Evidence map›Paper›PMID 39666060›Full record

ArticleArchives of orthopaedic and trauma surgery2024

Medial degenerative disease of the knee without radiographic osteoarthritis is a good indication for medial open wedge high tibial osteotomy.

Junya Itou, Umito Kuwashima, Masafumi Itoh, Ken Okazaki

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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 4 papers.

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4citing papers in PubMed
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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.

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3 · Its place in the literature

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4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Junya ItouDepartment of Orthopaedic Surgery, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo, 162-8666, Japan.
Umito KuwashimaDepartment of Orthopaedic Surgery, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo, 162-8666, Japan.
Masafumi ItohDepartment of Orthopaedic Surgery, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo, 162-8666, Japan.
Ken OkazakiDepartment of Orthopaedic Surgery, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo, 162-8666, Japan. okazaki.ken@twmu.ac.jp.ORCID http://orcid.org/0000-0003-1274-8406

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMedial open wedge high tibial osteotomy (MOWHTO) is a well-established surgical procedure for osteoarthritis (OA) of the knee with varus malalignment. However, it is uncertain whether MOWHTO is an effective surgical procedure for early OA. This study aimed to evaluate the clinical results of MOWHTO for early OA of the knee with varus malalignment. MATERIALS AND

methodsThis was a retrospective analysis of 87 patients in whom varus malalignment was corrected by MOWHTO between January 2017 and December 2022. Kellgren-Lawrence grade 0-1 was defined as early OA and grade ≥ 2 as established OA. Range of motion at the knee, Forgotten Joint Score-12, Knee Injury and Osteoarthritis Outcome Score, and radiological findings were compared between the early OA group and the established OA group.

resultsThe established OA group (n = 49) was significantly older than the early OA group (n = 38) (p = 0.02). There were no differences between the groups in preoperative or postoperative hip-knee-ankle angle or range of motion or in improvements in the Forgotten Joint Score-12 or Knee Injury and Osteoarthritis Outcome Score. The median follow-up duration was more than 24.0 months in both groups.

conclusionMOWHTO had a good clinical outcome in patients with early OA and varus malalignment over a median follow-up of 2 years. LEVEL OF EVIDENCE: III, retrospective study.

Indexed as

Osteoarthritis, KneeOsteotomyTibiaAdultAgedBone MalalignmentFemaleHumansKnee JointMaleMiddle AgedRadiographyRange of Motion, ArticularRetrospective StudiesEarly osteoarthritisKellgren–LawrenceMedial open wedge high tibial osteotomyPatient-reported outcome measures

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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.