THE EFFECT OF OPENING-WEDGE HIGH TIBIAL OSTEOTOMY ON THE POSTERIORTIBIAL SLOPE ASSESSED BY THREE DIFFERENT EVALUATION METHODS

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BAGHERIFARD ABOLFAZL; JABALAMELI MAHMOUD; REZAZADEH JAFAR; ASKARI ALIREZA; YOOSEFZADEH AMIN; MOHAMMADPOUR MEHDI; KARIMI MALEH FATEMEH

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Journal: Journal of Research in Orthopedic Science Year:2018 | Volume:5 | Issue:3 Page(s): 0-0

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Title

THE EFFECT OF OPENING-WEDGE HIGH TIBIAL OSTEOTOMY ON THE POSTERIORTIBIAL SLOPE ASSESSED BY THREE DIFFERENT EVALUATION METHODS

Author(s)

Keywords

HIGH TIBIAL OSTEOTOMY

OPENING-WEDGE

POSTERIOR TIBIAL SLOPE

Abstract

Background: Recently, OPENING-WEDGE HIGH TIBIAL OSTEOTOMY (HTO) has attracted much interest due to its advantages over closingwedgeHTO. However, it has been reported to influence the POSTERIOR TIBIAL SLOPE (PTS), potentiating the knee for subsequent complications. Objectives: This study aimed at evaluating: 1. How open-wedge HTO changes the PTS, and 2. how the PTS evaluation method influencesthe extent of the PTS change. Methods: Patients with genu varum deformity, who underwent HTO at the center of the current study were included. Tomofixplate or Podo plate with or without bone graft were used for fixation purposes. The pre-and post-operative assessment of the PTSwas performed using three different evaluation methods, including tibial anatomical axis (TAA), fibular anatomical axis (FAA) andposterior tibial cortex (PTC). Results: A total of 119 knees from 83 patients, with mean age of 31. 32 10. 1 years and mean follow-up of 3. 1 1. 9 years, were includedin this study. Medial compartmental osteoarthritis was the most frequent type of etiology. The pre-operative PTS was 13. 16, 13. 81 and11. 55 using the TAA, FAA and PTC method, respectively. The post-operative PTS was 12. 59, 12. 95 and 10. 77 using the TAA, FAA and PTCmethod, respectively. The change of PTS was not statistically significant using either methods. Conclusions: A negligible reduction of less than 1º was observed in the PTS of patients following OPENING-WEDGE HTO. The PTS assessmentwas not affected by the choice of evaluation method.

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APA: Copy

BAGHERIFARD, ABOLFAZL, JABALAMELI, MAHMOUD, REZAZADEH, JAFAR, ASKARI, ALIREZA, YOOSEFZADEH, AMIN, MOHAMMADPOUR, MEHDI, & KARIMI MALEH, FATEMEH. (2018). THE EFFECT OF OPENING-WEDGE HIGH TIBIAL OSTEOTOMY ON THE POSTERIORTIBIAL SLOPE ASSESSED BY THREE DIFFERENT EVALUATION METHODS. JOURNAL OF RESEARCH IN ORTHOPEDIC SCIENCE (SHAFA ORTHOPEDIC JOURNAL), 5(3), 0-0. SID. https://sid.ir/paper/353014/en

Vancouver: Copy

BAGHERIFARD ABOLFAZL, JABALAMELI MAHMOUD, REZAZADEH JAFAR, ASKARI ALIREZA, YOOSEFZADEH AMIN, MOHAMMADPOUR MEHDI, KARIMI MALEH FATEMEH. THE EFFECT OF OPENING-WEDGE HIGH TIBIAL OSTEOTOMY ON THE POSTERIORTIBIAL SLOPE ASSESSED BY THREE DIFFERENT EVALUATION METHODS. JOURNAL OF RESEARCH IN ORTHOPEDIC SCIENCE (SHAFA ORTHOPEDIC JOURNAL)[Internet]. 2018;5(3):0-0. Available from: https://sid.ir/paper/353014/en

IEEE: Copy

ABOLFAZL BAGHERIFARD, MAHMOUD JABALAMELI, JAFAR REZAZADEH, ALIREZA ASKARI, AMIN YOOSEFZADEH, MEHDI MOHAMMADPOUR, and FATEMEH KARIMI MALEH, “THE EFFECT OF OPENING-WEDGE HIGH TIBIAL OSTEOTOMY ON THE POSTERIORTIBIAL SLOPE ASSESSED BY THREE DIFFERENT EVALUATION METHODS,” JOURNAL OF RESEARCH IN ORTHOPEDIC SCIENCE (SHAFA ORTHOPEDIC JOURNAL), vol. 5, no. 3, pp. 0–0, 2018, [Online]. Available: https://sid.ir/paper/353014/en

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