ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2018
Smoking and obesity influence the risk of nonunion in lateral opening wedge, closing wedge and torsional distal femoral osteotomies.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Postoperative weightbearing timing after distal femur osteotomy is not associated with rates of union or complications: A systematic review and meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Pooled it
- Simultaneous correction of leg length discrepancy and angular deformity of the distal femur with retrograde Precice nails: a retrospective analysis of 45 patients.Acta orthopaedica · 2024Article
- Varus osteotomy as a salvage procedure for young patients with symptomatic patellofemoral arthritis and valgus malalignment at short- to mid-term follow-up: a case series.Archives of orthopaedic and trauma surgery · 2024Article
- Radiographical outcomes of a cellular based allograft following foot/ankle arthrodesis in patients with risk for non-union.Orthopedic reviews · 2024Article
- Additional Plate Fixation of Hinge Fractures After Varisation Distal Femoral Osteotomies Provides Favorable Torsional Stability: A Biomechanical Study.The American journal of sports medicine · 2023Article
- Favorable rates of return to activity and work following lateral closing wedge distal femoral osteotomy for femoral-based symptomatic varus malalignment: an analysis at a mean 6-year follow-up.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Clinical Effect of Isolated Lateral Closing Wedge Distal Femoral Osteotomy Compared to Medial Opening Wedge High Tibial Osteotomy for the Correction of Varus Malalignment: A Propensity Score-Matched Analysis.The American journal of sports medicine · 2023Article
- Bone Healing Gone Wrong: Pathological Fracture Healing and Non-Unions-Overview of Basic and Clinical Aspects and Systematic Review of Risk Factors.Bioengineering (Basel, Switzerland) · 2023Review
- Varus collapse following anterior closing wedge proximal tibial osteotomy for ACL revision reconstruction: a case series.Journal of experimental orthopaedics · 2022Article
- Analysis of bone union after medial closing wedge distal femoral osteotomy using a new radiographic scoring system.Archives of orthopaedic and trauma surgery · 2022Article
- Dislocated hinge fractures are associated with malunion after lateral closing wedge distal femoral osteotomy.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Observational
- The factors affecting the timing of bone union after closing-wedge high tibial osteotomy.Journal of clinical orthopaedics and trauma · 2020Article
- Predictors of Return to Work After High Tibial Osteotomy: The Importance of Being a Breadwinner.Orthopaedic journal of sports medicine · 2019Article
- Radiographic Assessment of Bone Union in Proximal Tibia and Distal Femur Osteotomies: A Systematic Review.JB & JS open accessReview
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeLateral distal femoral osteotomies (DFO) have recently been performed more frequently. In addition to realignment for varus and valgus deformity, the indication was extended with the introduction of torsional osteotomies in patellofemoral instability. The purpose of this study was to assess the general and technical risk factors for nonunion in lateral opening, closing and torsional DFO.
methodsA total of 150 lateral DFO [98 opening wedge (LOWDFO) and 52 closing wedge (LCWDFO)] were analyzed in regard to potential risk factors for nonunion until plate removal. Nonunion was defined as failure of osseous consolidation according to clinical and radiological evaluation.
resultsIn LOWDFO, the nonunion rate was 2%, in LCWDFO the rate was higher with 9.6%. Nicotine abuse (p = 0.009) and a higher body mass index (p = 0.003) were significant risk factors. Patient's age and gender, the wedge height, hinge fractures, monoplanar versus biplanar osteotomy as well as additional torsional osteotomies were not significant in regard of nonunion.
conclusionsLateral DFO have a low rate of complications and nonunion. Smoking and obesity were significantly associated with the risk of nonunion. Hinge fractures, monoplanar technique or complete bone cuts of the opposite hinge in torsional osteotomies did not negatively influence the nonunion rate in DFO. LEVEL OF EVIDENCE: Level IV.
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