Source:http://linkedlifedata.com/resource/pubmed/id/16129748
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
9
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pubmed:dateCreated |
2005-8-30
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pubmed:abstractText |
Our aim was to compare the degree of patellar descent and alteration in angle of the inclination of the tibial plateau in lateral closing-wedge and medial opening-wedge high tibial osteotomy (HTO) in 51 consecutive patients with osteoarthritis of the medial compartment and varus malalignment. Patellar height was measured by the Insall-Salvati (IS) and the Blackburne-Peel (BP) ratios. The tibial inclination was determined by the Moore-Harvey (MH) method. Multivariate linear regression analysis was used to determine the influence of the type of HTO (closing vs opening wedge) on the post-operative patellar height or tibial inclination. The intra- and interobserver variability of these methods was determined before operation and at follow-up at one year. After an opening-wedge HTO the patellar height was significantly more decreased (mean post-operative difference: IS = 0.15; 95% confidence interval (CI) 0.06 to 0.23; BP = 0.11; 95% CI 0.05 to 0.18) compared with a closing-wedge HTO. The angle of tibial inclination differed significantly (mean post-operative difference MH = -6.40 degrees; 95% CI -8.74 to -4.02) between the two HTO techniques, increasing after opening-wedge HTO and decreasing after closing-wedge HTO. There was no clinically-relevant difference in the intra- and interobserver variability of measurements of patellar height either before or after HTO.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Sep
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pubmed:issn |
0301-620X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
87
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1227-32
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pubmed:dateRevised |
2010-11-10
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pubmed:meshHeading |
pubmed-meshheading:16129748-Adult,
pubmed-meshheading:16129748-Aged,
pubmed-meshheading:16129748-Female,
pubmed-meshheading:16129748-Humans,
pubmed-meshheading:16129748-Knee Joint,
pubmed-meshheading:16129748-Male,
pubmed-meshheading:16129748-Middle Aged,
pubmed-meshheading:16129748-Osteoarthritis, Knee,
pubmed-meshheading:16129748-Osteotomy,
pubmed-meshheading:16129748-Patella,
pubmed-meshheading:16129748-Prospective Studies,
pubmed-meshheading:16129748-Tibia
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pubmed:year |
2005
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pubmed:articleTitle |
Patellar height and the inclination of the tibial plateau after high tibial osteotomy. The open versus the closed-wedge technique.
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pubmed:affiliation |
Erasmus Medical Centre, Rotterdam, The Netherlands. r.w.brouwer@mzh.nl
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Randomized Controlled Trial
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