The medial open-wegde osteotomy generates progressive intrameniscal integrity changes in the lateral knee compartment: a prospective MR-assessment after valgic osteotomy in the varus gonarthritic knee

Bick F, Iffland Y, Zimmermann E, Welsch F, Hoffmann R, Stein T (2019)
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY 27(4): 1339-1346.

Download
Es wurde kein Volltext hochgeladen. Nur Publikationsnachweis!
Zeitschriftenaufsatz | Veröffentlicht | Englisch
Autor/in
; ; ; ; ;
Abstract / Bemerkung
PurposeMeniscal changes in the lateral knee compartment after medial-opening high tibial osteotomy (HTO) with valgic overcorrection have not been investigated clinically with magnetic resonance imaging (MRI). The hypothesis of this study was that HTO with valgic overcorrection affects the lateral compartment due to the change in the bearing axis and the shift in the pressure load from the medial to the lateral compartment. This should lead to an accelerated degeneration of the lateral compartment.MethodsTwenty-four patients (mean age, 45.77.6years) were prospectively and longitudinally monitored with MRI after medial-opening high tibial osteotomy. The degeneration of the meniscus was assessed at the anterior horn, pars intermedia, and posterior horn using the Stoller classification. The morphological changes were also assessed at the anterior horn, pars intermedia, and posterior horn using the relative vertical and transverse diameters of the examined part of the meniscus, according to the ratio maximal meniscal diameter/maximal tibial width. These parameters were analyzed preoperatively and at follow-up (mean 5.31.5years after surgery).Results During the follow-up period, there were no significant morphological changes in either the anterior horn, pars intermedia, or posterior horn. Nor were there any correlations between the morphological parameters, bodyweight, and the follow-up period. Despite these findings, an MRI evaluation showed progressive degeneration in every part of the meniscus according to the Stoller classification, and this was significant at the anterior horn (p<0.01), pars intermedia (p=0.021), and posterior horn (p<0.01).Conclusion High tibial osteotomy did not lead to morphological changes in the external meniscus over a follow-up period of 5.3 +/- 1.5years. However, progressive degeneration of the meniscus was observed in the imaging data. Further research is required to confirm the observed degeneration and to evaluate the consequences of the observed degeneration.
Erscheinungsjahr
Zeitschriftentitel
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
Band
27
Ausgabe
4
Seite(n)
1339-1346
ISSN
eISSN
PUB-ID

Zitieren

Bick F, Iffland Y, Zimmermann E, Welsch F, Hoffmann R, Stein T. The medial open-wegde osteotomy generates progressive intrameniscal integrity changes in the lateral knee compartment: a prospective MR-assessment after valgic osteotomy in the varus gonarthritic knee. KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY. 2019;27(4):1339-1346.
Bick, F., Iffland, Y., Zimmermann, E., Welsch, F., Hoffmann, R., & Stein, T. (2019). The medial open-wegde osteotomy generates progressive intrameniscal integrity changes in the lateral knee compartment: a prospective MR-assessment after valgic osteotomy in the varus gonarthritic knee. KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, 27(4), 1339-1346. doi:10.1007/s00167-018-5073-5
Bick, F., Iffland, Y., Zimmermann, E., Welsch, F., Hoffmann, R., and Stein, T. (2019). The medial open-wegde osteotomy generates progressive intrameniscal integrity changes in the lateral knee compartment: a prospective MR-assessment after valgic osteotomy in the varus gonarthritic knee. KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY 27, 1339-1346.
Bick, F., et al., 2019. The medial open-wegde osteotomy generates progressive intrameniscal integrity changes in the lateral knee compartment: a prospective MR-assessment after valgic osteotomy in the varus gonarthritic knee. KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, 27(4), p 1339-1346.
F. Bick, et al., “The medial open-wegde osteotomy generates progressive intrameniscal integrity changes in the lateral knee compartment: a prospective MR-assessment after valgic osteotomy in the varus gonarthritic knee”, KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, vol. 27, 2019, pp. 1339-1346.
Bick, F., Iffland, Y., Zimmermann, E., Welsch, F., Hoffmann, R., Stein, T.: The medial open-wegde osteotomy generates progressive intrameniscal integrity changes in the lateral knee compartment: a prospective MR-assessment after valgic osteotomy in the varus gonarthritic knee. KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY. 27, 1339-1346 (2019).
Bick, F., Iffland, Y., Zimmermann, Elke, Welsch, F., Hoffmann, R., and Stein, Thomas. “The medial open-wegde osteotomy generates progressive intrameniscal integrity changes in the lateral knee compartment: a prospective MR-assessment after valgic osteotomy in the varus gonarthritic knee”. KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY 27.4 (2019): 1339-1346.

30 References

Daten bereitgestellt von Europe PubMed Central.

Effect of high tibial flexion osteotomy on cartilage pressure and joint kinematics: a biomechanical study in human cadaveric knees. Winner of the AGA-DonJoy Award 2004.
Agneskirchner JD, Hurschler C, Stukenborg-Colsman C, Imhoff AB, Lobenhoffer P., Arch Orthop Trauma Surg 124(9), 2004
PMID: 15480717
Discoid lateral meniscus in children: clinical manifestations and morphology.
Ahn JH, Shim JS, Hwang CH, Oh WH., J Pediatr Orthop 21(6), 2001
PMID: 11675561
Biomechanics of high tibial osteotomy.
Amis AA., Knee Surg Sports Traumatol Arthrosc 21(1), 2012
PMID: 22773067

MB, JBJS 83(), 2001
Incidental meniscal findings on knee MRI in middle-aged and elderly persons.
Englund M, Guermazi A, Gale D, Hunter DJ, Aliabadi P, Clancy M, Felson DT., N. Engl. J. Med. 359(11), 2008
PMID: 18784100
Evidence that meniscus damage may be a component of osteoarthritis: the Framingham study.
Englund M, Haugen IK, Guermazi A, Roemer FW, Niu J, Neogi T, Aliabadi P, Felson DT., Osteoarthr. Cartil. 24(2), 2015
PMID: 26318660
Valgus malalignment is a risk factor for lateral knee osteoarthritis incidence and progression: findings from the Multicenter Osteoarthritis Study and the Osteoarthritis Initiative.
Felson DT, Niu J, Gross KD, Englund M, Sharma L, Cooke TD, Guermazi A, Roemer FW, Segal N, Goggins JM, Lewis CE, Eaton C, Nevitt MC., Arthritis Rheum. 65(2), 2013
PMID: 23203672
Tibial chondral fissures associated with the lateral meniscus.
Fine KM, Glasgow SG, Torg JS., Arthroscopy 11(3), 1995
PMID: 7632304

Y, Orthop Clin N Am 10(), 1979
Satisfactory functional and radiological outcomes can be expected in young patients under 45 years old after open wedge high tibial osteotomy in a long-term follow-up.
Hantes ME, Natsaridis P, Koutalos AA, Ono Y, Doxariotis N, Malizos KN., Knee Surg Sports Traumatol Arthrosc 26(11), 2017
PMID: 29189881
[Musculoskeletal biomechanics of the knee joint. Principles of preoperative planning for osteotomy and joint replacement].
Heller MO, Matziolis G, Konig C, Taylor WR, Hinterwimmer S, Graichen H, Hege HC, Bergmann G, Perka C, Duda GN., Orthopade 36(7), 2007
PMID: 17605127
Concomitant meniscal and articular cartilage lesions in the femorotibial joint.
Lewandrowski KU, Muller J, Schollmeier G., Am J Sports Med 25(4), 1997
PMID: 9240982
[Structural changes in the lateral tibiofemoral compartment after high tibial osteotomy].
Madry H, Ziegler R, Pape D, Cucchiarini M., Orthopade 43(11), 2014
PMID: 25261117
Articular cartilage changes in patients with osteoarthritis after osteotomy.
Parker DA, Beatty KT, Giuffre B, Scholes CJ, Coolican MR., Am J Sports Med 39(5), 2011
PMID: 21285442
Osteotomy for the early varus arthritic knee.
Parker DA, Viskontas DG., Sports Med Arthrosc Rev 15(1), 2007
PMID: 17301697
Meniscal healing after meniscal repair: a CT arthrography assessment.
Pujol N, Panarella L, Selmi TA, Neyret P, Fithian D, Beaufils P., Am J Sports Med 36(8), 2008
PMID: 18483200

R, 1991
High Tibial Osteotomy: A Systematic Review and Current Concept.
Sabzevari S, Ebrahimpour A, Roudi MK, Kachooei AR., Arch Bone Jt Surg 4(3), 2016
PMID: 27517063
Diagnosis of discoid lateral meniscus of the knee on MR imaging.
Samoto N, Kozuma M, Tokuhisa T, Kobayashi K., Magn Reson Imaging 20(1), 2002
PMID: 11973030
Ten-Year Results of Medial Open-Wedge High Tibial Osteotomy and Chondral Resurfacing in Severe Medial Osteoarthritis and Varus Malalignment.
Schuster P, Geßlein M, Schlumberger M, Mayer P, Mayr R, Oremek D, Frank S, Schulz-Jahrsdorfer M, Richter J., Am J Sports Med 46(6), 2018
PMID: 29589953
[Cartilage regeneration after high tibial osteotomy. Results of an arthroscopic study].
Spahn G, Klinger HM, Harth P, Hofmann GO., Z Orthop Unfall 150(3), 2012
PMID: 22729374
The frequency of cartilage lesions in non-injured knees with symptomatic meniscus tears: results from an arthroscopic and NIR- (near-infrared) spectroscopic investigation.
Spahn G, Plettenberg H, Hoffmann M, Klemm HT, Brochhausen-Delius C, Hofmann GO., Arch Orthop Trauma Surg 137(6), 2017
PMID: 28397004
Meniscal tears: pathologic correlation with MR imaging.
Stoller DW, Martin C, Crues JV 3rd, Kaplan L, Mink JH., Radiology 163(3), 1987
PMID: 3575724

Y, Clin Orthop Relat Res 198(), 1985
Ten-year results of physical activity after high tibial osteotomy in patients with knee osteoarthritis.
W-Dahl A, Toksvig-Larsen S, Lindstrand A., Knee Surg Sports Traumatol Arthrosc 25(3), 2015
PMID: 26170187

Export

Markieren/ Markierung löschen
Markierte Publikationen

Open Data PUB

Web of Science

Dieser Datensatz im Web of Science®

Quellen

PMID: 30074063
PubMed | Europe PMC

Suchen in

Google Scholar