The difficulty of continuing sports activities after open‐wedge high tibial osteotomy in patient with medial knee osteoarthritis: a retrospective case series at 2‐year‐minimum follow‐up
Abstract Purpose This study aimed to investigate the rate at which patients returned to sports after open wedge high tibial osteotomy and identify the continuity of sports activity post‐operatively. Methods Thirty‐five patients (40 knees) who underwent open‐wedge high tibial osteotomy (OW‐HTO) in me...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Journal of Experimental Orthopaedics |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40634-021-00385-4 |
| _version_ | 1797321223481327616 |
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| author | Shugo Maeda Daisuke Chiba Eiji Sasaki Tetsushi Oyama Tomoyuki Sasaki Hironori Otsuka Yasuyuki Ishibashi |
| author_facet | Shugo Maeda Daisuke Chiba Eiji Sasaki Tetsushi Oyama Tomoyuki Sasaki Hironori Otsuka Yasuyuki Ishibashi |
| author_sort | Shugo Maeda |
| collection | DOAJ |
| description | Abstract Purpose This study aimed to investigate the rate at which patients returned to sports after open wedge high tibial osteotomy and identify the continuity of sports activity post‐operatively. Methods Thirty‐five patients (40 knees) who underwent open‐wedge high tibial osteotomy (OW‐HTO) in medial knee osteoarthritis were included in this study. The mean age of the patients who underwent surgery was 55.1 ± 10.7 years, and the mean follow‐up period was 41.0 ± 24.7 months. Clinical results and radiographic parameters calculated in standing whole‐leg radiographs preoperatively, post‐operatively, and at the final follow‐up were evaluated. Results Thirty‐one patients (88.6%) were able to return to preoperative sports activity; however, only 14 patients (40.0%) completely returned to preoperative sports activity levels. Of the 31 patients who returned to sports activity, 10 patients (32.3%) maintained post‐operative sporting activity levels at the final follow‐up. In radiographic parameters, the weight‐bearing line ratio was considered loss of correction in the post‐operative period leading to the final follow‐up. Patients who completely returned to sports and maintained sporting activity levels at the final follow‐up had significantly higher the Knee Injury and Osteoarthritis Outcome Score pain subscale values and lower visual analogue scale of knee pain at pre‐surgery and final follow‐up than other patients, including those who partially returned to sports. Conclusions The proportion of patients who returned to sports after OW‐HTO and were able to participate in competitions at the same activity level as before surgery was low and insufficient. Level of evidence Retrospective case series, IV |
| first_indexed | 2024-03-08T04:55:27Z |
| format | Article |
| id | doaj.art-5a045eb3a86348fbb8037d58e91fd4c8 |
| institution | Directory Open Access Journal |
| issn | 2197-1153 |
| language | English |
| last_indexed | 2024-03-08T04:55:27Z |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Experimental Orthopaedics |
| spelling | doaj.art-5a045eb3a86348fbb8037d58e91fd4c82024-02-07T15:16:42ZengWileyJournal of Experimental Orthopaedics2197-11532021-01-0181n/an/a10.1186/s40634-021-00385-4The difficulty of continuing sports activities after open‐wedge high tibial osteotomy in patient with medial knee osteoarthritis: a retrospective case series at 2‐year‐minimum follow‐upShugo Maeda0Daisuke Chiba1Eiji Sasaki2Tetsushi Oyama3Tomoyuki Sasaki4Hironori Otsuka5Yasuyuki Ishibashi6Department of Orthopaedic SurgeryAomori Rosai Hospital1 Minamigaoka031‐8551Shirogane, HachinoheAomoriJapanDepartment of Orthopaedic SurgeryHirosaki Memorial HospitalHirosakiJapanDepartment of Orthopaedic SurgeryHirosaki University Graduate School of MedicineHirosakiJapanDepartment of Orthopaedic SurgeryJapan Community Health care Organization Akita HospitalNoshiroJapanDepartment of Orthopaedic SurgeryHirosaki Memorial HospitalHirosakiJapanDepartment of Orthopaedic SurgeryJapan Community Health care Organization Akita HospitalNoshiroJapanDepartment of Orthopaedic SurgeryHirosaki University Graduate School of MedicineHirosakiJapanAbstract Purpose This study aimed to investigate the rate at which patients returned to sports after open wedge high tibial osteotomy and identify the continuity of sports activity post‐operatively. Methods Thirty‐five patients (40 knees) who underwent open‐wedge high tibial osteotomy (OW‐HTO) in medial knee osteoarthritis were included in this study. The mean age of the patients who underwent surgery was 55.1 ± 10.7 years, and the mean follow‐up period was 41.0 ± 24.7 months. Clinical results and radiographic parameters calculated in standing whole‐leg radiographs preoperatively, post‐operatively, and at the final follow‐up were evaluated. Results Thirty‐one patients (88.6%) were able to return to preoperative sports activity; however, only 14 patients (40.0%) completely returned to preoperative sports activity levels. Of the 31 patients who returned to sports activity, 10 patients (32.3%) maintained post‐operative sporting activity levels at the final follow‐up. In radiographic parameters, the weight‐bearing line ratio was considered loss of correction in the post‐operative period leading to the final follow‐up. Patients who completely returned to sports and maintained sporting activity levels at the final follow‐up had significantly higher the Knee Injury and Osteoarthritis Outcome Score pain subscale values and lower visual analogue scale of knee pain at pre‐surgery and final follow‐up than other patients, including those who partially returned to sports. Conclusions The proportion of patients who returned to sports after OW‐HTO and were able to participate in competitions at the same activity level as before surgery was low and insufficient. Level of evidence Retrospective case series, IVhttps://doi.org/10.1186/s40634-021-00385-4Open‐wedge high tibial osteotomyReturn to sportSports continuation rateKnee osteoarthritisSports activityPrognosis |
| spellingShingle | Shugo Maeda Daisuke Chiba Eiji Sasaki Tetsushi Oyama Tomoyuki Sasaki Hironori Otsuka Yasuyuki Ishibashi The difficulty of continuing sports activities after open‐wedge high tibial osteotomy in patient with medial knee osteoarthritis: a retrospective case series at 2‐year‐minimum follow‐up Journal of Experimental Orthopaedics Open‐wedge high tibial osteotomy Return to sport Sports continuation rate Knee osteoarthritis Sports activity Prognosis |
| title | The difficulty of continuing sports activities after open‐wedge high tibial osteotomy in patient with medial knee osteoarthritis: a retrospective case series at 2‐year‐minimum follow‐up |
| title_full | The difficulty of continuing sports activities after open‐wedge high tibial osteotomy in patient with medial knee osteoarthritis: a retrospective case series at 2‐year‐minimum follow‐up |
| title_fullStr | The difficulty of continuing sports activities after open‐wedge high tibial osteotomy in patient with medial knee osteoarthritis: a retrospective case series at 2‐year‐minimum follow‐up |
| title_full_unstemmed | The difficulty of continuing sports activities after open‐wedge high tibial osteotomy in patient with medial knee osteoarthritis: a retrospective case series at 2‐year‐minimum follow‐up |
| title_short | The difficulty of continuing sports activities after open‐wedge high tibial osteotomy in patient with medial knee osteoarthritis: a retrospective case series at 2‐year‐minimum follow‐up |
| title_sort | difficulty of continuing sports activities after open wedge high tibial osteotomy in patient with medial knee osteoarthritis a retrospective case series at 2 year minimum follow up |
| topic | Open‐wedge high tibial osteotomy Return to sport Sports continuation rate Knee osteoarthritis Sports activity Prognosis |
| url | https://doi.org/10.1186/s40634-021-00385-4 |
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