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Clinical Outcome after Medial Open-Wedge High Tibial Osteotomy: Comparison of Two Angular Stable Locking Plates—TomoFix™ versus LOQTEQ(®) HTO Plate

This study evaluated bony healing and clinical results after medial open-wedge HTO to compare the outcome of the LOQTEQ(®) HTO plate and the TomoFix™ internal plate fixator. A prospective, non-randomised, comparative study was undertaken. The same surgical technique for the medial open-wedge HTO was...

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Autores principales: Park, Hi-Un, Bäcker, Henrik Constantin, Häner, Martin, Braun, Karl F., Petersen, Wolf
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10053608/
https://www.ncbi.nlm.nih.gov/pubmed/36983654
http://dx.doi.org/10.3390/jpm13030472
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author Park, Hi-Un
Bäcker, Henrik Constantin
Häner, Martin
Braun, Karl F.
Petersen, Wolf
author_facet Park, Hi-Un
Bäcker, Henrik Constantin
Häner, Martin
Braun, Karl F.
Petersen, Wolf
author_sort Park, Hi-Un
collection PubMed
description This study evaluated bony healing and clinical results after medial open-wedge HTO to compare the outcome of the LOQTEQ(®) HTO plate and the TomoFix™ internal plate fixator. A prospective, non-randomised, comparative study was undertaken. The same surgical technique for the medial open-wedge HTO was used in two treatment groups. In Group 1, the TomoFix™ implant was used for osteosynthesis, and, in Group 2, the LOQTEQ(®) HTO plate was used. All patients were examined before surgery (T0) and then at 12 months (T1) and at 24 months (T2) postoperatively. The primary outcome measure was the KOOS pain subscore. The secondary outcome criteria were other KOOS subscales, the Tegner score, radiological healing (RUST), and incision length. The KOOS pain subscale and the other KOOS subscores increased significantly in both groups from T0 to T1 and T2 without a significant group difference at each timepoint. The activity measured with the Tegner scale increased significantly from T0 to T2 without a significant group difference. No radiological signs of implant failure were observed in any case at the one-year X-ray, and no patient fulfilled the criteria for non-union. There was no significant difference in the frequency of adverse effects between the two treatment groups. The length of the incision was significantly shorter in the LOQTEQ(®) HTO group than in the TomoFix™ group. The results of this study show that patient-related outcome scores (KOOS, Tegner) increased after medial open-wedge HTO. There was no difference in clinical outcome or radiological healing between the treatment groups. Both plates are suitable for the osteosynthesis of open-wedge HTO.
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spelling pubmed-100536082023-03-30 Clinical Outcome after Medial Open-Wedge High Tibial Osteotomy: Comparison of Two Angular Stable Locking Plates—TomoFix™ versus LOQTEQ(®) HTO Plate Park, Hi-Un Bäcker, Henrik Constantin Häner, Martin Braun, Karl F. Petersen, Wolf J Pers Med Article This study evaluated bony healing and clinical results after medial open-wedge HTO to compare the outcome of the LOQTEQ(®) HTO plate and the TomoFix™ internal plate fixator. A prospective, non-randomised, comparative study was undertaken. The same surgical technique for the medial open-wedge HTO was used in two treatment groups. In Group 1, the TomoFix™ implant was used for osteosynthesis, and, in Group 2, the LOQTEQ(®) HTO plate was used. All patients were examined before surgery (T0) and then at 12 months (T1) and at 24 months (T2) postoperatively. The primary outcome measure was the KOOS pain subscore. The secondary outcome criteria were other KOOS subscales, the Tegner score, radiological healing (RUST), and incision length. The KOOS pain subscale and the other KOOS subscores increased significantly in both groups from T0 to T1 and T2 without a significant group difference at each timepoint. The activity measured with the Tegner scale increased significantly from T0 to T2 without a significant group difference. No radiological signs of implant failure were observed in any case at the one-year X-ray, and no patient fulfilled the criteria for non-union. There was no significant difference in the frequency of adverse effects between the two treatment groups. The length of the incision was significantly shorter in the LOQTEQ(®) HTO group than in the TomoFix™ group. The results of this study show that patient-related outcome scores (KOOS, Tegner) increased after medial open-wedge HTO. There was no difference in clinical outcome or radiological healing between the treatment groups. Both plates are suitable for the osteosynthesis of open-wedge HTO. MDPI 2023-03-05 /pmc/articles/PMC10053608/ /pubmed/36983654 http://dx.doi.org/10.3390/jpm13030472 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Park, Hi-Un
Bäcker, Henrik Constantin
Häner, Martin
Braun, Karl F.
Petersen, Wolf
Clinical Outcome after Medial Open-Wedge High Tibial Osteotomy: Comparison of Two Angular Stable Locking Plates—TomoFix™ versus LOQTEQ(®) HTO Plate
title Clinical Outcome after Medial Open-Wedge High Tibial Osteotomy: Comparison of Two Angular Stable Locking Plates—TomoFix™ versus LOQTEQ(®) HTO Plate
title_full Clinical Outcome after Medial Open-Wedge High Tibial Osteotomy: Comparison of Two Angular Stable Locking Plates—TomoFix™ versus LOQTEQ(®) HTO Plate
title_fullStr Clinical Outcome after Medial Open-Wedge High Tibial Osteotomy: Comparison of Two Angular Stable Locking Plates—TomoFix™ versus LOQTEQ(®) HTO Plate
title_full_unstemmed Clinical Outcome after Medial Open-Wedge High Tibial Osteotomy: Comparison of Two Angular Stable Locking Plates—TomoFix™ versus LOQTEQ(®) HTO Plate
title_short Clinical Outcome after Medial Open-Wedge High Tibial Osteotomy: Comparison of Two Angular Stable Locking Plates—TomoFix™ versus LOQTEQ(®) HTO Plate
title_sort clinical outcome after medial open-wedge high tibial osteotomy: comparison of two angular stable locking plates—tomofix™ versus loqteq(®) hto plate
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10053608/
https://www.ncbi.nlm.nih.gov/pubmed/36983654
http://dx.doi.org/10.3390/jpm13030472
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