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Locking plate versus non-locking plate in open-wedge high tibial osteotomy: a meta-analysis.
Han, Jae Hwi; Kim, Hyun Jung; Song, Jae Gwang; Yang, Jae Hyuk; Nakamura, Ryuichi; Shah, Daivesh; Park, Young Jee; Nha, Kyung Wook.
Afiliación
  • Han JH; Department of Orthopaedic Surgery, Daegu Fatima Hospital, Daegu, Korea.
  • Kim HJ; Department of Preventive Medicine, College of Medicine, Institute for Evidence-based Medicine, Korea University, Seoul, Korea.
  • Song JG; Department of Orthopaedic Surgery, Ilsan Paik Hospital, Inje University, 2240, Daehwa-dong, Ilsan-Segu, Koyang-Si, Ilsan, 411-706, Korea.
  • Yang JH; Department of Orthopaedic Surgery, Veterans Health Service Medical Center, Seoul, Korea.
  • Nakamura R; Department of Orthopaedic Surgery, Yawata Medical Center, Komatsu, Japan.
  • Shah D; Department of Orthopaedic Surgery, B J Medical College, New Civil Hospital, Ahmedabad, India.
  • Park YJ; Department of Orthopaedic Surgery, Bang-Hwa Hospital, Seoul, Korea.
  • Nha KW; Department of Orthopaedic Surgery, Ilsan Paik Hospital, Inje University, 2240, Daehwa-dong, Ilsan-Segu, Koyang-Si, Ilsan, 411-706, Korea. kwnhamj@hotmail.com.
Knee Surg Sports Traumatol Arthrosc ; 25(3): 808-816, 2017 Mar.
Article en En | MEDLINE | ID: mdl-26578305
PURPOSE: The purpose of this study was to conduct a meta-analysis to determine whether the locking plate or non-locking plate results in better opening-wedge high tibial osteotomy (OWHTO) outcomes. METHODS: The MEDLINE, EMBASE, COCHRANE, and KOREAMED register databases were searched for studies. The eligibility criteria for inclusion in the review were studies that compared the locking plate with the non-locking plate for OWHTO, and those that provided clear descriptions of surgical techniques and outcomes. The key outcomes of interest were union rate, correction loss angle, correction loss rate, and full weight-bearing starting point. The statistical software "RevMan" was used in statistical analysis. RESULTS: Five studies were included in the meta-analysis. Among their reported results, there were no differences in the incidence of union [risk ratio (RR) = 1.01, p = 0.34], non-locking plate was associated with lower incidence of correction maintenance (RR = 1.13, p = 0.0006) and greater angle of correction loss [mean difference (MD) = -2.06, p < 0.00001], and locking plate was associated with a significant improvement in Knee society score and function score (MD = 5.77, p < 0.0001; MD = 7.50, p = 0.0005). CONCLUSIONS: Locking plate provides better clinical outcomes and reduced correction loss rates and angles as compared to non-locking plate for fixation with OWHTO. LEVEL OF EVIDENCE: IV.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Osteotomía / Tibia / Placas Óseas / Osteoartritis de la Rodilla Tipo de estudio: Systematic_reviews Límite: Humans / Middle aged Idioma: En Revista: Knee Surg Sports Traumatol Arthrosc Asunto de la revista: MEDICINA ESPORTIVA / TRAUMATOLOGIA Año: 2017 Tipo del documento: Article Pais de publicación: Alemania
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Osteotomía / Tibia / Placas Óseas / Osteoartritis de la Rodilla Tipo de estudio: Systematic_reviews Límite: Humans / Middle aged Idioma: En Revista: Knee Surg Sports Traumatol Arthrosc Asunto de la revista: MEDICINA ESPORTIVA / TRAUMATOLOGIA Año: 2017 Tipo del documento: Article Pais de publicación: Alemania