Quadriceps strength can improve twelve months after opening wedge high tibial osteotomy and opening wedge distal tibial tubercle osteotomy, particularly after opening wedge high tibial osteotomy

IF 1.6 4区医学 Q3 ORTHOPEDICS Knee Pub Date : 2024-10-15 DOI:10.1016/j.knee.2024.09.013

Ryo Goto , Takehiko Matsushita , Yuya Ueda , Yohei Shibata , Daisuke Miura , Kumiko Ono , Akihiro Kida , Kyohei Nishida , Kanto Nagai , Noriyuki Kanzaki , Yuichi Hoshino , Yoshitada Sakai , Ryosuke Kuroda

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Abstract

Background

Knee osteoarthritis (KOA) is a globally prevalent condition leading to joint pain and disabilities. Surgical interventions such as opening-wedge high tibial osteotomy (OWHTO) and opening-wedge distal tuberosity osteotomy (OWDTO) aim to alleviate symptoms and delay disease progression. Quadriceps strength, crucial for knee function, may decline postoperatively, affecting patient outcomes. However, little is known about quadriceps strength variation after OWHTO and OWDTO. This study investigated changes in quadriceps strength before and after OWHTO and OWDTO.

Methods

This retrospective study included patients who underwent OWHTO or OWDTO between 2016 and 2022. Quadriceps strength and demographic and surgical data were collected preoperatively and at 6 and 12 months postoperatively. Statistical analyses were performed to compare changes in quadriceps strength over time.

Results

Of 120 knees, 52 (OWHTO, 27; OWDTO, 25) were included in this study. Quadriceps strength increased over 12 months post-OWHTO, significantly improving at 12 months compared to the preoperative and 6-month values. In OWDTO, the strength improved but not significantly.

Conclusions

Quadriceps strength improved following OWHTO and OWDTO, with OWHTO showing significant enhancements. Future studies should investigate the relationship between quadriceps strength and functional outcomes and guide rehabilitation strategies for improved postoperative recovery.

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开放式楔形高胫骨截骨术和开放式楔形胫骨远端结节截骨术后 12 个月，尤其是开放式楔形高胫骨截骨术后，股四头肌力量可得到改善

背景膝关节骨关节炎（KOA）是一种导致关节疼痛和残疾的全球性疾病。开刃胫骨高位截骨术（OWHTO）和开刃远端结节截骨术（OWDTO）等手术干预措施旨在缓解症状并延缓疾病进展。股四头肌力量对膝关节功能至关重要，术后股四头肌力量可能会下降，从而影响患者的治疗效果。然而，人们对 OWHTO 和 OWDTO 术后股四头肌力量的变化知之甚少。本研究调查了OWHTO和OWDTO前后股四头肌力量的变化。方法这项回顾性研究纳入了2016年至2022年间接受OWHTO或OWDTO的患者。收集了术前以及术后6个月和12个月的股四头肌力量、人口统计学和手术数据。结果在120个膝关节中，52个（OWHTO，27个；OWDTO，25个）被纳入本研究。OWHTO术后12个月内，股四头肌力量有所增加，与术前和6个月的数值相比，12个月时的力量明显提高。结论 OWHTO 和 OWDTO 术后股四头肌力量均有改善，其中 OWHTO 术后改善明显。未来的研究应探讨股四头肌力量与功能结果之间的关系，并为改善术后恢复的康复策略提供指导。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Knee 医学-外科

CiteScore

3.80

自引率

5.30%

发文量

171

审稿时长

6 months

期刊介绍： The Knee is an international journal publishing studies on the clinical treatment and fundamental biomechanical characteristics of this joint. The aim of the journal is to provide a vehicle relevant to surgeons, biomedical engineers, imaging specialists, materials scientists, rehabilitation personnel and all those with an interest in the knee. The topics covered include, but are not limited to: • Anatomy, physiology, morphology and biochemistry; • Biomechanical studies; • Advances in the development of prosthetic, orthotic and augmentation devices; • Imaging and diagnostic techniques; • Pathology; • Trauma; • Surgery; • Rehabilitation.