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Medium to long term of self-report outcomes of high tibial osteotomy in advanced age patients

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Abstract

Purpose

This study aimed to investigate the mid- to long-term benefits of high tibial osteotomy in advanced age patients.

Methods

This retrospective study was conducted in our hospital from January 2017 to January 2021 with data prospectively collected, 47 patients with knee osteoarthritis who over 65 years old were included, and a 1:1 propensity score (PS) of patients < 65 years were matched according to gender, body mass index, and side. Patient demographics, intraooperative and postoperative variables, and patient self-reported outcomes were compared. A generalized linear model was used to screen possible risk factors.

Results

A total of 94 consecutive patients were included; the average age of advanced age group was 69.47 + 4.26 years and 57.87 + 5.51 years in the younger group. There were no statistically difference in K-L grade, smoke, drink, comorbidity, ASA, blood loss, operative duration, length of stay, surgical site infection, hinge fracture, DVT, and preooperative and postoperative aFTA; significantly statistical difference of the eFI was found between two groups (P < 0.05). Two groups had comparable VAS and MOMAC scores at one year postoperatively (P > 0.05), while the younger group had lower VAS and WOMAC scores than the advanced age group at the end of follow-up (P < 0.05). Generalized linear model showed both age and eFI were associated with WOMAC scores; there was a statistically significant difference in the effect of eFI on WOMAC scores at different ages (P > 0.05).

Conclusions

Compared with younger patients, advanced age patients have similar short-term benefits, but less long-term benefits. We recommend that patients proposed for HTO be discriminated by eFI, and patients with higher scores should be cautiously selected.

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Data availability

All relevant data are within the manuscript and its Supporting Information files.

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Funding

The authors received funding from the Hebei Innovation Capacity Enhancement Program Project (225A7703D).

Author information

Authors and Affiliations

  1. Orthopaedic Research Institute of Hebei Province, Shijiazhuang, China

    Peizhi Yuwen, Weiyi Sun, Yanjiang Yang, Chen Feng, Dongwei Wu & Yingze Zhang

  2. Trauma Emergency Center, the Third Hospital of Hebei Medical University, Shijiazhuang, People’s Republic of China

    Wei Chen & Yingze Zhang

  3. NHC Key Laboratory of Intelligent Orthopaedic Equipment, the Third Hospital of Hebei Medical University, Shijiazhuang, People’s Republic of China

    Wei Chen & Yingze Zhang

  4. Hebei Orthopaedic Clinical Research Center, the Third Hospital of Hebei Medical University, Shijiazhuang, People’s Republic of China

    Wei Chen & Yingze Zhang

  5. Department of Orthopedic Joint, the Third Hospital of Hebei Medical University, Shijiazhuang, People’s Republic of China

    Yingze Zhang

  6. Engineering Research Center of Orthaepedic, the Third Hospital of Hebei Medical University, NO. 139 Ziqiang Road, Shijiazhuang, 050051, People’s Republic of China

    Yingze Zhang

Authors
  1. Peizhi Yuwen
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  6. Wei Chen
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Contributions

Peizhi Yuwen and Yingze Zhang designed the study; Dongwei Wu and Weiyi Sun made substantial contributions to collect and judge all data; Peizhi Yuwen, Yanjiang Yang, and Chen Feng analysed data and performed statistical analysis; Peizhi Yuwen drafted the manuscript; Wei Chen and Yingze Zhang give specific suggestions about the writing. All authors had read and approved the final manuscript.

Corresponding author

Correspondence to Yingze Zhang.

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Ethics approval and consent to participate

The study was approved by the Ethics Committee of the Third Hospital of Hebei Medical University (2021-056-1). Informed consent was obtained from all patients and/or their legal guardian(s).

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The authors declare no competing interests.

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The protocol is described in the “Material and methods.” Registration does not apply.

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Yuwen, P., Sun, W., Yang, Y. et al. Medium to long term of self-report outcomes of high tibial osteotomy in advanced age patients. International Orthopaedics (SICOT) (2024). https://doi.org/10.1007/s00264-024-06091-x

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