Parallelism of Anatomo-clinical Results of Total Knee Arthroplasty After High Tibial Osteotomy

Authors

  • Hanitrankasitrahana Amboarasarobidy ROHIMPITIAVANA Department of orthopedic surgery and trauma of Joseph Ravoahangy Andrianavalona University Hospital, Antananarivo Madagascar
  • Andrimpitia Randrianirina Department of orthopedic surgery and trauma of University Hospital, Toamasina Madagascar
  • Ny Aina Ralaivao Department of orthopedic surgery and trauma of Joseph Ravoahangy Andrianavalona University Hospital, Antananarivo Madagascar
  • Solofomalala Gaëtan Duval Department of orthopedic surgery and trauma of Anosiala University Hospital, Antananarivo Madagascar
  • Henri Jean Claude Razafimahandry Department of orthopedic surgery and trauma of Joseph Ravoahangy Andrianavalona University Hospital, Antananarivo Madagascar

Keywords:

Outcome measures, high tibial osteotomy, total knee arthroplasty

Abstract

Introduction :

Clinical outcomes in total knee arthroplasty (TKA) are unsatisfactory despite correct radiographic measurements after high tibial osteotomy (HTO). The purpose of this study was to determine the correlation between clinical and anatomical outcomes.

Methods:

A descriptive, analytic, retrospective study of 30 knees after 1-year of follow-up was carried out over 10 years including patients benefiting from a TKA after HTO. The International Knee Score (IKS) was used.

Results:

Computer navigated TKAs were performed in 80% of cases. Pain, mobility, stability, and walking distance were improved. The clinical results were “excellent” in 13.33%, “good” in 50%, “medium” in 36.67% of cases. TKA restored correct alignment in 76.67% of cases (p = 0.0039), tibial slope in 80% (p = 0.000011), epiphyseal varus in 80% (p = 0.44), and patellar height in 80% (p = 0.15). Computer navigation allowed more precise corrections of alignment. Previous clinical knee status affected clinical outcomes (p = 0.00022).

Conclusion:

Correct alignment of the knee is one of the factors influencing the clinical outcomes. A careful assessment based on the preoperative clinical conditions and postoperative lower limb alignment is essential to evaluate TKA after HTO outcomes.

Downloads

Download data is not yet available.

References

References

Dubrana F, Lecerf G, Nguyen-Khanh JP, et al. Tibial valgus osteotomy. R Coll Occup Ther. 2008; 94: 2–21.

Windsor RE, Insall JN, Vince KG. Technical considerations of total knee arthroplasty after proximal tibial osteotomy. J Bone Joint Surg. 1988; 70: 547–555.

Meding JB, Keating EM, Ritter MA et al. Total knee arthroplasty after high tibial osteotomy. A comparison study in patients who had bilateral total knee replacement. J Bone Joint Surg. 2000; 82: 1252–1259.

Gstottner M, Pedross F, Liedensteiner M, et al. Long term outcome after high tibial osteotomy. Arch Orthop Trauma Surg. 2008; 128: 111–115.

Burdin P. Analysis of 234 total knee prostheses following a tibial valgisation osteotomy.Compte rendu SFGH.p.273.

Hee-June K, Young-Gun K, Seung-Gi M, et al. Total knee arthroplasty conversion after open-wedge high tibial osteotomy: a report of three cases. Knee. 2016; 23:1164–1167.

Noda T, Yasuda S, Nagano K, et al. Clinico-radiological study of total knee arthroplasty after high tibial osteotomy. Orthop S. 2000; 5(1): 25–36.

Neyret P, Deroche P, Deschamps G, et al. Total knee replacement after valgus tibial osteotomy. Technical problems. Rev Chir Orthop Reparatrice Appar Mot. 1992; 78: 438–448.

Hernigou P, Dubory A, Ratte L, et al. Total knee replacement after osteotomy. Masson 2016.p.237–247.

Saragaglia D, Massfelder J, Rubens-Duval B et al. Computer assisted total knee replacement after medial opening wedge high tibial osteotomy: medium term results in a case-control series of 90 cases. Rev chir orthop 2015; 10S:138–139.

Hernigou P, Delambre J, Dupuy N, et al. Does navigation improve the results of postero-stabilized TKA after tibial osteotomy? Rev Chir Orthop. 2014; 100: 211–224.

Karabatsos B, Mohamed NN, Maistrelli GL. Functional outcome of total knee arthroplasty after high tibial osteotomy. Can JSurg. 2002; 45: 116–119.

Whiteside LA, Ohl MD. Tibial tubercle osteotomy for exposure of the difficult total knee arthroplasty. Clin Orthop Relat Res. 1990; 260: 6–9.

Beswick AD, Wylde V, Gooberman-Hill R et al. What proportion of patients report long-term pain after total hip or knee replacement for osteoarthritis? A systematic review of prospective studies in unselected patients. BMJ Open 2012; 2(1): e000435.

Martinez V, Baudic S, Fletcher D. Chronic postsurgical pain. Ann Fr Anest Réanimation 2013; 32 (6): 422–435.

Han JH, Yang JH, Bhandare NN et al. Total knee arthroplasty after failed high tibialosteotomy: a systematic review of open versus closed wedge osteotomy. Knee Surg Sports Traumatol Arthrosc. 2016; 24: 2567–2577.

Badawy M, Fenstad AM, InderkvamKet al. The risk of revision in total knee arthroplasty is not affected by previous high tibial osteotomy. ActaOrthop 2015; 86: 734–739.

Niinimaki T, Eskelinen A, Ohtone Pet al. Total knee arthroplasty after high tibial osteotomy a registry-based case-control study of 1036 knees. Arch Orthop Trauma Surg 2014; 134: 73–77.

VanRaaij TM, Reijman M, Furlan AD et al. Total knee arthroplasty after high tibial osteotomy. A systematic review. BMC Musculoskelet Disord 2009; 10: 88.

Gupta H, Dahiya V, Vasdev A et al. Outcomes of total knee arthroplasty following high tibial osteotomy. Indian JOrthop 2013; 47: 469–473.

Cerciello S, Vasso M, Maffulli N et al. Total knee arthroplasty after high tibial osteotomy. Orthopedics 2014; 191–198.

Downloads

Published

2021-11-30

How to Cite

ROHIMPITIAVANA, H. A., Randrianirina, A., Ralaivao, N. A., Duval, S. G., & Razafimahandry, H. J. C. (2021). Parallelism of Anatomo-clinical Results of Total Knee Arthroplasty After High Tibial Osteotomy. EPH - International Journal of Medical and Health Science (ISSN: 2456 - 6063), 7(11), 10–17. Retrieved from https://ephjournal.org/index.php/mhs/article/view/1831