Comparison of the Miniaci and Dugdale techniques on functional outcomes in medial open wedge high tibial osteotomy
Abstract Purpose To compare the correction angles determined by the Miniaci and Dugdale techniques in patients treated with medial open wedge high tibial osteotomy (MOWHTO) and show their impact on clinical outcomes. Methods Seventy‐four patients constituted the study group. The correction angles in...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-01-01
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| Series: | Journal of Experimental Orthopaedics |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40634-023-00653-5 |
| _version_ | 1797270792627552256 |
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| author | Ümit Aygün Murat Bölükbaşı Kamil Yamak Ali Can Çiçek |
| author_facet | Ümit Aygün Murat Bölükbaşı Kamil Yamak Ali Can Çiçek |
| author_sort | Ümit Aygün |
| collection | DOAJ |
| description | Abstract Purpose To compare the correction angles determined by the Miniaci and Dugdale techniques in patients treated with medial open wedge high tibial osteotomy (MOWHTO) and show their impact on clinical outcomes. Methods Seventy‐four patients constituted the study group. The correction angles in Group 1 were measured using the Miniaci technique, and those in Group 2 were measured using the Dugdale technique. The clinical evaluations included the Tinetti Gait and Balance Assessment (TGBA), the Western Ontario and McMaster Universities Osteoarthritis (WOMAC) scores, and the Visual Analogue Scale (VAS). The effect of the correction angle on the patient's clinical outcomes was evaluated. Measurement techniques were also changed between groups for comparison. Results Seventy‐four patients (62 females, 12 males) with a mean age of 53.7 ± 4.9 years were followed up for a mean of 67.4 ± 5.5 months. The TGBA, WOMAC, and VAS scores were improved at the last follow‐up compared to the preoperative scores (p < 0.05). The preoperative TGBA and WOMAC scores were not significantly different between the two groups, but the last follow‐up TGBA and WOMAC scores in Group 2 were worse than those in Group 1 (p < 0.05). When measuring techniques were changed, the preoperative correction angle (PCA) value and the last follow‐up correction angle (LFCA) value were lower in Group 1 measured with the Dugdale technique but higher in Group 2 measured with the Miniaci technique (p < 0.05). Conclusion Since the correction angle values measured with the Miniaci technique in MOWHTO are higher than those measured with the Dugdale technique; the functional results are better. Level of evidence Retrospective cohort study, III. |
| first_indexed | 2024-04-25T02:09:54Z |
| format | Article |
| id | doaj.art-b47dc0af4c084010898602a6aafdc3ca |
| institution | Directory Open Access Journal |
| issn | 2197-1153 |
| language | English |
| last_indexed | 2024-04-25T02:09:54Z |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Experimental Orthopaedics |
| spelling | doaj.art-b47dc0af4c084010898602a6aafdc3ca2024-03-07T12:46:42ZengWileyJournal of Experimental Orthopaedics2197-11532023-01-01101n/an/a10.1186/s40634-023-00653-5Comparison of the Miniaci and Dugdale techniques on functional outcomes in medial open wedge high tibial osteotomyÜmit Aygün0Murat Bölükbaşı1Kamil Yamak2Ali Can Çiçek3Faculty of MedicineDepartment of Orthopaedics and TraumatologyAğrı İbrahim Çeçen UniversityAğrıTürkiyeDepartment of Orthopaedics and TraumatologyVM Medical Park Samsun HospitalSamsunTürkiyeBuca Seyfi Demirsoy Training and Research HospitalOrthopedics and Traumatology ClinicİzmirTürkiyeAğrı Training and Research HospitalOrthopaedics and Traumatology ClinicAğrıTürkiyeAbstract Purpose To compare the correction angles determined by the Miniaci and Dugdale techniques in patients treated with medial open wedge high tibial osteotomy (MOWHTO) and show their impact on clinical outcomes. Methods Seventy‐four patients constituted the study group. The correction angles in Group 1 were measured using the Miniaci technique, and those in Group 2 were measured using the Dugdale technique. The clinical evaluations included the Tinetti Gait and Balance Assessment (TGBA), the Western Ontario and McMaster Universities Osteoarthritis (WOMAC) scores, and the Visual Analogue Scale (VAS). The effect of the correction angle on the patient's clinical outcomes was evaluated. Measurement techniques were also changed between groups for comparison. Results Seventy‐four patients (62 females, 12 males) with a mean age of 53.7 ± 4.9 years were followed up for a mean of 67.4 ± 5.5 months. The TGBA, WOMAC, and VAS scores were improved at the last follow‐up compared to the preoperative scores (p < 0.05). The preoperative TGBA and WOMAC scores were not significantly different between the two groups, but the last follow‐up TGBA and WOMAC scores in Group 2 were worse than those in Group 1 (p < 0.05). When measuring techniques were changed, the preoperative correction angle (PCA) value and the last follow‐up correction angle (LFCA) value were lower in Group 1 measured with the Dugdale technique but higher in Group 2 measured with the Miniaci technique (p < 0.05). Conclusion Since the correction angle values measured with the Miniaci technique in MOWHTO are higher than those measured with the Dugdale technique; the functional results are better. Level of evidence Retrospective cohort study, III.https://doi.org/10.1186/s40634-023-00653-5High tibial osteotomyMedial open wedgeCorrection angleMiniaci techniqueDugdale techniqueMeasurement |
| spellingShingle | Ümit Aygün Murat Bölükbaşı Kamil Yamak Ali Can Çiçek Comparison of the Miniaci and Dugdale techniques on functional outcomes in medial open wedge high tibial osteotomy Journal of Experimental Orthopaedics High tibial osteotomy Medial open wedge Correction angle Miniaci technique Dugdale technique Measurement |
| title | Comparison of the Miniaci and Dugdale techniques on functional outcomes in medial open wedge high tibial osteotomy |
| title_full | Comparison of the Miniaci and Dugdale techniques on functional outcomes in medial open wedge high tibial osteotomy |
| title_fullStr | Comparison of the Miniaci and Dugdale techniques on functional outcomes in medial open wedge high tibial osteotomy |
| title_full_unstemmed | Comparison of the Miniaci and Dugdale techniques on functional outcomes in medial open wedge high tibial osteotomy |
| title_short | Comparison of the Miniaci and Dugdale techniques on functional outcomes in medial open wedge high tibial osteotomy |
| title_sort | comparison of the miniaci and dugdale techniques on functional outcomes in medial open wedge high tibial osteotomy |
| topic | High tibial osteotomy Medial open wedge Correction angle Miniaci technique Dugdale technique Measurement |
| url | https://doi.org/10.1186/s40634-023-00653-5 |
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