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Conversion Total Knee Arthroplasty after Failed High Tibial Osteotomy

김강일|이충환|송상준|배대경
대한슬관절학회 (Korean Knee Society)|2016.06|Knee Surgery and Related Research|제28권 제2호|pp. 89-98

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키워드

osteoarthritisKneeosteotomyarthroplasty

초록

Clinical results of high tibial osteotomy (HTO) deteriorate over time despite the initial satisfactory results. Several knees may require a conversion to total knee arthroplasty (TKA) because of failure such as the progression of degenerative osteoarthritis and the loss of the correction angle. It is important to know the long-term survival rate and common reason of failure in HTO to inform patients of postoperative expectations before surgery and to prevent surgical errors during surgery. In addition, it has been reported that clinical and radiological results, revision rate, and complication rate were poorer than those in patients without a previous HTO. There are few review articles that describe why conversion TKA after HTO is surgically difficult and the results are poor. Surgeons have to avoid the various complications and surgical errors in this specific situation. We would like to present the considering factors and technical difficulties during conversion TKA after HTO with a review of the literature. We could conclude through the review that the correction of deformity, lower amount of tibial bone resection, and sufficient polyethylene insert thickness, restoration of the joint line height, and adequate ligament balancing can be helpful in overcoming the technical challenges encountered during TKA following HTO.

Abstract

Clinical results of high tibial osteotomy (HTO) deteriorate over time despite the initial satisfactory results. Several knees may require a conversion to total knee arthroplasty (TKA) because of failure such as the progression of degenerative osteoarthritis and the loss of the correction angle. It is important to know the long-term survival rate and common reason of failure in HTO to inform patients of postoperative expectations before surgery and to prevent surgical errors during surgery. In addition, it has been reported that clinical and radiological results, revision rate, and complication rate were poorer than those in patients without a previous HTO. There are few review articles that describe why conversion TKA after HTO is surgically difficult and the results are poor. Surgeons have to avoid the various complications and surgical errors in this specific situation. We would like to present the considering factors and technical difficulties during conversion TKA after HTO with a review of the literature. We could conclude through the review that the correction of deformity, lower amount of tibial bone resection, and sufficient polyethylene insert thickness, restoration of the joint line height, and adequate ligament balancing can be helpful in overcoming the technical challenges encountered during TKA following HTO.

참고문헌 (54)

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관련 논문AI추천

Change of joint-line convergence angle should be considered for accurate alignment correction in high tibial osteotomy심재앙, Choi Ji Uk, Lee Beom Koo, Lee Byung Hoon, Na Young Gon대한슬관절학회 · Knee Surgery and Related Research2021 · 제33권 How to achieve an optimal alignment in medial opening wedge high tibial osteotomy?왕준호, Kang Byoung Youl, Kim Hyeon Soo, Lee Do Kyung대한슬관절학회 · Knee Surgery and Related Research2022 · 제34권 High Tibial Osteotomy versus Unicompartmental Knee Arthroplasty for Medial Compartment Arthrosis with Kissing Lesions in Relatively Young Patients류승민, 손욱진, Ho Dong Na, Jae Woo Park대한슬관절학회 · Knee Surgery and Related Research2018 · 제30권 제1호Short-Term Results of Hybrid Closed-Wedge High Tibial Osteotomy: A Case Series with a Minimum 3-Year Follow-upHidetomo Saito, Hiroaki Kijima, Kimio Saito, Koji Nozaka, Naohisa Miyakoshi, Shin Yamada, Takahiro Sato, Toshiaki Yamamura, Yoichi Shimada대한슬관절학회 · Knee Surgery and Related Research2018 · 제30권 제4호Comparative Study of Two Techniques for Ligament Balancing in Total Knee Arthroplasty for Severe Varus Knee: Medial Soft Tissue Release vs. Bony Resection of Proximal Medial Tibia백영웅, 안지현대한슬관절학회 · Knee Surgery and Related Research2013 · 제25권 제1호Management of failed UKA to TKA: conventional versus robotic-assisted conversion techniqueChen Chang-Hwa Mary, Pasko Kory B. Dylan, Qutami Marilena, Yun Andrew G.대한슬관절학회 · Knee Surgery and Related Research2020 · 제32권

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