Evidence map›Paper›PMID 39271496›Full record

ArticleArchives of orthopaedic and trauma surgery2024

The effect of high tibial osteotomy and unicompartmental knee arthroplasty on patellofemoral joint in young patients with medial knee arthrosis.

Ali Said Nazlıgül, Ahmet Gürler, Osman Tecimel, Sinan Yılmaz, Metin Doğan, Mustafa Akkaya

Abstract readComparative Study
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Article in Archives of orthopaedic and trauma surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Ali Said NazlıgülDepartment of Orthopaedics and Traumatology, Sincan Training and Research Hospital, Ankara, Turkey.
Ahmet GürlerDepartment of Orthopaedics and Traumatology, Ankara City Hospital, Ankara, Turkey.
Osman TecimelDepartment of Orthopaedics and Traumatology, Memorial Hospital, Ankara, Turkey.
Sinan YılmazDepartment of Orthopaedics and Traumatology, Memorial Hospital, Ankara, Turkey.
Metin DoğanDepartment of Orthopaedics and Traumatology, Ankara City Hospital, Ankara, Turkey.
Mustafa AkkayaDepartment of Orthopaedics and Traumatology, Güven Hospital, Ankara, Turkey. makkaya@outlook.com.ORCID http://orcid.org/0000-0002-2694-4208

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionOsteoarthritis of the knee is a debilitating disease. In most cases, only the medial compartments are affected. High tibial osteotomy (HTO) and unicompartmental knee arthroplasty (UKA) are the two main procedures commonly used in the surgical treatment of unicompartmental knee osteoarthritis patients not responding to conservative treatment. The aim of our study was to compare UKA and biplanar medial open-wedge HTO in terms of patellofemoral changes and functional score in patients under 60 years of age with medial compartment arthrosis. MATERIALS AND

methodsA retrospective study. A total of 79 patients (37 HTO, 42 UKA) who received one of the two treatments in a single center were examined preoperatively and at a single postoperative follow-up. Posterior tibial slope, lateral patellofemoral angle (LPFA), Q-angle, patellar height, Cincinnati Rating System and Knee Injury and Osteoarthritis Outcome Score (KOOS) functional scores were evaluated in all patients preoperatively and at the 6-month follow-up examination.

resultsInsall-Salvati ratio remained stable in the HTO group, while there was a minor decrease in the UKA group and the changes between the groups were not statistically significant. Caton-Deschamps ratio increased in the UKA group and decreased in the HTO group, and this change was statistically significant (p < 0.001). LPFA did not change in the UKA group in the postoperative period, while it increased in the HTO group (p < 0.001). Changes in Q angle and Cincinnati Rating System scores were statistically similar between the UKA and HTO groups (p = 0.827 and p = 0.340).

conclusionsIn our study, biplanar medial open-wedge HTO and UKA performed with appropriate surgical technique had no negative effect on patellofemoral joint. In patients under 60 years of age with medial compartment osteoarthritis of the knee, both surgical treatments can be performed with appropriate patient selection.

Indexed as

Arthroplasty, Replacement, KneeOsteoarthritis, KneeOsteotomyPatellofemoral JointTibiaAdultFemaleHumansMaleMiddle AgedRetrospective StudiesKneeOsteoarthritisOsteotomyPartial Knee ArthroplastyPatellofemoral Joint

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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.