Evidence map›Paper›PMID 38374044›Full record

ArticleJournal of orthopaedic surgery and research2024

Intraoperative femurofibular angle combined with tibiofibular angle measurement has fewer correction errors in open-wedge high tibial osteotomy.

Chen Zhao, Bing Zhang, Xuejiao Liu, Bo Li, Liang Bao, Cong Liu, Lihong Fan

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Article in Journal of orthopaedic surgery and research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

7 authors.

Chen Zhao *The Second Affiliated Hospital of Xi'an Medical University, Xi'an, 710038, China.
Bing Zhang *The Second Affiliated Hospital of Xi'an Medical University, Xi'an, 710038, China.
Xuejiao LiuThe Affiliated Hospital of Northwest University Xi'an No. 3 Hospital, Xi'an, 710016, China.
Bo LiThe Second Affiliated Hospital of Xi'an Medical University, Xi'an, 710038, China.
Liang BaoThe Second Affiliated Hospital of Xi'an Medical University, Xi'an, 710038, China.
Cong LiuThe Second Affiliated Hospital of Xi'an Medical University, Xi'an, 710038, China.
Lihong FanThe Second Affiliated Hospital Of Xi'an Jiaotong University, Xi'an, 710004, China. 13227889158@163.com.

Funding

Scientific research program of Shaanxi Provincial Department of Education 21JK0892
6 · The paper itself

Abstract

aimThis study aimed to verify the accuracy of intraoperative femurofibular angle combined with tibiofibular angle (FFA-TFA) measurement and compare it with traditional alignment line methods in open-wedge high tibial osteotomy (OWHTO).

methodsA total of 174 knees of 122 patients undergoing OWHTO and using an alignment line or FFA-TFA measurement as an index of optimal correction were included in this retrospective study. The intraoperative alignment line passed through the targeted weight-bearing line (WBL) of the tibial plateau in the alignment line group. The intraoperative FFA-TFA aligned to the preplanned FFA-TFA angle in the FFA-TFA group. WBL, FFA, TFA, and knee joint-line convergence angle of the femur and tibia were assessed as radiological results preoperatively and one year after surgery. The Knee Society Score and the Western Ontario and McMaster Universities were assessed as objective clinical results.

resultsPostoperative WBL in the FFA-TFA group was closer to the target WBL than in the alignment line group (FFA-TFA vs alignment line group: 1.43 ± 1.20% vs 3.82 ± 3.29%; P < 0.001). The FFA-TFA group had fewer over-correction and under-correction rates than the alignment line group (28.7% and 12.6% vs 11.5% and 3.40%; P < 0.001). No significant differences were observed in the clinical results between the two groups one year after surgery (P > 0.05).

conclusionsThe intraoperative measurement of FFA-TFA had fewer complications in terms of under-correction and over-correction compared with the alignment line measurement. No significant differences between the two methods were observed in clinical results one year after surgery.

Indexed as

Knee JointOsteoarthritis, KneeHumansOsteotomyRetrospective StudiesTibiaAlignment lineFemurofibular angleHigh tibial osteotomyKnee alignmentOpen-wedge osteotomyTibiofibular angle

Identifiers

PMID38374044
PMCPMC10877754

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.