Patella height after high tibial osteotomy with internal fixation and early motion. Academic Article uri icon

Overview

abstract

  • The purpose of this study was to compare the incidence of patella infera in patients after high tibial osteotomy treated with either postoperative immobilization or internal fixation and early range of motion. A retrospective review of 98 patients with high tibial osteotomy was done at the authors' institution. Thirty-three patients who had secondary procedures such as concomitant ligamentous reconstruction with early motion were excluded. Therefore, 69 knees in 65 patients remained in the study cohort. Group A consisted of 32 patients (34 knees) treated with postoperative immobilization, whereas Group B included 33 patients (35 knees) treated with internal fixation and early motion. The preoperative and postoperative Insall-Salvati index, Blackburne-Peel index, and angular alignment were determined for each group. Between Groups A and B, the differences in the Insall-Salvati index and the Blackburne-Peel index were statistically significant, although the difference in angular correction was not significant. With rigid fixation and early motion the Insall-Salvati index showed that there was less postoperative shortening of the patellar tendon. The relationship of the patella to the remainder of the knee was affected less adversely as evidenced by the Blackburne-Peel index. High tibial osteotomy with internal fixation and early range of motion should result in a better knee and ease the subsequent performance of a total knee arthroplasty.

publication date

  • September 1, 1998

Research

keywords

  • Bone Plates
  • Bone Screws
  • Knee Joint
  • Osteotomy
  • Patella
  • Range of Motion, Articular
  • Tibia

Identity

Scopus Document Identifier

  • 0031716910

Digital Object Identifier (DOI)

  • 10.1097/00003086-199809000-00020

PubMed ID

  • 9755776

Additional Document Info

issue

  • 354