Comparison of Unilateral Knee Arthroplasty with High Tibial Osteotomy in Surgical Treatment of Medial Knee Osteoarthritis

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dc.contributor.authorZehir, Sinan
dc.contributor.authorŞahin, Ercan
dc.date.accessioned2023-02-24T07:00:32Z
dc.date.available2023-02-24T07:00:32Z
dc.date.issued2022en_US
dc.departmentHitit Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü
dc.description.abstractBackground: High tibial osteotomy (HTO) and unicondylar knee arthroplasty (UKA) are two procedures of choice in moderate medial-sided knee osteoarthritis. In this study, we aimed to compare the outcomes of patients undergoing either unilateral knee arthroplasty or open-wedge HTO both clinically and radiologically. Methods: Clinical records of 105 patients treated surgically with either medial unilateral knee arthroplasty or high tibial osteotomies were reviewed. Fifty-one cases of HTO (group 1) and 54 cases of unicompartmental knee arthroplasty (group 2) were reviewed. Radiographic follow-up data included Kellgren Lawrence index and mechanical alignment measurements using the PACS system. Clinical and functional follow-up data included range of motion degrees and functional assessment scores (Tegner, Lysholm, Knee Society Score and VAS). Results: Mean time of follow-up was 66.10±8.14 months and 65.27±6.95 months for groups 1 and 2, respectively. The HTO group had better radiographic improvement and greater range of motion than the unicompartmental knee arthroplasty group. Despite a significant difference in Lysholm Knee Score and a slight difference in VAS score in favor of HTO, both groups were similar with regard to functional outcomes. Conclusion: Both techniques are satisfactory in terms of functional outcomes about five years after the operation and may be considered in cases of middle-aged medial-sided gonarthrosis (
dc.identifier.citationZehir, S., & Şahin, E. (2022). Comparison of Unilateral Knee Arthroplasty with High Tibial Osteotomy in Surgical Treatment of Medial Knee Osteoarthritis. Archives of Iranian Medicine, 25(5), 324.
dc.identifier.doi10.34172/aim.2022.53
dc.identifier.endpage328en_US
dc.identifier.issn1029-2977
dc.identifier.issn1735-3947
dc.identifier.issue5en_US
dc.identifier.pmid35943009
dc.identifier.scopusqualityQ1
dc.identifier.startpage324en_US
dc.identifier.urihttps://hdl.handle.net/11491/8457
dc.identifier.volume25en_US
dc.identifier.wosWOS:000818581400008
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherACAD MEDICAL SCIENCES I R IRAN
dc.relation.ispartofARCHIVES OF IRANIAN MEDICINE
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsAttribution 4.0 International (CC BY 4.0)*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/*
dc.subjectHigh tibial osteotomyen_US
dc.subjectOsteoarthritisen_US
dc.subjectUnicondylar arthroplastyen_US
dc.titleComparison of Unilateral Knee Arthroplasty with High Tibial Osteotomy in Surgical Treatment of Medial Knee Osteoarthritis
dc.typeArticle

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