Monoplanar versus biplanar medial open-wedge proximal tibial osteotomy for varus gonarthrosis: a comparison of clinical and radiological outcomes

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dc.authoridKarakaplan, Mustafa/0000-0001-9035-0319
dc.authorwosidElmali, Nurzat/A-1017-2014
dc.authorwosidKarakaplan, Mustafa/IXN-3318-2023
dc.contributor.authorElmali, Nurzat
dc.contributor.authorEsenkaya, Irfan
dc.contributor.authorCan, Murat
dc.contributor.authorKarakaplan, Mustafa
dc.date.accessioned2024-08-04T20:37:56Z
dc.date.available2024-08-04T20:37:56Z
dc.date.issued2013
dc.departmentİnönü Üniversitesien_US
dc.description.abstractWe compared clinical and radiological results of two proximal tibial osteotomy (PTO) techniques: monoplanar medial open-wedge osteotomy and biplanar retrotubercle medial open-wedge osteotomy, stabilised by a wedged plate. We evaluated 88 knees in 78 patients. Monoplanar medial open-wedge PTO was performed on 56 knees in 50 patients with a mean age of 55 +/- A 9 years. Biplanar retrotubercle medial open-wedge PTO was performed on 32 knees in 28 patients with a mean age of 57 +/- A 7 years. Mean follow-up periods were 40.6 +/- A 7 months for the monoplanar PTO group and 38 +/- A 5 months for the biplanar retrotubercle PTO group. Clinical outcome was evaluated using the hospital for special surgery scoring system, and radiological outcome was evaluated by the measurements of femorotibial angle (FTA), patellar height and tibial slope changes. In both groups, post-operative HSS scores increased significantly. No significant difference was found between groups in FTA alteration, but the FTA decreased significantly in both groups. Patellar index ratios decreased significantly in the monoplanar PTO group (Insall-Salvati Index by 0.07, Blackburne-Peel Index by 0.07), but not in the biplanar retrotubercle PTO group. Tibial slopes were increased significantly in the monoplanar PTO group, but not in the retrotubercle PTO group. Biplanar retrotubercle medial open-wedge osteotomy and monoplanar medial open-wedge osteotomy are both clinically effective for the treatment for varus gonarthrosis. Retrotubercle osteotomy also prevents patella infera and tibial slope changes radiologically. Therapeutic study, prospective comparative study, Level II.en_US
dc.identifier.doi10.1007/s00167-012-2040-4
dc.identifier.endpage2695en_US
dc.identifier.issn0942-2056
dc.identifier.issn1433-7347
dc.identifier.issue12en_US
dc.identifier.pmid22644071en_US
dc.identifier.scopus2-s2.0-84888288153en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage2689en_US
dc.identifier.urihttps://doi.org/10.1007/s00167-012-2040-4
dc.identifier.urihttps://hdl.handle.net/11616/96281
dc.identifier.volume21en_US
dc.identifier.wosWOS:000327084800008en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofKnee Surgery Sports Traumatology Arthroscopyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectHigh tibial osteotomyen_US
dc.subjectProximal tibial osteotomyen_US
dc.subjectMedial open-wedge osteotomyen_US
dc.subjectBiplanar retrotubercle osteotomyen_US
dc.subjectPatella inferaen_US
dc.subjectTibial slopeen_US
dc.titleMonoplanar versus biplanar medial open-wedge proximal tibial osteotomy for varus gonarthrosis: a comparison of clinical and radiological outcomesen_US
dc.typeArticleen_US

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