TA Al-Sadek1* and AAl-Sadek2
1Trakia University, Medical college - Stara Zagora, Bulgatria
2Department of Orthopedics and Traumatology, UMHAT Tsaritsa Joanna- ISUL, Sofia, Bulgaria
*Corresponding Author: TA Al-Sadek, Trakia University, Medical college - Stara Zagora, Bulgatria.
Received: February 20, 2023; Published: April 04, 2023
Background: Medial open wedge high tibial osteotomy (MOWHTO) is an effective surgical procedure for the treatment of medial compartment osteoarthritis of the knee as well as for the correction of lower extremity misalignment. The main purpose of an OWHTO is to realign the mechanical axis of the leg to offload the medial compartment. With favorable clinical outcomes such as delaying end-stage arthritis, providing pain reduction, and improvement of joint function, MOWHTO has become increasingly popular. However numerous advantages of MOWHTO have been addressed, and it has been reported that MOWHTO would adversely affect the patella-femoral joint. Several studies state that MOWHTO leads to patella Baja and alteration in patellar tracking, as an opening wedge at the transverse osteotomy moves the tibial tuberosity distal to the joint subsequently causing increased patella-femoral contact pressure. The purpose of this systemic review is to evaluate the evidence of the correlation between open wedge high tibial osteotomy and progression of patello-femoral osteoarthritis and whether PF OA progression influences the clinical outcome.
Aim of the Work: The purpose of this systemic review is to evaluate the evidence of the correlation between open wedge high tibial osteotomy and progression of patello-femoral osteoarthritis and whether PF OA progression influences the clinical outcome.
Materials and Methods: This is a systematic review study and meta-analysis on human subjects studied in different works of literature collected from different medical websites up to December 2022 to evaluate the evidence of Correlation between open wedge high tibial osteotomy and progression of patello-femoral osteoarthritis and whether PF OA progression influences the clinical outcome. The study was performed in the Orthopedic Surgery Department, Belhoul European Hospital, Dubai-UAE, during the period from February 2021 to 1st December 2022. The search was conducted by using the databases: JBJS (Journal of bone and joint Surgery), Medline PubMed library, developed by the National Center for Biotechnology Information (NCBI) of the US National Library of Medicine (NLM) (www.ncbi.nlm.nih.gov/PubMed), and in the library of the Cochrane Database (https://www.cochrane.org) as well as Google Scholar search that published before the year 2022. The following keywords: “knee osteoarthritis” [Abstract or Title], “high tibial osteotomy” [Abstract or Title], “open wedge osteotomy” [Abstract or Title], “patellofemoral osteoarthritis” [Abstract or Title].
Results and Conclusion: The results of this study suggest that during MOWHTO, increase in posterior tibial slope after operation; the former is more likely to cause postoperative patella infra than the latter, but its safety is higher than the latter. Clinically, for patients with serious patellofemoral osteoarthritis, MOWHTO can prevent the complication of the patella and be preferred. OWHTO does not affect the results of postoperative complications.
Keywords: Correlation; OWHTO; Patellofemoral Osteoarthritis
Citation: TA Al-Sadek and AAl-Sadek. “Correlation between Open Wedge High Tibial Osteotomy and Progression of Patellofemoral Osteoarthritis (A Systematic Review)”.Acta Scientific Orthopaedics 6.5 (2023): 02-10.
Copyright: © 2023 TA Al-Sadek and AAl-Sadek. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.