Safe and Effective High Tibial Osteotomy Without Bone Grafting
Author Information
Author(s): Screpis Daniele, Baldini Marco, Piovan Gianluca, Santamaria Fabio, Iacono Venanzio, Gigante Antonio, Zorzi Claudio
Primary Institution: IRCCS Ospedale Sacro Cuore—Don Calabria
Hypothesis
SBHTO can be performed safely and with good results without bone grafting the osteotomy gap.
Conclusion
SBHTO can be performed safely and effectively without bone grafting, leading to improved pain and function over time.
Supporting Evidence
- 95% of patients reported satisfaction with the surgery.
- No major complications were reported.
- Pain scores improved significantly from 3 months to final follow-up.
- Activity levels decreased at 2 months but improved thereafter.
- Stability was reached at 3 months for all patients.
Takeaway
Doctors can fix knee problems in both legs at the same time without using extra bone, which helps people heal faster.
Methodology
Retrospective analysis of patients who underwent primary SBHTO from January 2019 to December 2022, evaluating functional scores and complications.
Potential Biases
Potential bias due to the retrospective nature of the study.
Limitations
Lack of a control group and absence of early disability assessment.
Participant Demographics
Mean age 45.6 years, BMI 26.15, with Kellgren-Lawrence grade II or III OA.
Statistical Information
P-Value
p<0.001
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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