ArticleArchives of orthopaedic and trauma surgery2020
Corrective osteotomies of femur and tibia: which factors influence bone healing?
Article in Archives of orthopaedic and trauma surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.
- A meta-analysis of total knee arthroplasty following high tibial osteotomy versus primary total knee arthroplasty.Archives of orthopaedic and trauma surgery · 2020Pooled it
- Comparison of the effects of different osteotomy methods on bone healing; an experimental study.BMC musculoskeletal disorders · 2026Article
- Slope-Reducing Tibial Plateau-Leveling Osteotomy.Arthroscopy techniques · 2025Article
- In Vivo Investigation of 3D-Printed Calcium Magnesium Phosphate Wedges in Partial Load Defects.Materials (Basel, Switzerland) · 2024Article
- The Vascularized Fibula as Salvage Procedure in Extremity Reconstruction: A Retrospective Analysis of Time to Heal and Possible Confounders.Life (Basel, Switzerland) · 2024Article
- Total knee arthroplasty post-high tibial osteotomy, results of an early experience from a North African arthroplasty unit, and a comprehensive review of the literature.Journal of orthopaedic surgery and research · 2023Review
- Double-level torsional osteotomy a treatment for the 'inwardly pointing knee' syndrome.Archives of orthopaedic and trauma surgery · 2023Article
- A hinge position distal to the adductor tubercle minimizes the risk of hinge fractures in lateral open wedge distal femoral osteotomy.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Observational
- [Retrograde bone transport nail in a posttraumatic femoral bone defect].Der Unfallchirurg · 2021Article
- Three-Dimensional Volumetric Changes After Socket Augmentation with Deproteinized Bovine Bone and Collagen Matrix.The International journal of oral & maxillofacial implantsArticle
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionCorrective osteotomies of the lower limb are standard procedures in orthopedic surgery. Still, there is only limited research on factors affecting bone healing after osteotomies. We hypothesize that especially the location of the osteotomy, smoking status and BMI affect bone healing. MATERIAL AND
methodsThe healing process of 547 patients who underwent osteotomies of the lower limb (259 female, 288 male; average 40.6 years, range 14-77) was evaluated. To assess bone healing, participants were divided into three groups by bone healing duration ( < 5/5-8/ > 8 months). Differences in healing duration related to the anatomic level of the osteotomy (diaphysis vs. metaphysis), age, gender, smoking status, BMI, and modus of the osteotomy (open vs. closed wedge) were tested for significance using an ordinal regression analysis.
resultsA significant correlation between bone healing and the anatomical level of the osteotomy on femur and tibia and the patients' smoking status was found. The odds of the diaphysis considering bone healing was 0.187 (95% CI, 0.08-0.44) times that of the metaphysis (Wald χ
conclusionsSmoking status and the localization of the osteotomy on femur and tibia (diaphysis vs. metaphysis) are significantly correlated with bone healing duration. In line with current literature emphasizing the detrimental effect of smoking on bone healing, our findings should encourage surgeons to think twice about the indication to perform osteotomies on smokers. Furthermore, if applicable, osteotomies should be performed in the metaphyseal areas of femur and tibia.
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