Increased contact area of flange and decreased wedge volume of osteotomy site by open wedge distal tibial tuberosity arc osteotomy compared to the conventional technique
Purpose The purpose of this study was to evaluate the area of the osteotomy surface, including the flange and wedge volume, in open wedge high tibial osteotomy (OWHTO), distal tibial tuberosity osteotomy (DTO), and distal tibial tuberosity arc osteotomy (DTAO) using tibial sawbones. It was hypothesi...
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| Veröffentlicht in: | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2021-10, Vol.29 (10), p.3450-3457 |
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| creator | Nejima, Shuntaro Kumagai, Ken Fujimaki, Hiroshi Yamada, Shunsuke Sotozawa, Masaichi Matsubara, Joji Inaba, Yutaka |
| description | Purpose
The purpose of this study was to evaluate the area of the osteotomy surface, including the flange and wedge volume, in open wedge high tibial osteotomy (OWHTO), distal tibial tuberosity osteotomy (DTO), and distal tibial tuberosity arc osteotomy (DTAO) using tibial sawbones. It was hypothesized that the area of the osteotomy surface, including the flange, in DTAO was larger than that in OWHTO and DTO and that the wedge volume in DTAO was smaller than that in OWHTO and DTO.
Methods
Fifteen tibial sawbones were divided equally into three groups: OWHTO, DTO, and DTAO. The total area of the osteotomy surface in OWHTO, DTO, and DTAO was compared using image analysis software. The contact area of the flange and the wedge volume at wedge heights of 5, 10, and 15 mm were compared among osteotomy types. One-way repeated-measures analysis of variance was used to compare the total area of the osteotomy surface, the contact area of the flange, and the wedge volume at 5, 10, and 15 mm in OWHTO, DTO, and DTAO.
Results
The total area of the osteotomy surface in DTO and DTAO was significantly larger than that in OWHTO (
P
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| doi_str_mv | 10.1007/s00167-020-06296-8 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2446988566</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2575154258</sourcerecordid><originalsourceid>FETCH-LOGICAL-c352t-ea9898b99227ce029cdd375048ffc802355934e52c05a3dd9c213185e34a37d83</originalsourceid><addsrcrecordid>eNp9kU1u2zAQhYkiAeo4uUBXBLrJRsmIPxK5DIw2CWAgm3RN0OQoliGJrki58JF6y1J1ghRdZDXk4HvzhnyEfCnhpgSobyNAWdUFMCigYroq1CeyKAXnRc1FfUYWoAUrGMjqM7mIcQeQj0IvyO_HwY1oI3rqwpCsS9TmOw0NbTo7vCC1g6ce36Bf6HPvELqpxxkKMWFIoT_S2CakmyMNexxeMd_GZDua2k07l2mDY8jYMVu4f5Qu9Pts6mkKNG1xXuSAQ2rDMKvQbYf254SX5LyxXcSr17okP75_e149FOun-8fV3bpwXLJUoNVKq43WjNUOgWnnPa8lCNU0TgHjUmouUDIH0nLvtWMlL5VELiyvveJLcn2aux9Dto3J9G102OXfwDBFw4SotFKyqjL69T90F6Yxb50pWctSCibngexEufz6OGJj9mPb2_FoSjBzeuaUnsnpmb_pmVnET6KY4RzD-D76A9Ufo3-gDw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2575154258</pqid></control><display><type>article</type><title>Increased contact area of flange and decreased wedge volume of osteotomy site by open wedge distal tibial tuberosity arc osteotomy compared to the conventional technique</title><source>Wiley Online Library Journals Frontfile Complete</source><source>SpringerLink Journals - AutoHoldings</source><creator>Nejima, Shuntaro ; Kumagai, Ken ; Fujimaki, Hiroshi ; Yamada, Shunsuke ; Sotozawa, Masaichi ; Matsubara, Joji ; Inaba, Yutaka</creator><creatorcontrib>Nejima, Shuntaro ; Kumagai, Ken ; Fujimaki, Hiroshi ; Yamada, Shunsuke ; Sotozawa, Masaichi ; Matsubara, Joji ; Inaba, Yutaka</creatorcontrib><description>Purpose
The purpose of this study was to evaluate the area of the osteotomy surface, including the flange and wedge volume, in open wedge high tibial osteotomy (OWHTO), distal tibial tuberosity osteotomy (DTO), and distal tibial tuberosity arc osteotomy (DTAO) using tibial sawbones. It was hypothesized that the area of the osteotomy surface, including the flange, in DTAO was larger than that in OWHTO and DTO and that the wedge volume in DTAO was smaller than that in OWHTO and DTO.
Methods
Fifteen tibial sawbones were divided equally into three groups: OWHTO, DTO, and DTAO. The total area of the osteotomy surface in OWHTO, DTO, and DTAO was compared using image analysis software. The contact area of the flange and the wedge volume at wedge heights of 5, 10, and 15 mm were compared among osteotomy types. One-way repeated-measures analysis of variance was used to compare the total area of the osteotomy surface, the contact area of the flange, and the wedge volume at 5, 10, and 15 mm in OWHTO, DTO, and DTAO.
Results
The total area of the osteotomy surface in DTO and DTAO was significantly larger than that in OWHTO (
P
< 0.05). The contact area of the flange in DTAO was significantly larger than that in OWHTO at each wedge height (
P
< 0.05). In addition, the contact area of the flange in DTAO was significantly larger than that in DTO at wedge heights of 5 and 15 mm (
P
< 0.05). The wedge volume in DTAO was significantly smaller than that in DTO at each wedge height (
P
< 0.05).
Conclusions
This study demonstrated that an increase in the flange contact area and a decrease in the wedge volume in the opening gap were found in DTAO compared to DTO. This would be an advantage for anteroposterior screw insertion from the flange to the distal tibial fragment and bone union at the osteotomy site.</description><identifier>ISSN: 0942-2056</identifier><identifier>EISSN: 1433-7347</identifier><identifier>DOI: 10.1007/s00167-020-06296-8</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Biomedical materials ; Image analysis ; Image processing ; Knee ; Medicine ; Medicine & Public Health ; Orthopedics ; Osteotomy ; Sports Medicine ; Variance analysis</subject><ispartof>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2021-10, Vol.29 (10), p.3450-3457</ispartof><rights>European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2020</rights><rights>European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c352t-ea9898b99227ce029cdd375048ffc802355934e52c05a3dd9c213185e34a37d83</citedby><cites>FETCH-LOGICAL-c352t-ea9898b99227ce029cdd375048ffc802355934e52c05a3dd9c213185e34a37d83</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/s00167-020-06296-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00167-020-06296-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,777,781,27905,27906,41469,42538,51300</link.rule.ids></links><search><creatorcontrib>Nejima, Shuntaro</creatorcontrib><creatorcontrib>Kumagai, Ken</creatorcontrib><creatorcontrib>Fujimaki, Hiroshi</creatorcontrib><creatorcontrib>Yamada, Shunsuke</creatorcontrib><creatorcontrib>Sotozawa, Masaichi</creatorcontrib><creatorcontrib>Matsubara, Joji</creatorcontrib><creatorcontrib>Inaba, Yutaka</creatorcontrib><title>Increased contact area of flange and decreased wedge volume of osteotomy site by open wedge distal tibial tuberosity arc osteotomy compared to the conventional technique</title><title>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</title><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><description>Purpose
The purpose of this study was to evaluate the area of the osteotomy surface, including the flange and wedge volume, in open wedge high tibial osteotomy (OWHTO), distal tibial tuberosity osteotomy (DTO), and distal tibial tuberosity arc osteotomy (DTAO) using tibial sawbones. It was hypothesized that the area of the osteotomy surface, including the flange, in DTAO was larger than that in OWHTO and DTO and that the wedge volume in DTAO was smaller than that in OWHTO and DTO.
Methods
Fifteen tibial sawbones were divided equally into three groups: OWHTO, DTO, and DTAO. The total area of the osteotomy surface in OWHTO, DTO, and DTAO was compared using image analysis software. The contact area of the flange and the wedge volume at wedge heights of 5, 10, and 15 mm were compared among osteotomy types. One-way repeated-measures analysis of variance was used to compare the total area of the osteotomy surface, the contact area of the flange, and the wedge volume at 5, 10, and 15 mm in OWHTO, DTO, and DTAO.
Results
The total area of the osteotomy surface in DTO and DTAO was significantly larger than that in OWHTO (
P
< 0.05). The contact area of the flange in DTAO was significantly larger than that in OWHTO at each wedge height (
P
< 0.05). In addition, the contact area of the flange in DTAO was significantly larger than that in DTO at wedge heights of 5 and 15 mm (
P
< 0.05). The wedge volume in DTAO was significantly smaller than that in DTO at each wedge height (
P
< 0.05).
Conclusions
This study demonstrated that an increase in the flange contact area and a decrease in the wedge volume in the opening gap were found in DTAO compared to DTO. This would be an advantage for anteroposterior screw insertion from the flange to the distal tibial fragment and bone union at the osteotomy site.</description><subject>Biomedical materials</subject><subject>Image analysis</subject><subject>Image processing</subject><subject>Knee</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Orthopedics</subject><subject>Osteotomy</subject><subject>Sports Medicine</subject><subject>Variance analysis</subject><issn>0942-2056</issn><issn>1433-7347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kU1u2zAQhYkiAeo4uUBXBLrJRsmIPxK5DIw2CWAgm3RN0OQoliGJrki58JF6y1J1ghRdZDXk4HvzhnyEfCnhpgSobyNAWdUFMCigYroq1CeyKAXnRc1FfUYWoAUrGMjqM7mIcQeQj0IvyO_HwY1oI3rqwpCsS9TmOw0NbTo7vCC1g6ce36Bf6HPvELqpxxkKMWFIoT_S2CakmyMNexxeMd_GZDua2k07l2mDY8jYMVu4f5Qu9Pts6mkKNG1xXuSAQ2rDMKvQbYf254SX5LyxXcSr17okP75_e149FOun-8fV3bpwXLJUoNVKq43WjNUOgWnnPa8lCNU0TgHjUmouUDIH0nLvtWMlL5VELiyvveJLcn2aux9Dto3J9G102OXfwDBFw4SotFKyqjL69T90F6Yxb50pWctSCibngexEufz6OGJj9mPb2_FoSjBzeuaUnsnpmb_pmVnET6KY4RzD-D76A9Ufo3-gDw</recordid><startdate>20211001</startdate><enddate>20211001</enddate><creator>Nejima, Shuntaro</creator><creator>Kumagai, Ken</creator><creator>Fujimaki, Hiroshi</creator><creator>Yamada, Shunsuke</creator><creator>Sotozawa, Masaichi</creator><creator>Matsubara, Joji</creator><creator>Inaba, Yutaka</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20211001</creationdate><title>Increased contact area of flange and decreased wedge volume of osteotomy site by open wedge distal tibial tuberosity arc osteotomy compared to the conventional technique</title><author>Nejima, Shuntaro ; Kumagai, Ken ; Fujimaki, Hiroshi ; Yamada, Shunsuke ; Sotozawa, Masaichi ; Matsubara, Joji ; Inaba, Yutaka</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c352t-ea9898b99227ce029cdd375048ffc802355934e52c05a3dd9c213185e34a37d83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Biomedical materials</topic><topic>Image analysis</topic><topic>Image processing</topic><topic>Knee</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Orthopedics</topic><topic>Osteotomy</topic><topic>Sports Medicine</topic><topic>Variance analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nejima, Shuntaro</creatorcontrib><creatorcontrib>Kumagai, Ken</creatorcontrib><creatorcontrib>Fujimaki, Hiroshi</creatorcontrib><creatorcontrib>Yamada, Shunsuke</creatorcontrib><creatorcontrib>Sotozawa, Masaichi</creatorcontrib><creatorcontrib>Matsubara, Joji</creatorcontrib><creatorcontrib>Inaba, Yutaka</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</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>Engineering Research Database</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>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</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>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nejima, Shuntaro</au><au>Kumagai, Ken</au><au>Fujimaki, Hiroshi</au><au>Yamada, Shunsuke</au><au>Sotozawa, Masaichi</au><au>Matsubara, Joji</au><au>Inaba, Yutaka</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Increased contact area of flange and decreased wedge volume of osteotomy site by open wedge distal tibial tuberosity arc osteotomy compared to the conventional technique</atitle><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle><stitle>Knee Surg Sports Traumatol Arthrosc</stitle><date>2021-10-01</date><risdate>2021</risdate><volume>29</volume><issue>10</issue><spage>3450</spage><epage>3457</epage><pages>3450-3457</pages><issn>0942-2056</issn><eissn>1433-7347</eissn><abstract>Purpose
The purpose of this study was to evaluate the area of the osteotomy surface, including the flange and wedge volume, in open wedge high tibial osteotomy (OWHTO), distal tibial tuberosity osteotomy (DTO), and distal tibial tuberosity arc osteotomy (DTAO) using tibial sawbones. It was hypothesized that the area of the osteotomy surface, including the flange, in DTAO was larger than that in OWHTO and DTO and that the wedge volume in DTAO was smaller than that in OWHTO and DTO.
Methods
Fifteen tibial sawbones were divided equally into three groups: OWHTO, DTO, and DTAO. The total area of the osteotomy surface in OWHTO, DTO, and DTAO was compared using image analysis software. The contact area of the flange and the wedge volume at wedge heights of 5, 10, and 15 mm were compared among osteotomy types. One-way repeated-measures analysis of variance was used to compare the total area of the osteotomy surface, the contact area of the flange, and the wedge volume at 5, 10, and 15 mm in OWHTO, DTO, and DTAO.
Results
The total area of the osteotomy surface in DTO and DTAO was significantly larger than that in OWHTO (
P
< 0.05). The contact area of the flange in DTAO was significantly larger than that in OWHTO at each wedge height (
P
< 0.05). In addition, the contact area of the flange in DTAO was significantly larger than that in DTO at wedge heights of 5 and 15 mm (
P
< 0.05). The wedge volume in DTAO was significantly smaller than that in DTO at each wedge height (
P
< 0.05).
Conclusions
This study demonstrated that an increase in the flange contact area and a decrease in the wedge volume in the opening gap were found in DTAO compared to DTO. This would be an advantage for anteroposterior screw insertion from the flange to the distal tibial fragment and bone union at the osteotomy site.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><doi>10.1007/s00167-020-06296-8</doi><tpages>8</tpages></addata></record> |
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| identifier | ISSN: 0942-2056 |
| ispartof | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2021-10, Vol.29 (10), p.3450-3457 |
| issn | 0942-2056 1433-7347 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2446988566 |
| source | Wiley Online Library Journals Frontfile Complete; SpringerLink Journals - AutoHoldings |
| subjects | Biomedical materials Image analysis Image processing Knee Medicine Medicine & Public Health Orthopedics Osteotomy Sports Medicine Variance analysis |
| title | Increased contact area of flange and decreased wedge volume of osteotomy site by open wedge distal tibial tuberosity arc osteotomy compared to the conventional technique |
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