Complications Associated With Medial Opening-Wedge High Tibial Osteotomy Using a Locking Plate: A Multicenter Study
DC Field | Value | Language |
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dc.contributor.author | Han, Seung-Beom | - |
dc.contributor.author | In, Yong | - |
dc.contributor.author | Oh, Kwang Jun | - |
dc.contributor.author | Song, Kwang Yun | - |
dc.contributor.author | Yun, Seok Tae | - |
dc.contributor.author | Jang, Ki-Mo | - |
dc.date.accessioned | 2021-09-01T18:23:59Z | - |
dc.date.available | 2021-09-01T18:23:59Z | - |
dc.date.created | 2021-06-18 | - |
dc.date.issued | 2019-03 | - |
dc.identifier.issn | 0883-5403 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/67252 | - |
dc.description.abstract | Background: The aim of this study is to investigate complications following medial opening-wedge high tibial osteotomy using a locking plate. In addition, we aimed to compare postoperative outcomes between the complicated and the uncomplicated group. Methods: This study enrolled 209 patients who underwent medial opening-wedge high tibial osteotomy between 2010 and 2015. Patients with a follow-up period of at least 2 years were enrolled. Medical records and radiologic data were retrospectively reviewed. The complications were assessed up to postoperative 2 years and categorized into major and minor complications. The preoperative and postoperative clinical statuses were assessed using the Western Ontario McMaster University Osteoarthritis Index. Results: The mean patient age was 56.4 +/- 5.9 years. Overall complication rate was 29.7%. Minor complications included undisplaced lateral hinge fracture (12.0%), hardware irritation (1.4%), displaced lateral hinge fracture (2.4%), delayed wound healing (1.9%), undisplaced lateral tibial plateau fracture (1%), and superficial wound infection (1%). Major complications were symptomatic hardware which needed hardware removal (4.8%), deep wound infection (1.9%), hardware failure with correction loss (1%), nonunion (0.5%), and early conversion to arthroplasty (0.5%). Most complications occurred intraoperatively (30.6%) and within 3 months postoperatively (40.3%). The major complication group showed a statistically higher Western Ontario McMaster University Osteoarthritis Index score than did other groups at postoperative 1 year (P = .013) and 2 years (P = .001). Conclusion: The overall complication rate was 29.7%. Most complications were minor. The most common complication was undisplaced lateral hinge fracture. Major complications occurred in 8.6%. The major complication group showed significantly worse clinical outcomes than did the uncomplicated and minor complication groups. (C) 2018 Elsevier Inc. All rights reserved. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | CHURCHILL LIVINGSTONE INC MEDICAL PUBLISHERS | - |
dc.subject | PUDDU PLATE | - |
dc.subject | KNEE | - |
dc.subject | ARTHRITIS | - |
dc.subject | FIXATION | - |
dc.title | Complications Associated With Medial Opening-Wedge High Tibial Osteotomy Using a Locking Plate: A Multicenter Study | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Han, Seung-Beom | - |
dc.contributor.affiliatedAuthor | Jang, Ki-Mo | - |
dc.identifier.doi | 10.1016/j.arth.2018.11.009 | - |
dc.identifier.scopusid | 2-s2.0-85057373019 | - |
dc.identifier.wosid | 000458502300008 | - |
dc.identifier.bibliographicCitation | JOURNAL OF ARTHROPLASTY, v.34, no.3, pp.439 - 445 | - |
dc.relation.isPartOf | JOURNAL OF ARTHROPLASTY | - |
dc.citation.title | JOURNAL OF ARTHROPLASTY | - |
dc.citation.volume | 34 | - |
dc.citation.number | 3 | - |
dc.citation.startPage | 439 | - |
dc.citation.endPage | 445 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Orthopedics | - |
dc.relation.journalWebOfScienceCategory | Orthopedics | - |
dc.subject.keywordPlus | PUDDU PLATE | - |
dc.subject.keywordPlus | KNEE | - |
dc.subject.keywordPlus | ARTHRITIS | - |
dc.subject.keywordPlus | FIXATION | - |
dc.subject.keywordAuthor | knee | - |
dc.subject.keywordAuthor | osteoarthritis | - |
dc.subject.keywordAuthor | medial opening-wedge high tibial | - |
dc.subject.keywordAuthor | osteotomy | - |
dc.subject.keywordAuthor | complication | - |
dc.subject.keywordAuthor | locking plate | - |
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