Lateral hinge fracture delays healing of the osteotomy gap in opening wedge high tibial osteotomy with a beta-tricalcium phosphate block.
Knee
; 27(1): 192-197, 2020 Jan.
Article
em En
| MEDLINE
| ID: mdl-31883759
ABSTRACT
BACKGROUND:
The purpose of this study was to investigate the healing process of synthetic bone grafts in opening wedge high tibial osteotomy (OWHTO) and to identify the factors that affect bone healing in OWHTO. It was hypothesized that lateral hinge fracture (LHF) is associated with delayed bone healing after OWHTO with synthetic bone grafting.METHODS:
The subjects included 350 knees of 283 patients who underwent OWHTO using two wedged blocks of beta-tricalcium phosphate (ß-TCP) with 60% porosity. The healing of the osteotomy gap using a radiologic rating system for OWHTO with synthetic bone grafts and the presence of an LHF were assessed up to postoperative 24â¯months.RESULTS:
LHFs were found in 49 knees (14%). The osteotomy gap showed slower progression of radiographic healing with an LHF than without an LHF (Pâ¯<â¯.05). In the knees with LHFs, initial radiographic change in the osteotomy gap was observed almost at the same time as healing of the LHF. Multivariate logistic regression analysis identified LHF as the factor preventing the progression of bone healing (ORâ¯=â¯46.78, Pâ¯<â¯.05).CONCLUSIONS:
LHF is associated with delayed bone healing after OWHTO with synthetic bone grafting.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Osteotomia
/
Tíbia
/
Fraturas da Tíbia
/
Fosfatos de Cálcio
/
Transplante Ósseo
/
Osteoartrite do Joelho
Tipo de estudo:
Etiology_studies
/
Prognostic_studies
Limite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Knee
Assunto da revista:
ORTOPEDIA
Ano de publicação:
2020
Tipo de documento:
Article