Bibliographic Details
| Title: |
Does the anteromedial plate position affect proximal screw length and worsen the clinical outcomes in medial opening wedge high tibial osteotomy? |
| Authors: |
Dong Jin Ryu, Sang Jun Park, Dae Hee Lee, Kyeu-Back Kwon, Geun Hong Choi, Il Su Kim, Joon Ho Wang |
| Source: |
BMC Musculoskeletal Disorders, Vol 24, Iss 1, Pp 1-8 (2023) |
| Publisher Information: |
BMC, 2023. |
| Publication Year: |
2023 |
| Collection: |
LCC:Diseases of the musculoskeletal system |
| Subject Terms: |
High tibial osteotomy, Plate position, Screw length, Lateral hinge fracture, Clinical outcome, Diseases of the musculoskeletal system, RC925-935 |
| More Details: |
Abstract Background During medial opening wedge high tibial osteotomy (MOWHTO), sometimes the plate tends to be positioned anteromedially. The plate position can affect the length of the proximal screw, which significantly affects stability after osteotomy. Therefore, research on the correlation among plate position, screw length, and clinical outcomes is needed. Methods This retrospective review examines 196 knees in 175 patients who underwent MOWHTO from May 2012 to December 2018, for symptomatic medial compartment osteoarthritis with a varus alignment of > 5°. We evaluated the anteroposterior plate position, length of proximal screw, and postoperative computed tomography (CT). We reviewed patients’ clinical outcome scores, presence of lateral hinge fracture, neurovascular complications, and infection. The correlation among proximal plate position, proximal screw length, and clinical outcomes was evaluated using Pearson’s correlation analysis. A subgroup analysis by screw angle (> 48 ° or |
| Document Type: |
article |
| File Description: |
electronic resource |
| Language: |
English |
| ISSN: |
1471-2474 |
| Relation: |
https://doaj.org/toc/1471-2474 |
| DOI: |
10.1186/s12891-022-06080-4 |
| Access URL: |
https://doaj.org/article/dd7eb5c2a65b4d5b8233b72bddf13eed |
| Accession Number: |
edsdoj.7eb5c2a65b4d5b8233b72bddf13eed |
| Database: |
Directory of Open Access Journals |
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