Late recurrence of varus deformity after proximal tibial osteotomy
One hundred thirteen knees with medial gonarthrosis in 95 patients were treated by valgus-producing proximal tibial osteotomy and followed clinically and roentgenographically for a minimum of five years (mean, 6.3 years). Sixty-four knees (57%) were pain free or had only mild discomfort when walking...
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| Veröffentlicht in: | Clinical orthopaedics and related research 1990-11, Vol.260 (260), p.61-65 |
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| container_title | Clinical orthopaedics and related research |
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| creator | STUART, M. J GRACE, J. N ILSTRUP, D. M KELLY, C. M ADAMS, R. A MORREY, B. F |
| description | One hundred thirteen knees with medial gonarthrosis in 95 patients were treated by valgus-producing proximal tibial osteotomy and followed clinically and roentgenographically for a minimum of five years (mean, 6.3 years). Sixty-four knees (57%) were pain free or had only mild discomfort when walking. The standing femorotibial angle decreased from a postoperative average of 9.3 degrees valgus to 7.8 degrees valgus at the final follow-up examination. The tendency for varus recurrence greater than 5 degrees and for medial- or lateral-compartment arthritic progression was evaluated using the Kaplan-Meier survival method. Varus recurred in 18%, lateral-compartment arthritic progression in 60%, and medial-compartment arthritic progression in 83% by nine years after surgery. The probability of arthritic progression is much higher than the probability of significant varus recurrence in long-term roentgenographic follow-up studies of patients with valgus-producing proximal tibial osteotomies. |
| doi_str_mv | 10.1097/00003086-199011000-00012 |
| format | Article |
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The tendency for varus recurrence greater than 5 degrees and for medial- or lateral-compartment arthritic progression was evaluated using the Kaplan-Meier survival method. Varus recurred in 18%, lateral-compartment arthritic progression in 60%, and medial-compartment arthritic progression in 83% by nine years after surgery. The probability of arthritic progression is much higher than the probability of significant varus recurrence in long-term roentgenographic follow-up studies of patients with valgus-producing proximal tibial osteotomies.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Humans</subject><subject>Joint Diseases - surgery</subject><subject>Knee Joint - diagnostic imaging</subject><subject>Knee Joint - surgery</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Osteoarthritis</subject><subject>Osteoarthritis - surgery</subject><subject>Osteotomy - methods</subject><subject>Probability</subject><subject>Radiography</subject><subject>Recurrence</subject><subject>Survival Analysis</subject><subject>Tibia - surgery</subject><issn>0009-921X</issn><issn>1528-1132</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1990</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkNtKxDAQhoMo67r6CEJu9K6aQ5M2l7p4ggVvFLwLaTqBSrtZk1TctzfrVg2EYQ7_zM-HEKbkihJVXZP8OKllQZUilOasyJ-yAzSngtUFpZwdonmuqUIx-naMTmJ834lKwWZoxhgTshRzdLsyCXAAO4YAawvYO_xpwhhxC86HoUtbbFyCgDfBf3WD6XHqmi4HHxP45IftKTpypo9wNsUFer2_e1k-Fqvnh6flzaqwXKpUqKa01rASDHWyLnkrKguEN-BqbpWQ3FJaOdfytrEu-2wch8oZkMRJB9DyBbrc781OPkaISQ9dtND3Zg1-jLompCqJknmw3g_a4GMM4PQmZOdhqynRO3z6F5_-w6d_8GXp-XRjbAZo_4QTr9y_mPomWtO7YNa2i__7VSV4lS18A9BueVg</recordid><startdate>19901101</startdate><enddate>19901101</enddate><creator>STUART, M. 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F</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c369t-9b4cca24ea1f6843d57ce03bef83c9563c117ffd3dbcf034bf3e7fae60f6feed3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1990</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Diseases of the osteoarticular system</topic><topic>Female</topic><topic>Humans</topic><topic>Joint Diseases - surgery</topic><topic>Knee Joint - diagnostic imaging</topic><topic>Knee Joint - surgery</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Osteoarthritis</topic><topic>Osteoarthritis - surgery</topic><topic>Osteotomy - methods</topic><topic>Probability</topic><topic>Radiography</topic><topic>Recurrence</topic><topic>Survival Analysis</topic><topic>Tibia - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>STUART, M. J</creatorcontrib><creatorcontrib>GRACE, J. N</creatorcontrib><creatorcontrib>ILSTRUP, D. M</creatorcontrib><creatorcontrib>KELLY, C. M</creatorcontrib><creatorcontrib>ADAMS, R. A</creatorcontrib><creatorcontrib>MORREY, B. F</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical orthopaedics and related research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>STUART, M. J</au><au>GRACE, J. N</au><au>ILSTRUP, D. M</au><au>KELLY, C. M</au><au>ADAMS, R. A</au><au>MORREY, B. F</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Late recurrence of varus deformity after proximal tibial osteotomy</atitle><jtitle>Clinical orthopaedics and related research</jtitle><addtitle>Clin Orthop Relat Res</addtitle><date>1990-11-01</date><risdate>1990</risdate><volume>260</volume><issue>260</issue><spage>61</spage><epage>65</epage><pages>61-65</pages><issn>0009-921X</issn><eissn>1528-1132</eissn><coden>CORTBR</coden><abstract>One hundred thirteen knees with medial gonarthrosis in 95 patients were treated by valgus-producing proximal tibial osteotomy and followed clinically and roentgenographically for a minimum of five years (mean, 6.3 years). Sixty-four knees (57%) were pain free or had only mild discomfort when walking. The standing femorotibial angle decreased from a postoperative average of 9.3 degrees valgus to 7.8 degrees valgus at the final follow-up examination. The tendency for varus recurrence greater than 5 degrees and for medial- or lateral-compartment arthritic progression was evaluated using the Kaplan-Meier survival method. Varus recurred in 18%, lateral-compartment arthritic progression in 60%, and medial-compartment arthritic progression in 83% by nine years after surgery. The probability of arthritic progression is much higher than the probability of significant varus recurrence in long-term roentgenographic follow-up studies of patients with valgus-producing proximal tibial osteotomies.</abstract><cop>Heidelberg</cop><pub>Springer</pub><pmid>2225645</pmid><doi>10.1097/00003086-199011000-00012</doi><tpages>5</tpages></addata></record> |
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| ispartof | Clinical orthopaedics and related research, 1990-11, Vol.260 (260), p.61-65 |
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| source | Journals@Ovid Ovid Autoload; MEDLINE |
| subjects | Adult Aged Biological and medical sciences Diseases of the osteoarticular system Female Humans Joint Diseases - surgery Knee Joint - diagnostic imaging Knee Joint - surgery Male Medical sciences Middle Aged Osteoarthritis Osteoarthritis - surgery Osteotomy - methods Probability Radiography Recurrence Survival Analysis Tibia - surgery |
| title | Late recurrence of varus deformity after proximal tibial osteotomy |
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