Cargando…
Health-related quality of life and clinical outcomes following medial open wedge high tibial osteotomy: a prospective study
BACKGROUND: Open wedge high tibial osteotomy (HTO) is an established method for the treatment of patients with varus malalignment and medial compartment osteoarthritis. In these patients, health-related quality of life (HRQL) can be improved by using this procedure. The purpose of the present study...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2016
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4870804/ https://www.ncbi.nlm.nih.gov/pubmed/27189005 http://dx.doi.org/10.1186/s12891-016-1076-x |
_version_ | 1782432502642638848 |
---|---|
author | Ihle, Christoph Ateschrang, Atesch Grünwald, Leonard Stöckle, Ulrich Saier, Tim Schröter, Steffen |
author_facet | Ihle, Christoph Ateschrang, Atesch Grünwald, Leonard Stöckle, Ulrich Saier, Tim Schröter, Steffen |
author_sort | Ihle, Christoph |
collection | PubMed |
description | BACKGROUND: Open wedge high tibial osteotomy (HTO) is an established method for the treatment of patients with varus malalignment and medial compartment osteoarthritis. In these patients, health-related quality of life (HRQL) can be improved by using this procedure. The purpose of the present study consisted in evaluating HRQL up to 18 months after HTO, comparing the results to values of the German normal population, and in analyzing the impact of preoperative HRQL on the postoperative clinical result. It was hypothesized that normal values in physical and mental health can be achieved within 18 months after operation. Study design: Prospective case series. Level of evidence: IV. METHODS: 120 patients were included in this prospective case series from 12/2008 to 12/2011. All patients underwent open wedge HTO without a bone graft using the TomoFix(TM) plate. HRQL was assessed by using the SF-36 questionnaire, preoperatively, as well as 6, 12, and 18 months postoperatively. Regular scoring, norm-based scaling, and the physical and mental component summary scores (PCS and MCS) were evaluated. Clinical outcome was assessed by using Lequesne, Lysholm, HSS and IKDC Score. RESULTS: HRQL could be described in 96 patients. The PCS of HRQL showed a statistically significant pre- to postoperative improvement (30.2 ± 13.4 to 45.9 ± 13.5 after 18 months). A reduced preoperative mental component summary score (MCS) resulted in lower values of each clinical score (p < 0.05) and in a prolonged duration of incapacity for work (MCS < 50:15.0 ± 12.8 weeks, vs. MCS ≥ 50: 9.1 ± 4.8 weeks, p < 0.05). MCS values improved from the pre- to postoperative measurements and comparable values to the normal population were reached already within 6 months after surgery (46.0 ± 14.9 pre-operatively and 48.5 ± 13.7 after 6 months), and after 18 months even a score of 49.5 ± 12.4 was achieved. CONCLUSION: Lower preoperative mental component score results in reduced postoperative clinical outcome and prolonged duration of incapacity for work after HTO. In contrast to PCS, MCS showed comparable values to the normal population within 6 months after HTO. |
format | Online Article Text |
id | pubmed-4870804 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-48708042016-05-19 Health-related quality of life and clinical outcomes following medial open wedge high tibial osteotomy: a prospective study Ihle, Christoph Ateschrang, Atesch Grünwald, Leonard Stöckle, Ulrich Saier, Tim Schröter, Steffen BMC Musculoskelet Disord Research Article BACKGROUND: Open wedge high tibial osteotomy (HTO) is an established method for the treatment of patients with varus malalignment and medial compartment osteoarthritis. In these patients, health-related quality of life (HRQL) can be improved by using this procedure. The purpose of the present study consisted in evaluating HRQL up to 18 months after HTO, comparing the results to values of the German normal population, and in analyzing the impact of preoperative HRQL on the postoperative clinical result. It was hypothesized that normal values in physical and mental health can be achieved within 18 months after operation. Study design: Prospective case series. Level of evidence: IV. METHODS: 120 patients were included in this prospective case series from 12/2008 to 12/2011. All patients underwent open wedge HTO without a bone graft using the TomoFix(TM) plate. HRQL was assessed by using the SF-36 questionnaire, preoperatively, as well as 6, 12, and 18 months postoperatively. Regular scoring, norm-based scaling, and the physical and mental component summary scores (PCS and MCS) were evaluated. Clinical outcome was assessed by using Lequesne, Lysholm, HSS and IKDC Score. RESULTS: HRQL could be described in 96 patients. The PCS of HRQL showed a statistically significant pre- to postoperative improvement (30.2 ± 13.4 to 45.9 ± 13.5 after 18 months). A reduced preoperative mental component summary score (MCS) resulted in lower values of each clinical score (p < 0.05) and in a prolonged duration of incapacity for work (MCS < 50:15.0 ± 12.8 weeks, vs. MCS ≥ 50: 9.1 ± 4.8 weeks, p < 0.05). MCS values improved from the pre- to postoperative measurements and comparable values to the normal population were reached already within 6 months after surgery (46.0 ± 14.9 pre-operatively and 48.5 ± 13.7 after 6 months), and after 18 months even a score of 49.5 ± 12.4 was achieved. CONCLUSION: Lower preoperative mental component score results in reduced postoperative clinical outcome and prolonged duration of incapacity for work after HTO. In contrast to PCS, MCS showed comparable values to the normal population within 6 months after HTO. BioMed Central 2016-05-18 /pmc/articles/PMC4870804/ /pubmed/27189005 http://dx.doi.org/10.1186/s12891-016-1076-x Text en © Ihle et al. 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Ihle, Christoph Ateschrang, Atesch Grünwald, Leonard Stöckle, Ulrich Saier, Tim Schröter, Steffen Health-related quality of life and clinical outcomes following medial open wedge high tibial osteotomy: a prospective study |
title | Health-related quality of life and clinical outcomes following medial open wedge high tibial osteotomy: a prospective study |
title_full | Health-related quality of life and clinical outcomes following medial open wedge high tibial osteotomy: a prospective study |
title_fullStr | Health-related quality of life and clinical outcomes following medial open wedge high tibial osteotomy: a prospective study |
title_full_unstemmed | Health-related quality of life and clinical outcomes following medial open wedge high tibial osteotomy: a prospective study |
title_short | Health-related quality of life and clinical outcomes following medial open wedge high tibial osteotomy: a prospective study |
title_sort | health-related quality of life and clinical outcomes following medial open wedge high tibial osteotomy: a prospective study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4870804/ https://www.ncbi.nlm.nih.gov/pubmed/27189005 http://dx.doi.org/10.1186/s12891-016-1076-x |
work_keys_str_mv | AT ihlechristoph healthrelatedqualityoflifeandclinicaloutcomesfollowingmedialopenwedgehightibialosteotomyaprospectivestudy AT ateschrangatesch healthrelatedqualityoflifeandclinicaloutcomesfollowingmedialopenwedgehightibialosteotomyaprospectivestudy AT grunwaldleonard healthrelatedqualityoflifeandclinicaloutcomesfollowingmedialopenwedgehightibialosteotomyaprospectivestudy AT stockleulrich healthrelatedqualityoflifeandclinicaloutcomesfollowingmedialopenwedgehightibialosteotomyaprospectivestudy AT saiertim healthrelatedqualityoflifeandclinicaloutcomesfollowingmedialopenwedgehightibialosteotomyaprospectivestudy AT schrotersteffen healthrelatedqualityoflifeandclinicaloutcomesfollowingmedialopenwedgehightibialosteotomyaprospectivestudy |