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Distal Femoral Varus Osteotomy for Valgus Arthritis of the Knees: Systematic Review of Open versus Closed Wedge Osteotomy
PURPOSE: The purpose of this review is to compare the clinical and radiological outcomes between open and closed wedge distal femoral varus osteotomy (DFO). METHODS: A literature search of online databases (MEDLINE, EMBASE, and Cochrane Library database) was made in addition to manual search of majo...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Korean Knee Society
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5853172/ https://www.ncbi.nlm.nih.gov/pubmed/29298461 http://dx.doi.org/10.5792/ksrr.16.064 |
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author | Kim, Young Chan Yang, Jae-Hyuk Kim, Hyun Jung Tawonsawatruk, Tulyapruek Chang, Yong Suk Lee, Jong Seong Bhandare, Nikhil N Kim, Ki Seong Delgado, Giorgio D.G. Nha, Kyung Wook |
author_facet | Kim, Young Chan Yang, Jae-Hyuk Kim, Hyun Jung Tawonsawatruk, Tulyapruek Chang, Yong Suk Lee, Jong Seong Bhandare, Nikhil N Kim, Ki Seong Delgado, Giorgio D.G. Nha, Kyung Wook |
author_sort | Kim, Young Chan |
collection | PubMed |
description | PURPOSE: The purpose of this review is to compare the clinical and radiological outcomes between open and closed wedge distal femoral varus osteotomy (DFO). METHODS: A literature search of online databases (MEDLINE, EMBASE, and Cochrane Library database) was made in addition to manual search of major orthopedic journals. Data were searched from the time period of January 1990 to October 2016. A modified Coleman Methodology Score system was used to assess the methodologic quality of the included studies. A total of 20 studies were included in the review. All studies were level IV evidence. RESULTS: Comparative analysis of open and closed wedge DFO did not demonstrate clinical and radiological differences. The survival rates were also similar. Five studies (56%) on open wedge DFO mentioned the need for either bone grafting or substitute for osteotomy gap filling and reported higher incidences of reoperation for plate removal than the closed wedge DFO studies. CONCLUSIONS: The present systematic review showed similar performance between open and closed wedge DFO. Outcomes including survival rates were not statistically significantly different. However, additional bone grafting or substitutes were often needed to prevent delayed union or nonunion for open wedge techniques. Additional operations for plate removal were commonly required due to plate irritation in both techniques. |
format | Online Article Text |
id | pubmed-5853172 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Korean Knee Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-58531722018-03-20 Distal Femoral Varus Osteotomy for Valgus Arthritis of the Knees: Systematic Review of Open versus Closed Wedge Osteotomy Kim, Young Chan Yang, Jae-Hyuk Kim, Hyun Jung Tawonsawatruk, Tulyapruek Chang, Yong Suk Lee, Jong Seong Bhandare, Nikhil N Kim, Ki Seong Delgado, Giorgio D.G. Nha, Kyung Wook Knee Surg Relat Res Review Article PURPOSE: The purpose of this review is to compare the clinical and radiological outcomes between open and closed wedge distal femoral varus osteotomy (DFO). METHODS: A literature search of online databases (MEDLINE, EMBASE, and Cochrane Library database) was made in addition to manual search of major orthopedic journals. Data were searched from the time period of January 1990 to October 2016. A modified Coleman Methodology Score system was used to assess the methodologic quality of the included studies. A total of 20 studies were included in the review. All studies were level IV evidence. RESULTS: Comparative analysis of open and closed wedge DFO did not demonstrate clinical and radiological differences. The survival rates were also similar. Five studies (56%) on open wedge DFO mentioned the need for either bone grafting or substitute for osteotomy gap filling and reported higher incidences of reoperation for plate removal than the closed wedge DFO studies. CONCLUSIONS: The present systematic review showed similar performance between open and closed wedge DFO. Outcomes including survival rates were not statistically significantly different. However, additional bone grafting or substitutes were often needed to prevent delayed union or nonunion for open wedge techniques. Additional operations for plate removal were commonly required due to plate irritation in both techniques. Korean Knee Society 2018-03 2018-03-01 /pmc/articles/PMC5853172/ /pubmed/29298461 http://dx.doi.org/10.5792/ksrr.16.064 Text en Copyright © 2018 Korean Knee Society This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review Article Kim, Young Chan Yang, Jae-Hyuk Kim, Hyun Jung Tawonsawatruk, Tulyapruek Chang, Yong Suk Lee, Jong Seong Bhandare, Nikhil N Kim, Ki Seong Delgado, Giorgio D.G. Nha, Kyung Wook Distal Femoral Varus Osteotomy for Valgus Arthritis of the Knees: Systematic Review of Open versus Closed Wedge Osteotomy |
title | Distal Femoral Varus Osteotomy for Valgus Arthritis of the Knees: Systematic Review of Open versus Closed Wedge Osteotomy |
title_full | Distal Femoral Varus Osteotomy for Valgus Arthritis of the Knees: Systematic Review of Open versus Closed Wedge Osteotomy |
title_fullStr | Distal Femoral Varus Osteotomy for Valgus Arthritis of the Knees: Systematic Review of Open versus Closed Wedge Osteotomy |
title_full_unstemmed | Distal Femoral Varus Osteotomy for Valgus Arthritis of the Knees: Systematic Review of Open versus Closed Wedge Osteotomy |
title_short | Distal Femoral Varus Osteotomy for Valgus Arthritis of the Knees: Systematic Review of Open versus Closed Wedge Osteotomy |
title_sort | distal femoral varus osteotomy for valgus arthritis of the knees: systematic review of open versus closed wedge osteotomy |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5853172/ https://www.ncbi.nlm.nih.gov/pubmed/29298461 http://dx.doi.org/10.5792/ksrr.16.064 |
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