C Bastard1, G Mirouse2, D Potage3, H Silbert4, F Roubineau3, P Hernigou3, C-H Flouzat-Lachaniette3. 1. Département de chirurgie orthopédique et traumatologie, université Paris-Est Créteil, groupe hospitalier Henri-Mondor, Assistance publique-hôpitaux de Paris (AP-HP), 94010 Créteil, France. Electronic address: claire.bastard@hotmail.fr. 2. Département de chirurgie orthopédique et traumatologie, université Paris-Est Créteil, groupe hospitalier Henri-Mondor, Assistance publique-hôpitaux de Paris (AP-HP), 94010 Créteil, France; Service de chirurgie orthopédique et traumatologie du sport, clinique Saint-Privat, 34760 Boujan-sur-Libron, France. 3. Département de chirurgie orthopédique et traumatologie, université Paris-Est Créteil, groupe hospitalier Henri-Mondor, Assistance publique-hôpitaux de Paris (AP-HP), 94010 Créteil, France. 4. Service de chirurgie orthopédique et traumatologie du sport, clinique Saint-Privat, 34760 Boujan-sur-Libron, France.
Abstract
INTRODUCTION: Since knee osteoarthritis is unicompartmental in most cases, a knee osteotomy is the most logical solution to limit degeneration of the arthritic compartment, thereby delaying knee arthroplasty. Younger patients have high functional demands. The purpose of this study was to evaluate the return to sports and quality of life after high tibial osteotomy (HTO) in athletic patients less than 60 years of age. The hypothesis was that patients can return to sports within 1 year of HTO. MATERIALS AND METHODS: A single-centre, retrospective study was performed of 30 patients under 60 years of age with medial tibiofemoral osteoarthritis and no history of surgery or trauma who underwent HTO between January 2014 and August 2015. The primary endpoint was the return to sport at 1 year based on the Tegner score. Secondary endpoints were the subjective IKDC score, Lysholm score and SF-36. RESULTS: The mean follow-up was 1.3 years [1-1.5] and no patients were lost to follow-up. All the patients had returned to sports at 1 year: 73.3% at their pre-surgery level (before the pain started) and 23.3% at a higher level. Their quality of life was significantly improved according to the SF-36 questionnaire: 65.3% pre-operatively compared with 72.5% postoperatively (P=0.01). The preoperative and 1-year postoperative scores were comparable for the Tegner (P=0.167), IKDC (P=0.093) and Lysholm (P=0.061). CONCLUSION: HTO allows patients to resume their sports activities within 1 year of surgery and significantly improves their quality of life. LEVEL OF EVIDENCE: Level IV - Retrospective cohort study.
INTRODUCTION: Since knee osteoarthritis is unicompartmental in most cases, a knee osteotomy is the most logical solution to limit degeneration of the arthritic compartment, thereby delaying knee arthroplasty. Younger patients have high functional demands. The purpose of this study was to evaluate the return to sports and quality of life after high tibial osteotomy (HTO) in athletic patients less than 60 years of age. The hypothesis was that patients can return to sports within 1 year of HTO. MATERIALS AND METHODS: A single-centre, retrospective study was performed of 30 patients under 60 years of age with medial tibiofemoral osteoarthritis and no history of surgery or trauma who underwent HTO between January 2014 and August 2015. The primary endpoint was the return to sport at 1 year based on the Tegner score. Secondary endpoints were the subjective IKDC score, Lysholm score and SF-36. RESULTS: The mean follow-up was 1.3 years [1-1.5] and no patients were lost to follow-up. All the patients had returned to sports at 1 year: 73.3% at their pre-surgery level (before the pain started) and 23.3% at a higher level. Their quality of life was significantly improved according to the SF-36 questionnaire: 65.3% pre-operatively compared with 72.5% postoperatively (P=0.01). The preoperative and 1-year postoperative scores were comparable for the Tegner (P=0.167), IKDC (P=0.093) and Lysholm (P=0.061). CONCLUSION: HTO allows patients to resume their sports activities within 1 year of surgery and significantly improves their quality of life. LEVEL OF EVIDENCE: Level IV - Retrospective cohort study.
Authors: Julian Fürmetz; Sven Patzler; Florian Wolf; Nikolaus Degen; Wolf Christian Prall; Chris Soo; Wolfgang Böcker; Peter Helmut Thaller Journal: BMC Musculoskelet Disord Date: 2020-03-31 Impact factor: 2.362