Effect Analysis of Opening Wedge High Tibial Osteotomy (OWHTO) for the Treatment of Medial Compartment Osteoarthritis

Songwei Huan; Ning Liu; Simin Luo; Huige Hou; Guorong She; Tengfeng Zhuang; Zhengang Zha

doi:doi:10.11648/j.js.20190703.12

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Effect Analysis of Opening Wedge High Tibial Osteotomy (OWHTO) for the Treatment of Medial Compartment Osteoarthritis

Songwei Huan, Ning Liu, Simin Luo, Huige Hou, Guorong She, Tengfeng Zhuang, Zhengang Zha

Published in Journal of Surgery (Volume 7, Issue 3)

Received: 14 April 2019 Accepted: 21 May 2019 Published: 30 May 2019

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Abstract

To investigate the clinical efficacy of open wedge high tibial osteotomy (OWHTO) in the treatment of medial compartment osteoarthritis of the knee. The authors used open OWHTO combined with TomoFix internal fixation to treat 46 cases (52 knees) with knee osteoarthritis with patella varus deformity from 2015.01 to 2017.10. HSS score and VAS score of Knee joint were used to evaluate the improvement of knee function and pain before and after surgery. The femorotibial angle (FTA), medial proximal tibial angle (MPTA), kneecap varus angle (KVA), and Weight-bearing line ratio of lower limbs (WBL) were measured by videography, which can evaluate the correction effect of postoperative knee varus. There were no happenings of internal fixation failure, delayed bone healing or non-union in these follow-up patients. At the follow-up of 3 months, 6 months, and 12 months, the HSS scores of the patients were significantly higher than those before the operation, and the difference was statistically significant (P<0.05). On March, June, and December after surgery, the HSS scores of patients were significantly higher than those before surgery and the difference was statistically significant (P<0.05). The VAS scores were lower than those before surgery, and the difference was statistically significant (P<0.05). These scores had no significant difference in the different follow-up time points (P>0.05). Imaging examination indexes showed that FTA, MPTA, KVA and WBL were improved after surgery and the varus deformity was corrected. Moreover, the difference was statistically significant (P<0.05). These scores had no significant difference in the different follow-up time points (P>0.05). In general, OWHTO can relieve joint pain and improve joint function by correcting lower limb line, showing good effect on medial compartment osteoarthritis of knee joint with varus.

Published in	Journal of Surgery (Volume 7, Issue 3)
DOI	10.11648/j.js.20190703.12
Page(s)	57-62
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

High Tibial Osteotomy, Open Wedge High Tibial Osteotomy, Knee Varus Deformity, Osteoarthritis, Lower Extremity Line

References

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APA Style

Songwei Huan, Ning Liu, Simin Luo, Huige Hou, Guorong She, et al. (2019). Effect Analysis of Opening Wedge High Tibial Osteotomy (OWHTO) for the Treatment of Medial Compartment Osteoarthritis. Journal of Surgery, 7(3), 57-62. https://doi.org/10.11648/j.js.20190703.12

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ACS Style

Songwei Huan; Ning Liu; Simin Luo; Huige Hou; Guorong She, et al. Effect Analysis of Opening Wedge High Tibial Osteotomy (OWHTO) for the Treatment of Medial Compartment Osteoarthritis. J. Surg. 2019, 7(3), 57-62. doi: 10.11648/j.js.20190703.12

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AMA Style

Songwei Huan, Ning Liu, Simin Luo, Huige Hou, Guorong She, et al. Effect Analysis of Opening Wedge High Tibial Osteotomy (OWHTO) for the Treatment of Medial Compartment Osteoarthritis. J Surg. 2019;7(3):57-62. doi: 10.11648/j.js.20190703.12

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@article{10.11648/j.js.20190703.12,
  author = {Songwei Huan and Ning Liu and Simin Luo and Huige Hou and Guorong She and Tengfeng Zhuang and Zhengang Zha},
  title = {Effect Analysis of Opening Wedge High Tibial Osteotomy (OWHTO) for the Treatment of Medial Compartment Osteoarthritis},
  journal = {Journal of Surgery},
  volume = {7},
  number = {3},
  pages = {57-62},
  doi = {10.11648/j.js.20190703.12},
  url = {https://doi.org/10.11648/j.js.20190703.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20190703.12},
  abstract = {To investigate the clinical efficacy of open wedge high tibial osteotomy (OWHTO) in the treatment of medial compartment osteoarthritis of the knee. The authors used open OWHTO combined with TomoFix internal fixation to treat 46 cases (52 knees) with knee osteoarthritis with patella varus deformity from 2015.01 to 2017.10. HSS score and VAS score of Knee joint were used to evaluate the improvement of knee function and pain before and after surgery. The femorotibial angle (FTA), medial proximal tibial angle (MPTA), kneecap varus angle (KVA), and Weight-bearing line ratio of lower limbs (WBL) were measured by videography, which can evaluate the correction effect of postoperative knee varus. There were no happenings of internal fixation failure, delayed bone healing or non-union in these follow-up patients. At the follow-up of 3 months, 6 months, and 12 months, the HSS scores of the patients were significantly higher than those before the operation, and the difference was statistically significant (P0.05). Imaging examination indexes showed that FTA, MPTA, KVA and WBL were improved after surgery and the varus deformity was corrected. Moreover, the difference was statistically significant (P0.05). In general, OWHTO can relieve joint pain and improve joint function by correcting lower limb line, showing good effect on medial compartment osteoarthritis of knee joint with varus.},
 year = {2019}
}

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TY  - JOUR
T1  - Effect Analysis of Opening Wedge High Tibial Osteotomy (OWHTO) for the Treatment of Medial Compartment Osteoarthritis
AU  - Songwei Huan
AU  - Ning Liu
AU  - Simin Luo
AU  - Huige Hou
AU  - Guorong She
AU  - Tengfeng Zhuang
AU  - Zhengang Zha
Y1  - 2019/05/30
PY  - 2019
N1  - https://doi.org/10.11648/j.js.20190703.12
DO  - 10.11648/j.js.20190703.12
T2  - Journal of Surgery
JF  - Journal of Surgery
JO  - Journal of Surgery
SP  - 57
EP  - 62
PB  - Science Publishing Group
SN  - 2330-0930
UR  - https://doi.org/10.11648/j.js.20190703.12
AB  - To investigate the clinical efficacy of open wedge high tibial osteotomy (OWHTO) in the treatment of medial compartment osteoarthritis of the knee. The authors used open OWHTO combined with TomoFix internal fixation to treat 46 cases (52 knees) with knee osteoarthritis with patella varus deformity from 2015.01 to 2017.10. HSS score and VAS score of Knee joint were used to evaluate the improvement of knee function and pain before and after surgery. The femorotibial angle (FTA), medial proximal tibial angle (MPTA), kneecap varus angle (KVA), and Weight-bearing line ratio of lower limbs (WBL) were measured by videography, which can evaluate the correction effect of postoperative knee varus. There were no happenings of internal fixation failure, delayed bone healing or non-union in these follow-up patients. At the follow-up of 3 months, 6 months, and 12 months, the HSS scores of the patients were significantly higher than those before the operation, and the difference was statistically significant (P0.05). Imaging examination indexes showed that FTA, MPTA, KVA and WBL were improved after surgery and the varus deformity was corrected. Moreover, the difference was statistically significant (P0.05). In general, OWHTO can relieve joint pain and improve joint function by correcting lower limb line, showing good effect on medial compartment osteoarthritis of knee joint with varus.
VL  - 7
IS  - 3
ER  -

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Author Information

Songwei Huan

Department of Orthopedics, The First Affiliated Hospital, Jinan University, Guangzhou, China
Ning Liu

Department of Orthopedics, The First Affiliated Hospital, Jinan University, Guangzhou, China
Simin Luo

Department of Orthopedics, The First Affiliated Hospital, Jinan University, Guangzhou, China
Huige Hou

Department of Orthopedics, The First Affiliated Hospital, Jinan University, Guangzhou, China
Guorong She

Department of Orthopedics, The First Affiliated Hospital, Jinan University, Guangzhou, China
Tengfeng Zhuang

Department of Orthopedics, The First Affiliated Hospital, Jinan University, Guangzhou, China
Zhengang Zha

Department of Orthopedics, The First Affiliated Hospital, Jinan University, Guangzhou, China

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APA Style

Songwei Huan, Ning Liu, Simin Luo, Huige Hou, Guorong She, et al. (2019). Effect Analysis of Opening Wedge High Tibial Osteotomy (OWHTO) for the Treatment of Medial Compartment Osteoarthritis. Journal of Surgery, 7(3), 57-62. https://doi.org/10.11648/j.js.20190703.12

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ACS Style

Songwei Huan; Ning Liu; Simin Luo; Huige Hou; Guorong She, et al. Effect Analysis of Opening Wedge High Tibial Osteotomy (OWHTO) for the Treatment of Medial Compartment Osteoarthritis. J. Surg. 2019, 7(3), 57-62. doi: 10.11648/j.js.20190703.12

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AMA Style

Songwei Huan, Ning Liu, Simin Luo, Huige Hou, Guorong She, et al. Effect Analysis of Opening Wedge High Tibial Osteotomy (OWHTO) for the Treatment of Medial Compartment Osteoarthritis. J Surg. 2019;7(3):57-62. doi: 10.11648/j.js.20190703.12

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@article{10.11648/j.js.20190703.12,
  author = {Songwei Huan and Ning Liu and Simin Luo and Huige Hou and Guorong She and Tengfeng Zhuang and Zhengang Zha},
  title = {Effect Analysis of Opening Wedge High Tibial Osteotomy (OWHTO) for the Treatment of Medial Compartment Osteoarthritis},
  journal = {Journal of Surgery},
  volume = {7},
  number = {3},
  pages = {57-62},
  doi = {10.11648/j.js.20190703.12},
  url = {https://doi.org/10.11648/j.js.20190703.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20190703.12},
  abstract = {To investigate the clinical efficacy of open wedge high tibial osteotomy (OWHTO) in the treatment of medial compartment osteoarthritis of the knee. The authors used open OWHTO combined with TomoFix internal fixation to treat 46 cases (52 knees) with knee osteoarthritis with patella varus deformity from 2015.01 to 2017.10. HSS score and VAS score of Knee joint were used to evaluate the improvement of knee function and pain before and after surgery. The femorotibial angle (FTA), medial proximal tibial angle (MPTA), kneecap varus angle (KVA), and Weight-bearing line ratio of lower limbs (WBL) were measured by videography, which can evaluate the correction effect of postoperative knee varus. There were no happenings of internal fixation failure, delayed bone healing or non-union in these follow-up patients. At the follow-up of 3 months, 6 months, and 12 months, the HSS scores of the patients were significantly higher than those before the operation, and the difference was statistically significant (P0.05). Imaging examination indexes showed that FTA, MPTA, KVA and WBL were improved after surgery and the varus deformity was corrected. Moreover, the difference was statistically significant (P0.05). In general, OWHTO can relieve joint pain and improve joint function by correcting lower limb line, showing good effect on medial compartment osteoarthritis of knee joint with varus.},
 year = {2019}
}

Copy | Download

TY  - JOUR
T1  - Effect Analysis of Opening Wedge High Tibial Osteotomy (OWHTO) for the Treatment of Medial Compartment Osteoarthritis
AU  - Songwei Huan
AU  - Ning Liu
AU  - Simin Luo
AU  - Huige Hou
AU  - Guorong She
AU  - Tengfeng Zhuang
AU  - Zhengang Zha
Y1  - 2019/05/30
PY  - 2019
N1  - https://doi.org/10.11648/j.js.20190703.12
DO  - 10.11648/j.js.20190703.12
T2  - Journal of Surgery
JF  - Journal of Surgery
JO  - Journal of Surgery
SP  - 57
EP  - 62
PB  - Science Publishing Group
SN  - 2330-0930
UR  - https://doi.org/10.11648/j.js.20190703.12
AB  - To investigate the clinical efficacy of open wedge high tibial osteotomy (OWHTO) in the treatment of medial compartment osteoarthritis of the knee. The authors used open OWHTO combined with TomoFix internal fixation to treat 46 cases (52 knees) with knee osteoarthritis with patella varus deformity from 2015.01 to 2017.10. HSS score and VAS score of Knee joint were used to evaluate the improvement of knee function and pain before and after surgery. The femorotibial angle (FTA), medial proximal tibial angle (MPTA), kneecap varus angle (KVA), and Weight-bearing line ratio of lower limbs (WBL) were measured by videography, which can evaluate the correction effect of postoperative knee varus. There were no happenings of internal fixation failure, delayed bone healing or non-union in these follow-up patients. At the follow-up of 3 months, 6 months, and 12 months, the HSS scores of the patients were significantly higher than those before the operation, and the difference was statistically significant (P0.05). Imaging examination indexes showed that FTA, MPTA, KVA and WBL were improved after surgery and the varus deformity was corrected. Moreover, the difference was statistically significant (P0.05). In general, OWHTO can relieve joint pain and improve joint function by correcting lower limb line, showing good effect on medial compartment osteoarthritis of knee joint with varus.
VL  - 7
IS  - 3
ER  -

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