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Ten-year results of physical activity after high tibial osteotomy in patients with knee osteoarthritis

  • Knee
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Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Purpose

The purpose was to describe physical activity with respect to leisure and working activity in patients operated on by high tibial osteotomy using the hemicallotasis technique for knee osteoarthritis (OA), preoperatively and 10 years postoperatively.

Methods

Seventy-nine patients, median age 55 (range 35–66), operated on by high tibial osteotomy using the hemicallotasis technique for knee OA 2001–2003 were included. Questionnaires for evaluation of physical and working activity, satisfaction as well as the Knee injury and Osteoarthritis Outcome Score (KOOS) were filled in preoperatively and 2 and 10 years postoperatively. Conversion to knee arthroplasty was obtained through the Swedish Knee Arthroplasty Register. Changes between two postoperative measurements were assessed by Wilcoxon’s rank test.

Results

Twenty-five patients were converted to a total knee arthroplasty, and nine patients were lost to follow-up during the 10 years, resulted in 45 patients available for follow-up. Preoperatively, 33/45 patients were physically active mainly in heavy yard/household work, and 43/45 patients were working active. Ten years after the HCO, 23/45 patients were still active with golf, dancing, hiking, etc., and 23/45 were retired. At 10 years postoperatively compared to 2 years postoperatively, the patients experienced more problems with pain (89 compared to 69, p = <0.0001). Of 45 patients, 36 were satisfied with the high tibial osteotomy surgery in general 10 years postoperatively, while 13/45 were satisfied with their sport and recreational function.

Conclusions

The 10-year results indicate that high tibial osteotomy using the hemicallotasis technique for knee OA is an option for selected patients that improves the level of physical activity, with mild deterioration over time, and gives the majority of the patients the possibility to be working active until retirement.

Level of evidence

Level IV.

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Acknowledgments

This study was partly founded by the Swedish National Centre for Research in Sports.

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Authors and Affiliations

  1. Department of Clinical Sciences, Lund, Orthopedics, Lund University, Box 117, 221 00, Lund, Sweden

    Annette W-Dahl, Sören Toksvig-Larsen & Anders Lindstrand

  2. Department of Orthopedics, Skane University Hospital Lund, 221 85, Lund, Sweden

    Annette W-Dahl

  3. Department of Orthopedics, Hässleholm Hospital, Box 351, 281 25, Hässleholm, Sweden

    Sören Toksvig-Larsen

Authors
  1. Annette W-Dahl
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  2. Sören Toksvig-Larsen
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  3. Anders Lindstrand
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Correspondence to Annette W-Dahl.

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W-Dahl, A., Toksvig-Larsen, S. & Lindstrand, A. Ten-year results of physical activity after high tibial osteotomy in patients with knee osteoarthritis. Knee Surg Sports Traumatol Arthrosc 25, 902–909 (2017). https://doi.org/10.1007/s00167-015-3693-6

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  • DOI: https://doi.org/10.1007/s00167-015-3693-6

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