Research progress of high tibial osteotomy in treatment of medial knee osteoarthritis

doi:10.3877/cma.j.issn.1674-134X.2022.01.015

Abstract

Abstract:

Osteoarthritis (OA) is a degenerative disease of cartilage.The disease is common in the elderly patients, the final stage of the disease leads to severe joint deformity, as well as to the patient′s psychological and physical pain.High tibial osteotomy (HTO) is a safe and reliable surgical method for the treatment of medial single-compartment knee osteoarthritis (KOA), which has been widely accepted by doctors and patients, especially young patients. The main objective of this technique is to alter the deformity line of the lower limb in order to delay or relieve the degenerative changes of medial single-compartment KOA. HTO has been considered to have the advantages of simple technique, less surgical trauma, accurate deformity correction and fast postoperative recovery. Over the years, with the continuous innovation of surgical techniques and improvement of internal fixation, surgical indications have become more extensive. Currently, HTO is generally considered to be an ideal surgical method with good long-term clinical results. This article reviewed the preoperative selection, surgical methods, complications and survival rate of high tibial osteotomy for the treatment of medial single-compartment knee osteoarthritis in recent years.

Key words: Tibia, Osteotomy, Osteoarthritis

Zhigang Chen, Peng Zhu, Bo Li, Chen Zhao, Tao Zhou, Pengfei Zhou, Tingrui Wu, Cong Liu, Liang Bao, Xin Xue, Bing Zhang. Research progress of high tibial osteotomy in treatment of medial knee osteoarthritis[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2022, 16(01): 93-98.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhgjwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-134X.2022.01.015

https://zhgjwkzz.cma-cmc.com.cn/EN/Y2022/V16/I01/93

References 61

[1]	Adebajo AO. Pattern of osteoarthritis in a West African teaching hospital[J]. Ann Rheum Dis, 1991, 50(1): 20-22.
[2]	Chang A, Hurwitz D, Dunlop D, et al. The relationship between toe-out angle during gait and progression of medial tibiofemoral osteoarthritis[J]. Ann Rheum Dis, 2007, 66(10): 1271-1275.
[3]	Jackson JP, Waugh W. Tibial osteotomy for osteoarthritis of the knee[J]. Acta Orthop Belg，1982, 48(1): 93-96.
[4]	黄野．胫骨高位截骨术治疗膝关节骨关节炎的现状[J/CD]．中华关节外科杂志(电子版)，2016，10(5): 470-473.
[5]	Jung WH, Takeuchi R, Chun CW, et al. Second-look arthroscopic assessment of cartilage regeneration after medial opening-wedge high tibial osteotomy[J]. Arthroscopy, 2014, 30(1): 72-79.
[6]	赵新文，李钊，丁勇，等．胫骨高位截骨治疗膝关节骨性关节炎临床疗效分析[J]．中国骨与关节损伤杂志，2016，31(12): 1272-1276.
[7]	赵振文，王承祥，柳海平，等．体重指数对胫骨高位截骨手术临床疗效的影响[J]．中国骨与关节损伤杂志，2005，20(3): 198-199.
[8]	Meidinger G, Imhoff AB, Paul J, et al. May smokers and overweight patients be treated with a medial open-wedge HTO? Risk factors for non-union[J]. Knee Surg Sports Traumatol Arthrosc, 2011, 19(3): 333-339.
[9]	Miller BS, Downie B, Mcdonough EB, et al. Complications after medial open-wedge high tibial osteotomy[J]. Arthroscopy, 2009, 25(6): 639-646.
[10]	Billings A, Scott DF, Camargo MP, et al. High tibial osteotomy with a calibrated osteotomy guide，rigid internal fixation，and early mo-tion-Long-term follow-up[J]. J Bone Joint Surg Am, 2000, 82(1): 70-79.
[11]	Müller M, Strecker W. Arthroscopy prior to osteotomy around the knee？[J]. Arch Orthop Trauma Surg, 2008, 128(11): 1217-1221.
[12]	Lee SH, Lee OS, Teo SH, et al. Change in gait after high tibial osteotomy: a systematic review and meta-analysis[J]. Gait Posture, 2017, 57(57): 57-68.
[13]	Fujisawa Y, Masuhara K, Shiomi S. The effect of high tibial osteotomy on osteoarthritis of the knee. An arthroscopic study of 54 knee joints[J]. Orthop Clin North Am, 1979, 10(3): 585-608.
[14]	Dugdale TW, Noyes FR, Styer D. Preoperative planning for high tibial osteotomy. The effect of lateral tibiofemoral separation and tibiofemoral length[J]. Clin Orthop Relat Res, 1992, (274): 248-264.
[15]	Myrnerts R. Optimal correction in high tibial osteotomy forvarusdeformity[J]. Acta Orthop Scand, 1980, 51(4): 689-694.
[16]	Koshino T, Tsuchiya K. The effect of high tibial osteotomy on osteoarthritis of the knee[J]. Int Orthop, 1979, 3(1): 37-45.
[17]	Kettelkamp DB, Wenger DR, Chao EY, et al. Results of proximal tibial osteotomy. The effects of tibiofemoral angle, stance-phase flexion-extension, and medial-plateau force[J]. J Bone Joint Surg Am, 1976, 58(7): 952-960.
[18]	Chillag KJ, Nicholls PJ. High tibial osteotomy: a retrospective analysis of 30 cases[J]. Orthopedics, 1984, 7(12): 1821-1822.
[19]	曹立峰，裴宪武，李延明，等．改良胫骨高位截骨术治疗膝骨性关节炎32例报告[J]．北京医学，2008，30(3): 187-188.
[20]	Hohmann E, Bryant A, Imhoff AB. The effect of closed wedge high tibial osteotomy on tibial slope: a radiographic study[J]. Knee Surg Sports Traumatol Arthrosc, 2006, 14(5): 454-459.
[21]	王兴山，柳剑，顾建明，等．改良闭合楔形胫骨高位截骨术治疗膝内翻畸形的疗效观察[J/CD]．中华关节外科杂志(电子版)，2016，10(5): 474-480.
[22]	Song EK, Seon JK, Park SJ, et al. The complications of high tibial osteotomy: closing- versus opening-wedge methods[J]. J Bone Joint Surg Br, 2010, 92(9): 1245-1252.
[23]	Efe T, Ahmed G, Heyse TJ, et al. Closing-wedge high tibial osteotomy: survival and risk factor analysis at long-term follow up[J/OL]. BMC Musculoskelet Disord, 2011, 12：46. DOI：10.1186/1471-2474-12-46.
[24]	Wootton JR, Ashworth MJ, Maclaren CA. Neurological complications of high tibial osteotomy--the fibular osteotomy as a causative factor：a clinical and anatomical study[J]. Ann R Coll Surg Engl, 1995, 77(1): 31-34.
[25]	Nakamura E, Mizuta H, Kudo S, et al. Open-wedge osteotomy of the proximal tibia with hemicallotasis[J]. J Bone Joint Surg Br, 2001, 83(8): 1111-1115.
[26]	张纪，杜辉，黄野，等．胫骨高位截骨术：闭合与开放楔形截骨对比[J]．临床军医杂志，2016，44(2): 128-132.
[27]	张杭，何森．胫骨高位截骨术治疗膝内翻骨关节炎的研究进展[J]．天津医药，2019，47(3): 322-328.
[28]	El-Assal MA, Khalifa YE, Abdel-Hamid MM, et al. Opening-wedge high tibial osteotomy without bone graft[J]. Knee Surg Sports Traumatol Arthrosc, 2010, 18(7): 961-966.
[29]	Spahn G. Complications in high tibial (medial opening wedge) osteotomy[J]. Arch Orthop Trauma Surg, 2004, 124(10): 649-653.
[30]	徐亚风，罗从风，张长青，等．内侧张开胫骨高位截骨术中未植骨的预后研究[J]．国际骨科学杂志，2015，36(2): 146-150.
[31]	Türkmen F, Sever C, Kaclra BK, et al. Medial opening-wedge high tibial osteotomy fixation with short plate without any graft, synthetic material or spacer[J]. Eur J Orthop Surg Traumatol, 2014, 24(8): 1549-1555.
[32]	肖兴雷，张志刚，陈德生，等．胫骨高位截骨术治疗膝关节单间室骨性关节炎伴内翻畸形的研究进展[J]．中国医药指南，2013，11(35): 343-345.
[33]	王兴山，黄野．开放楔形胫骨高位截骨术的研究进展[J/CD]．中华关节外科杂志(电子版)，2016，10(5): 525-529.
[34]	Nelissen EM, Van LE, Nelissen RG. Stability of medial opening wedge high tibial osteotomy: a failure analysis[J]. Int Orthop, 2010, 34(2): 217-223.
[35]	Kim KJ, Song EK, Seon JK, et al. Biomechanical study of the fixation plates for opening wedge high tibial osteotomy[J]. Knee Surg Relat Res, 2015, 27(3): 181-186.
[36]	Bin SI, Kim HJ, Ahn HS, et al. Changes in patellar height after opening wedge and closing wedge high tibial osteotomy: a meta-analysis[J]. Arthroscopy, 2016, 32(11): 2393-2400.
[37]	El-Azab H, Glabgly P, Paul J, et al. Patellar height and posterior tibial slope after open-and closed-wedge high tibial osteotomy：a radiological study on 100 patients[J]. Am J Sports Med, 2010, 38(2): 323-329.
[38]	赵允，胡文晋，黄竞敏，等．内侧撑开高位胫骨截骨术联合调整胫骨平台后倾角治疗屈曲受限型膝内翻骨关节炎的早期疗效[J]．中国修复重建外科杂志，2018，32(2): 157-161.
[39]	Wang JH, Bae JH, Lim HC, et al. Medial open wedge high tibial osteotomy: the effect of the cortical hinge on posterior tibial slope[J]. Am J Sports Med, 2009, 37(12): 2411-2418.
[40]	徐海军，黄野．闭合楔形胫骨高位截骨的并发症[J/CD]．中华关节外科杂志(电子版)，2016，10(5): 535-540.
[41]	Dexel J, Fritzsche H, Beyer F, et al. Open-wedge high tibial osteotomy: incidence of lateral cortex fractures and influence of fixation device on osteotomy healing[J]. Knee Surg Sports Traumatol Arthrosc, 2017, 25(3): 832-837.
[42]	Lee OS, Lee YS. Diagnostic value of computed tomography and risk factors for lateral hinge fracture in the open wedge high tibial osteotomy[J]. Arthroscopy, 2018, 34(4): 1032-1043.
[43]	Nakamura R, Komatsu N, Murao T, et al. The validity of the classification for lateral hinge fractures in open wedge high tibial osteotomy[J]. Bone Joint J, 2015, 97-B(9): 1226-1231.
[44]	Kessler OC, Jacob HA, Romero J. Avoidance of medial cortical fracture in high tibial osteotomy: improved technique[J]. Clin Orthop Relat Res, 2002, 395(395): 180-185.
[45]	Hinterwimmer S, Beitzel K, Paul J, et al. Control of posterior tibial slope and patellar height in open-wedge valgus high tibial osteotomy[J]. Am J Sports Med, 2011, 39(4): 851-856.
[46]	Song EK, Seon JK, Park SJ. How to avoid unintended increase of posterior slope in navigation-assisted open-wedge high tibial osteotomy[J]. Orthopedics, 2007, 30(10 Suppl): S127-S131.
[47]	Nakamura R, Komatsu N, Fujita K, et al. Appropriate hinge position for prevention of unstable lateral hinge fracture in open wedge high tibial osteotomy[J]. Bone Joint J, 2017, 99-B(10): 1313-1318.
[48]	Berman AT, Bosacco SJ, Kirshner S, et al. Factors influencing long-term results in high tibial osteotomy[J]. Clin Orthop Relat Res, 1991, (272): 192-198.
[49]	Flecher X, Parratte S, Aubaniac JM, et al. A 12-28-year follow-up study of closing wedge high tibial osteotomy[J]. Clin Orthop Relat Res, 2006, 452: 91-96.
[50]	Hernigou P, Medevielle D, Debeyre J, et al. Proximal tibial osteotomy for osteoarthritis with varus deformity. A ten to thirteen-year follow-up study[J]. J Bone Joint Surg Am, 1987, 69(3): 332-354.
[51]	Ivarsson I, Myrnerts R, Gillquist J. High tibial osteotomy for medial osteoarthritis of the knee. A 5 to 7 and 11 year follow-up[J]. J Bone Joint Surg Br, 1990, 72(2): 238-244.
[52]	Koh IJ, Kim MS, Sohn S, et al. Predictive factors for satisfaction after contemporary unicompartmental knee arthroplasty and high tibial osteotomy in isolated medial femorotibial osteoarthritis[J]. Orthop Traumatol Surg Res, 2019, 105(1): 77-83.
[53]	Giagounidis EM, Sell S. High tibial osteotomy: factors influencing the duration of satisfactory function[J]. Arch Orthop Trauma Surg, 1999, 119(7/8): 445-449.
[54]	Naudie D, Bourne RB, Rorabeck CH, et al. The Install Award. Survivorship of the high tibial valgus osteotomy. A 10- to -22-year followup study[J]. Clin Orthop Relat Res, 1999, (367): 18-27.
[55]	Loia MC, Vanni S, Rosso F, et al. High tibial osteotomy in varus knees: indications and limits[J]. Joints, 2016, 4(2): 98-110.
[56]	Odenbring S, Egund N, Knutson K, et al. Revision after osteotomy for gonarthrosis. A 10-19-year follow-up of 314 cases[J]. Acta Orthopaedica Scandinavica, 61(2): 128-130.
[57]	Trieb K, Grohs J, Hanslik-Schnabel B, et al. Age predicts outcome of high-tibial osteotomy[J]. Knee Surg Sports Traumatol Arthrosc, 2006, 14(2): 149-152.
[58]	Duivenvoorden T, Van Diggele P, Reijman M, et al. Adverse events and survival after closing- and opening-wedge high tibial osteotomy: a comparative study of 412 patients[J]. Knee Surg Sports Traumatol Arthrosc, 2017, 25(3): 895-901.
[59]	Kim JH, Kim HJ, Lee DH. Survival of opening versus closing wedge high tibial osteotomy: a meta-analysis[J/OL]. Sci Rep, 2017, 7(1): 7296. DOI: 10.1038/s41598-017-07856-8.
[60]	Ducat A, Sariali E, Lebel B, et al. Posterior tibial slope changes after opening- and closing-wedge high tibial osteotomy: a comparative prospective multicenter study[J]. Orthop Traumatol Surg Res, 2012, 98(1): 68-74.
[61]	Takeuchi R, Ishikawa H, Kumagai K, et al. Fractures around the lateral cortical hinge after a medial opening-wedge high tibial osteotomy: a new classification of lateral hinge fracture[J]. Arthroscopy, 2012, 28(1): 85-94.

Please choose a citation manager

Content to export