Avoiding Overcorrection to Increase Patient Satisfaction After Open Wedge High Tibial Osteotomy

Avoiding Overcorrection to Increase Patient Satisfaction After Open Wedge High Tibial Osteotomy

Background: Achieving the postoperative mechanical axis passing through 62.5% of the tibial plateau is considered successful osteotomy surgery. Despite precise preoperative planning and surgical techniques, some procedures result in under- or overcorrection. Few studies have investigated the relatio...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:The American journal of sports medicine 2022-07, Vol.50 (9), p.2453-2461
Hauptverfasser: Lee, Sung-Sahn, Kim, Joo Hwan, Kim, Su, Jung, Eui Yub, Ryu, Dong Jin, Lee, Do Kyung, Wang, Joon Ho
Format: Artikel
Sprache:eng
Schlagworte:
Clinical outcomes
Patient satisfaction
Sports medicine
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 2461
container_issue 9
container_start_page 2453
container_title The American journal of sports medicine
container_volume 50
creator Lee, Sung-Sahn
Kim, Joo Hwan
Kim, Su
Jung, Eui Yub
Ryu, Dong Jin
Lee, Do Kyung
Wang, Joon Ho
description Background: Achieving the postoperative mechanical axis passing through 62.5% of the tibial plateau is considered successful osteotomy surgery. Despite precise preoperative planning and surgical techniques, some procedures result in under- or overcorrection. Few studies have investigated the relationship between clinical outcomes and unintentional under- or overcorrection after open wedge high tibial osteotomy (OWHTO) using whole-leg standing radiographs. Purpose: To investigate the relationship between postoperative alignment using whole-leg standing radiographs and clinical outcomes after OWHTO. Study Design: Cohort study; Level of evidence, 3. Methods: A total of 89 knees (72 patients) that underwent OWHTO between October 2013 and September 2018 were included. Patients with postoperative weightbearing line (WBL) ratios within 57% to 67% were classified as appropriate correction (group A; 45 cases), whereas ratios 67% were classified as undercorrection (group U; 20 cases) and overcorrection (group O; 24 cases), respectively. The following patient-reported outcomes (PROs) were investigated: International Knee Documentation Committee (IKDC) subjective score, Kujala score, and Knee injury and Osteoarthritis Outcome Score (KOOS). The correlation between postoperative WBL and PROs was analyzed. PROs were compared among the 3 groups. Results: Regarding the correlation between postoperative WBL ratio and PROs, a larger postoperative WBL ratio was significantly correlated with a poor IKDC subjective score (P = .002), Kujala score (P = .009), and KOOS. Group O showed inferior postoperative PRO scores when compared with group A or U, whereas group U showed a similar result to group A (mean IKDC subjective scores: group U, 62.0; group A, 61.2; group O, 47.6; P = .004). Conclusion: Overcorrection after OWHTO surgery correlated with inferior PROs; therefore, overcorrected alignment should be avoided for patient satisfaction. Knees with an undercorrected alignment showed clinical results similar to those with appropriate correction.
doi_str_mv 10.1177/03635465221102144
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2678739972</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_03635465221102144</sage_id><sourcerecordid>2678739972</sourcerecordid><originalsourceid>FETCH-LOGICAL-c345t-3b3323d18469eab704f06c23995dd2df759e290ba72adfdad65a2591394b63553</originalsourceid><addsrcrecordid>eNp1kF9LwzAUxYMoOKcfwLeAL7505k_TtI9jqBsMKjjxsaTNbc3Ymplkg317MyoIik_n4f7OufcehG4pmVAq5QPhGRdpJhijlDCapmdoRIVgCeeZOEej0zw5AZfoyvs1IYTKLB-hanqwRpu-w-UBXGOdgyYY2-Ng8aJvHCgP-EUFA33Ar1F9qwZg2gZwuNxBj99Bd4DnpvvAK1MbtcGlD2CD3R6v0UWrNh5uvnWM3p4eV7N5siyfF7PpMml4KkLCa84Z1zRPswJULUnakqxhvCiE1ky3UhTAClIryZRutdKZUEwUlBdpHR8XfIzuh9yds5978KHaGt_AZqN6sHtfsUzmMsZJFtG7X-ja7l0fr4tUXoi4PKeRogPVOOu9g7baObNV7lhRUp0qr_5UHj2TweNVBz-p_xu-AE1qf6k</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2689570481</pqid></control><display><type>article</type><title>Avoiding Overcorrection to Increase Patient Satisfaction After Open Wedge High Tibial Osteotomy</title><source>SAGE Complete</source><source>Alma/SFX Local Collection</source><creator>Lee, Sung-Sahn ; Kim, Joo Hwan ; Kim, Su ; Jung, Eui Yub ; Ryu, Dong Jin ; Lee, Do Kyung ; Wang, Joon Ho</creator><creatorcontrib>Lee, Sung-Sahn ; Kim, Joo Hwan ; Kim, Su ; Jung, Eui Yub ; Ryu, Dong Jin ; Lee, Do Kyung ; Wang, Joon Ho</creatorcontrib><description>Background: Achieving the postoperative mechanical axis passing through 62.5% of the tibial plateau is considered successful osteotomy surgery. Despite precise preoperative planning and surgical techniques, some procedures result in under- or overcorrection. Few studies have investigated the relationship between clinical outcomes and unintentional under- or overcorrection after open wedge high tibial osteotomy (OWHTO) using whole-leg standing radiographs. Purpose: To investigate the relationship between postoperative alignment using whole-leg standing radiographs and clinical outcomes after OWHTO. Study Design: Cohort study; Level of evidence, 3. Methods: A total of 89 knees (72 patients) that underwent OWHTO between October 2013 and September 2018 were included. Patients with postoperative weightbearing line (WBL) ratios within 57% to 67% were classified as appropriate correction (group A; 45 cases), whereas ratios &lt;57% and &gt;67% were classified as undercorrection (group U; 20 cases) and overcorrection (group O; 24 cases), respectively. The following patient-reported outcomes (PROs) were investigated: International Knee Documentation Committee (IKDC) subjective score, Kujala score, and Knee injury and Osteoarthritis Outcome Score (KOOS). The correlation between postoperative WBL and PROs was analyzed. PROs were compared among the 3 groups. Results: Regarding the correlation between postoperative WBL ratio and PROs, a larger postoperative WBL ratio was significantly correlated with a poor IKDC subjective score (P = .002), Kujala score (P = .009), and KOOS. Group O showed inferior postoperative PRO scores when compared with group A or U, whereas group U showed a similar result to group A (mean IKDC subjective scores: group U, 62.0; group A, 61.2; group O, 47.6; P = .004). Conclusion: Overcorrection after OWHTO surgery correlated with inferior PROs; therefore, overcorrected alignment should be avoided for patient satisfaction. Knees with an undercorrected alignment showed clinical results similar to those with appropriate correction.</description><identifier>ISSN: 0363-5465</identifier><identifier>EISSN: 1552-3365</identifier><identifier>DOI: 10.1177/03635465221102144</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Clinical outcomes ; Patient satisfaction ; Sports medicine</subject><ispartof>The American journal of sports medicine, 2022-07, Vol.50 (9), p.2453-2461</ispartof><rights>2022 The Author(s)</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c345t-3b3323d18469eab704f06c23995dd2df759e290ba72adfdad65a2591394b63553</citedby><cites>FETCH-LOGICAL-c345t-3b3323d18469eab704f06c23995dd2df759e290ba72adfdad65a2591394b63553</cites><orcidid>0000-0003-2455-5230</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/03635465221102144$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/03635465221102144$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21798,27901,27902,43597,43598</link.rule.ids></links><search><creatorcontrib>Lee, Sung-Sahn</creatorcontrib><creatorcontrib>Kim, Joo Hwan</creatorcontrib><creatorcontrib>Kim, Su</creatorcontrib><creatorcontrib>Jung, Eui Yub</creatorcontrib><creatorcontrib>Ryu, Dong Jin</creatorcontrib><creatorcontrib>Lee, Do Kyung</creatorcontrib><creatorcontrib>Wang, Joon Ho</creatorcontrib><title>Avoiding Overcorrection to Increase Patient Satisfaction After Open Wedge High Tibial Osteotomy</title><title>The American journal of sports medicine</title><addtitle>Am J Sports Med</addtitle><description>Background: Achieving the postoperative mechanical axis passing through 62.5% of the tibial plateau is considered successful osteotomy surgery. Despite precise preoperative planning and surgical techniques, some procedures result in under- or overcorrection. Few studies have investigated the relationship between clinical outcomes and unintentional under- or overcorrection after open wedge high tibial osteotomy (OWHTO) using whole-leg standing radiographs. Purpose: To investigate the relationship between postoperative alignment using whole-leg standing radiographs and clinical outcomes after OWHTO. Study Design: Cohort study; Level of evidence, 3. Methods: A total of 89 knees (72 patients) that underwent OWHTO between October 2013 and September 2018 were included. Patients with postoperative weightbearing line (WBL) ratios within 57% to 67% were classified as appropriate correction (group A; 45 cases), whereas ratios &lt;57% and &gt;67% were classified as undercorrection (group U; 20 cases) and overcorrection (group O; 24 cases), respectively. The following patient-reported outcomes (PROs) were investigated: International Knee Documentation Committee (IKDC) subjective score, Kujala score, and Knee injury and Osteoarthritis Outcome Score (KOOS). The correlation between postoperative WBL and PROs was analyzed. PROs were compared among the 3 groups. Results: Regarding the correlation between postoperative WBL ratio and PROs, a larger postoperative WBL ratio was significantly correlated with a poor IKDC subjective score (P = .002), Kujala score (P = .009), and KOOS. Group O showed inferior postoperative PRO scores when compared with group A or U, whereas group U showed a similar result to group A (mean IKDC subjective scores: group U, 62.0; group A, 61.2; group O, 47.6; P = .004). Conclusion: Overcorrection after OWHTO surgery correlated with inferior PROs; therefore, overcorrected alignment should be avoided for patient satisfaction. Knees with an undercorrected alignment showed clinical results similar to those with appropriate correction.</description><subject>Clinical outcomes</subject><subject>Patient satisfaction</subject><subject>Sports medicine</subject><issn>0363-5465</issn><issn>1552-3365</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp1kF9LwzAUxYMoOKcfwLeAL7505k_TtI9jqBsMKjjxsaTNbc3Ymplkg317MyoIik_n4f7OufcehG4pmVAq5QPhGRdpJhijlDCapmdoRIVgCeeZOEej0zw5AZfoyvs1IYTKLB-hanqwRpu-w-UBXGOdgyYY2-Ng8aJvHCgP-EUFA33Ar1F9qwZg2gZwuNxBj99Bd4DnpvvAK1MbtcGlD2CD3R6v0UWrNh5uvnWM3p4eV7N5siyfF7PpMml4KkLCa84Z1zRPswJULUnakqxhvCiE1ky3UhTAClIryZRutdKZUEwUlBdpHR8XfIzuh9yds5978KHaGt_AZqN6sHtfsUzmMsZJFtG7X-ja7l0fr4tUXoi4PKeRogPVOOu9g7baObNV7lhRUp0qr_5UHj2TweNVBz-p_xu-AE1qf6k</recordid><startdate>202207</startdate><enddate>202207</enddate><creator>Lee, Sung-Sahn</creator><creator>Kim, Joo Hwan</creator><creator>Kim, Su</creator><creator>Jung, Eui Yub</creator><creator>Ryu, Dong Jin</creator><creator>Lee, Do Kyung</creator><creator>Wang, Joon Ho</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>U9A</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-2455-5230</orcidid></search><sort><creationdate>202207</creationdate><title>Avoiding Overcorrection to Increase Patient Satisfaction After Open Wedge High Tibial Osteotomy</title><author>Lee, Sung-Sahn ; Kim, Joo Hwan ; Kim, Su ; Jung, Eui Yub ; Ryu, Dong Jin ; Lee, Do Kyung ; Wang, Joon Ho</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c345t-3b3323d18469eab704f06c23995dd2df759e290ba72adfdad65a2591394b63553</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Clinical outcomes</topic><topic>Patient satisfaction</topic><topic>Sports medicine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Sung-Sahn</creatorcontrib><creatorcontrib>Kim, Joo Hwan</creatorcontrib><creatorcontrib>Kim, Su</creatorcontrib><creatorcontrib>Jung, Eui Yub</creatorcontrib><creatorcontrib>Ryu, Dong Jin</creatorcontrib><creatorcontrib>Lee, Do Kyung</creatorcontrib><creatorcontrib>Wang, Joon Ho</creatorcontrib><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of sports medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Sung-Sahn</au><au>Kim, Joo Hwan</au><au>Kim, Su</au><au>Jung, Eui Yub</au><au>Ryu, Dong Jin</au><au>Lee, Do Kyung</au><au>Wang, Joon Ho</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Avoiding Overcorrection to Increase Patient Satisfaction After Open Wedge High Tibial Osteotomy</atitle><jtitle>The American journal of sports medicine</jtitle><addtitle>Am J Sports Med</addtitle><date>2022-07</date><risdate>2022</risdate><volume>50</volume><issue>9</issue><spage>2453</spage><epage>2461</epage><pages>2453-2461</pages><issn>0363-5465</issn><eissn>1552-3365</eissn><abstract>Background: Achieving the postoperative mechanical axis passing through 62.5% of the tibial plateau is considered successful osteotomy surgery. Despite precise preoperative planning and surgical techniques, some procedures result in under- or overcorrection. Few studies have investigated the relationship between clinical outcomes and unintentional under- or overcorrection after open wedge high tibial osteotomy (OWHTO) using whole-leg standing radiographs. Purpose: To investigate the relationship between postoperative alignment using whole-leg standing radiographs and clinical outcomes after OWHTO. Study Design: Cohort study; Level of evidence, 3. Methods: A total of 89 knees (72 patients) that underwent OWHTO between October 2013 and September 2018 were included. Patients with postoperative weightbearing line (WBL) ratios within 57% to 67% were classified as appropriate correction (group A; 45 cases), whereas ratios &lt;57% and &gt;67% were classified as undercorrection (group U; 20 cases) and overcorrection (group O; 24 cases), respectively. The following patient-reported outcomes (PROs) were investigated: International Knee Documentation Committee (IKDC) subjective score, Kujala score, and Knee injury and Osteoarthritis Outcome Score (KOOS). The correlation between postoperative WBL and PROs was analyzed. PROs were compared among the 3 groups. Results: Regarding the correlation between postoperative WBL ratio and PROs, a larger postoperative WBL ratio was significantly correlated with a poor IKDC subjective score (P = .002), Kujala score (P = .009), and KOOS. Group O showed inferior postoperative PRO scores when compared with group A or U, whereas group U showed a similar result to group A (mean IKDC subjective scores: group U, 62.0; group A, 61.2; group O, 47.6; P = .004). Conclusion: Overcorrection after OWHTO surgery correlated with inferior PROs; therefore, overcorrected alignment should be avoided for patient satisfaction. Knees with an undercorrected alignment showed clinical results similar to those with appropriate correction.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><doi>10.1177/03635465221102144</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-2455-5230</orcidid></addata></record>
fulltext fulltext
identifier ISSN: 0363-5465
ispartof The American journal of sports medicine, 2022-07, Vol.50 (9), p.2453-2461
issn 0363-5465
1552-3365
language eng
recordid cdi_proquest_miscellaneous_2678739972
source SAGE Complete; Alma/SFX Local Collection
subjects Clinical outcomes
Patient satisfaction
Sports medicine
title Avoiding Overcorrection to Increase Patient Satisfaction After Open Wedge High Tibial Osteotomy
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-19T00%3A35%3A38IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Avoiding%20Overcorrection%20to%20Increase%20Patient%20Satisfaction%20After%20Open%20Wedge%20High%20Tibial%20Osteotomy&rft.jtitle=The%20American%20journal%20of%20sports%20medicine&rft.au=Lee,%20Sung-Sahn&rft.date=2022-07&rft.volume=50&rft.issue=9&rft.spage=2453&rft.epage=2461&rft.pages=2453-2461&rft.issn=0363-5465&rft.eissn=1552-3365&rft_id=info:doi/10.1177/03635465221102144&rft_dat=%3Cproquest_cross%3E2678739972%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2689570481&rft_id=info:pmid/&rft_sage_id=10.1177_03635465221102144&rfr_iscdi=true