Effect of limb alignment correction on medial meniscus extrusion under loading condition in high tibial osteotomy
Background: This study aimed to investigate the effect of high tibial osteotomy (HTO) on medial meniscus extrusion (MME) and the association between the changes in limb alignment and MME under weight-bearing (WB) conditions after HTO. Methods: We included 17 patients with knee osteoarthritis (OA) wh...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-10-01
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| Series: | Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214687323000158 |
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| author | Yosuke Ishii Masakazu Ishikawa Goki Kamei Yuko Nakashima Yoshitaka Iwamoto Makoto Takahashi Nobuo Adachi |
| author_facet | Yosuke Ishii Masakazu Ishikawa Goki Kamei Yuko Nakashima Yoshitaka Iwamoto Makoto Takahashi Nobuo Adachi |
| author_sort | Yosuke Ishii |
| collection | DOAJ |
| description | Background: This study aimed to investigate the effect of high tibial osteotomy (HTO) on medial meniscus extrusion (MME) and the association between the changes in limb alignment and MME under weight-bearing (WB) conditions after HTO. Methods: We included 17 patients with knee osteoarthritis (OA) who underwent HTO. MME was evaluated using ultrasonography in supine and unipedal standing positions. Knee alignment was evaluated radiographically using WB, whole-leg radiographs with the hip-knee-ankle angle (HKAA), percentage of the mechanical axis (%MA), medial proximal tibial angle (MPTA), and joint line convergence angle (JLCA). All measurements were performed serially at four time points: preoperative and 3, 6, and 12 months postoperative. Clinical outcomes were assessed by knee injury and osteoarthrosis outcome score (KOOS) and visual analogue scale (VAS) value for pain. Results: Mean MME in the WB position was significantly greater than that in the supine position in the preoperative condition; however, MME in both supine and WB positions was significantly lowered postoperatively. The ΔMME, difference of MME between supine and WB positions, was significantly lowered postoperatively and maintained for up to 1 year. MME change in the WB position between preop and postoperative conditions was significantly correlated with change in HKAA and %MA at 1 year postoperative. KOOS and VAS score were significantly improved after HTO. Conclusions: HTO correcting varus alignment can decrease MME in WB position and minimise the change in MME between supine and WB positions. The changes in MME after HTO were correlated with changes in the mechanical alignments. |
| first_indexed | 2024-03-11T17:25:13Z |
| format | Article |
| id | doaj.art-e15cc6df212743248218b2c01aecfd72 |
| institution | Directory Open Access Journal |
| issn | 2214-6873 |
| language | English |
| last_indexed | 2024-03-11T17:25:13Z |
| publishDate | 2023-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology |
| spelling | doaj.art-e15cc6df212743248218b2c01aecfd722023-10-19T04:22:08ZengElsevierAsia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology2214-68732023-10-013418Effect of limb alignment correction on medial meniscus extrusion under loading condition in high tibial osteotomyYosuke Ishii0Masakazu Ishikawa1Goki Kamei2Yuko Nakashima3Yoshitaka Iwamoto4Makoto Takahashi5Nobuo Adachi6Dept. of Biomechanics, Graduate School of Biomedical & Health Sciences, Hiroshima University, Hiroshima, JapanDept. of Orthopaedic Surgery, Faculty of Medicine, Kagawa University, Kagawa, Japan; Corresponding author. Dept. of Orthopaedic Surgery, Faculty of Medicine, Kagawa University, 1750-1 Ikenobe, Miki-cho, Kita-gun, Kagawa, 761-0793, Japan.Dept. of Orthopaedic Surgery, Graduate School of Biomedical & Health Sciences, Hiroshima University, Hiroshima, JapanDept. of Musculoskeletal Ultrasound in Medicine, Graduate School of Biomedical & Health Sciences, Hiroshima University, Hiroshima, JapanDept. of Biomechanics, Graduate School of Biomedical & Health Sciences, Hiroshima University, Hiroshima, JapanDept. of Biomechanics, Graduate School of Biomedical & Health Sciences, Hiroshima University, Hiroshima, JapanDept. of Orthopaedic Surgery, Graduate School of Biomedical & Health Sciences, Hiroshima University, Hiroshima, JapanBackground: This study aimed to investigate the effect of high tibial osteotomy (HTO) on medial meniscus extrusion (MME) and the association between the changes in limb alignment and MME under weight-bearing (WB) conditions after HTO. Methods: We included 17 patients with knee osteoarthritis (OA) who underwent HTO. MME was evaluated using ultrasonography in supine and unipedal standing positions. Knee alignment was evaluated radiographically using WB, whole-leg radiographs with the hip-knee-ankle angle (HKAA), percentage of the mechanical axis (%MA), medial proximal tibial angle (MPTA), and joint line convergence angle (JLCA). All measurements were performed serially at four time points: preoperative and 3, 6, and 12 months postoperative. Clinical outcomes were assessed by knee injury and osteoarthrosis outcome score (KOOS) and visual analogue scale (VAS) value for pain. Results: Mean MME in the WB position was significantly greater than that in the supine position in the preoperative condition; however, MME in both supine and WB positions was significantly lowered postoperatively. The ΔMME, difference of MME between supine and WB positions, was significantly lowered postoperatively and maintained for up to 1 year. MME change in the WB position between preop and postoperative conditions was significantly correlated with change in HKAA and %MA at 1 year postoperative. KOOS and VAS score were significantly improved after HTO. Conclusions: HTO correcting varus alignment can decrease MME in WB position and minimise the change in MME between supine and WB positions. The changes in MME after HTO were correlated with changes in the mechanical alignments.http://www.sciencedirect.com/science/article/pii/S2214687323000158High tibial osteotomyKnee alignmentMedial meniscus extrusionUltrasonography |
| spellingShingle | Yosuke Ishii Masakazu Ishikawa Goki Kamei Yuko Nakashima Yoshitaka Iwamoto Makoto Takahashi Nobuo Adachi Effect of limb alignment correction on medial meniscus extrusion under loading condition in high tibial osteotomy Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology High tibial osteotomy Knee alignment Medial meniscus extrusion Ultrasonography |
| title | Effect of limb alignment correction on medial meniscus extrusion under loading condition in high tibial osteotomy |
| title_full | Effect of limb alignment correction on medial meniscus extrusion under loading condition in high tibial osteotomy |
| title_fullStr | Effect of limb alignment correction on medial meniscus extrusion under loading condition in high tibial osteotomy |
| title_full_unstemmed | Effect of limb alignment correction on medial meniscus extrusion under loading condition in high tibial osteotomy |
| title_short | Effect of limb alignment correction on medial meniscus extrusion under loading condition in high tibial osteotomy |
| title_sort | effect of limb alignment correction on medial meniscus extrusion under loading condition in high tibial osteotomy |
| topic | High tibial osteotomy Knee alignment Medial meniscus extrusion Ultrasonography |
| url | http://www.sciencedirect.com/science/article/pii/S2214687323000158 |
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