topic><topic>Knee Joint - diagnostic imaging</topic><topic>Knee Joint - surgery</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Navigation systems</topic><topic>Orthopaedic Surgery</topic><topic>Orthopedics</topic><topic>Osteoarthritis</topic><topic>Osteoarthritis, Knee - diagnostic imaging</topic><topic>Osteoarthritis, Knee - surgery</topic><topic>Osteotomy</topic><topic>Regression analysis</topic><topic>Statistical analysis</topic><topic>Surgery</topic><topic>Tibia - diagnostic imaging</topic><topic>Tibia - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kumagai, Ken</creatorcontrib><creatorcontrib>Yamada, Shunsuke</creatorcontrib><creatorcontrib>Akamatsu, Tomotaka</creatorcontrib><creatorcontrib>Nejima, Shuntaro</creatorcontrib><creatorcontrib>Ogino, Takehiro</creatorcontrib><creatorcontrib>Sotozawa, Masaichi</creatorcontrib><creatorcontrib>Inaba, Yutaka</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of orthopaedic and trauma surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kumagai, Ken</au><au>Yamada, Shunsuke</au><au>Akamatsu, Tomotaka</au><au>Nejima, Shuntaro</au><au>Ogino, Takehiro</au><au>Sotozawa, Masaichi</au><au>Inaba, Yutaka</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intraoperatively accurate limb alignment after opening wedge high tibial osteotomy can be lost by large knee joint line convergence angle during surgery</atitle><jtitle>Archives of orthopaedic and trauma surgery</jtitle><stitle>Arch Orthop Trauma Surg</stitle><addtitle>Arch Orthop Trauma Surg</addtitle><date>2021</date><risdate>2021</risdate><volume>141</volume><issue>1</issue><spage>23</spage><epage>28</epage><pages>23-28</pages><issn>0936-8051</issn><eissn>1434-3916</eissn><abstract>Introduction
The purpose of this study was to assess early postoperative loss of achieved correction and associated factors after opening wedge high tibial osteotomy (OWHTO).
Materials and methods
OWHTO was performed in 121 patients with osteoarthritis of the knee (mean age 66 years, 154 knees). Anteroposterior radiographs of the knee and full-length leg, and varus and valgus stress radiographs of the knee were taken, and the femorotibial angle (FTA), joint line convergence angle (JLCA), and medial proximal tibial angle (MPTA) were measured. The changes in the FTA, JLCA, and MPTA were defined as ΔFTA, ΔJLCA, and ΔMPTA.
Results
The ΔFTA and ΔJLCA at postoperative 0–2 days were − 1.8 ± 1.2° and − 1.9 ± 1.4°, respectively. The ΔFTA, ΔJLCA and ΔMPTA at postoperative 1–12 months were 0.9 ± 1.3°, 0.2 ± 1.2° and − 0.8 ± 0.8°, respectively. A positive correlation was found between ΔFTA and ΔJLCA at postoperative 0–2 days (
ρ
= 0.642,
P
< 0.001) and at postoperative 1–12 months (
ρ
= 0.402,
P
< 0.001). A negative correlation was found between ΔFTA and ΔMPTA at postoperative 1–12 months (
ρ
= − 0.534,
P
< 0.001). A discrepancy in alignment represented by the FTA occurred in the supine radiographs between the day of surgery and postoperative 2 days. Multiple regression analysis suggested that postoperative JLCA on the day of surgery was the factor related to early postoperative change of the FTA.
Conclusions
This study demonstrated the early loss of achieved correction after OWHTO due to change of the JLCA, even if the accurate alignment is obtained intraoperatively.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>32221704</pmid><doi>10.1007/s00402-020-03419-1</doi><tpages>6</tpages></addata></record> |
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| ispartof | Archives of orthopaedic and trauma surgery, 2021, Vol.141 (1), p.23-28 |
| issn | 0936-8051 1434-3916 |
| language | eng |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Aged Arthritis General anesthesia Humans Intraoperative Period Knee Knee Joint - diagnostic imaging Knee Joint - surgery Medicine Medicine & Public Health Middle Aged Navigation systems Orthopaedic Surgery Orthopedics Osteoarthritis Osteoarthritis, Knee - diagnostic imaging Osteoarthritis, Knee - surgery Osteotomy Regression analysis Statistical analysis Surgery Tibia - diagnostic imaging Tibia - surgery |
| title | Intraoperatively accurate limb alignment after opening wedge high tibial osteotomy can be lost by large knee joint line convergence angle during surgery |
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