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High tibial osteotomy combined with cartilage restoration: A systematic review of clinical outcomes and prognostic factors.
Ghasemi, S Ali; Kolesnick, Evan; Murray, Benjamin C; Leiby, Benjamin E; Bartolozzi, Arthur R; Zaslav, Kenneth R.
Afiliación
  • Ghasemi SA; Department of Orthopaedic Surgery, Albert Einstein Health Network, 5501 Old York Road, Philadelphia, PA, 19141, USA.
  • Kolesnick E; Philadelphia College of Osteopathic Medicine, 4170 City Ave, Philadelphia, PA, 19131, USA.
  • Murray BC; Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA, 23708, USA.
  • Leiby BE; Thomas Jefferson University Sidney Kimmel Medical College, 1025 Walnut Street, Philadelphia, PA, 19107, USA.
  • Bartolozzi AR; Department of Orthopaedic Surgery, Jefferson Health - Northeast, 380 North Oxford Valley Road, Langhorne, PA, 19047, USA.
  • Zaslav KR; Department of Orthopaedic Surgery, Northwell Health/Zucker School of Medicine at Hofstra/Northwell, 500 Hofstra Blvd, Hempstead, NY, 11549, USA.
J Clin Orthop Trauma ; 50: 102360, 2024 Mar.
Article en En | MEDLINE | ID: mdl-38425335
ABSTRACT

Background:

Focal chondral defects are often treated with cartilage restoration procedures. Malalignment often accompanies chondral defects. High tibial osteotomy (HTO), classically utilized to treat uni-compartmental knee osteoarthritis, corrects malalignment. HTO combined with cartilage restoration procedures can treat uni-compartmental osteoarthritis and focal chondral defects.

Purpose:

To assess outcomes of combined HTO and cartilage restoration procedures and review prognostic factors that may assist in preoperative planning and patient counseling. Study

design:

Systematic Review of published literature.

Methods:

A systematic review of PubMed and Scopus was performed following PRISMA guidelines. Thirty-four papers were included in qualitative considerations.

Results:

Thirty-four papers that reported the combined outcome of HTO and cartilage repair were included. Twenty of the 34 included papers reported prognostic factors that affected the success or failure of combined HTO and cartilage repair surgery for focal articular defect and uni-compartmental knee osteoarthritis. Cartilage repair techniques that were combined with HTO and included in this review are bone marrow stimulation, allograft transplantation, osteochondral autograft transplantation, autologous chondrocyte implantation, and mesenchymal stem cell implantation.

Conclusions:

HTO with adjunctive cartilage repair procedures improve clinical outcome scores and restore alignment in patients with medial compartment osteoarthritis and isolated focal chondral defects. HTO with adjunctive cartilage procedures produces optimal results in younger, non-obese patients with focal chondral defects and varus malalignment, without significant lateral compartment and patellofemoral involvement.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Clin Orthop Trauma Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: India
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Clin Orthop Trauma Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: India