Abstract
Generally, surgeon-driven musculoskeletal evaluation systems are used for evaluating outcomes of patients who are treated with high tibial osteotomy. In this study, we investigated the effects of high tibial osteotomy using circular external fixator on quality of life. Twenty-one high tibial osteotomy of 19 patients were evaluated. Quality of life assessment was made using Short Form -36 at preoperative, before fixator removal and 6 months after fixator removal. After applying fixator, the physical function and physical role scores of Short Form-36 decreased and emotional role score did not improve. In other categories, significant improvements were observed when fixator in place. At the sixth month after fixator removal, significant improvements were dedected in all categories of Short Form-36. Although there was a decrease in physical functions after fixator application in patients who were treated with high tibial osteotomy using circular external fixator, significant improvement occurred in quality of life after fixator removal.
Similar content being viewed by others
References
Adili A, Bhandari M, Giffin R, Whately C, Kwok DC (2002) Valgus high tibial osteotomy. Knee Surg Sports Traumatol Arthrosc 10:169–176
Demiral Y, Ergar G, Unal B, Sevin S, Akvardar Y, Kivircik B, Alptekin K (2006) Normative data and discriminative properties of short form 36 (SF-26) in Turkish urban population. BMC Public Health 6:247
Dendrinos GK, Kontos S, Lyritsis E (1995) Use of the Ilizarov technique for treatment of non-union of the tibia associated with infection. J Bone Joint Surg 77:835–846
Dowd GSE, Somayaji HS, Uthukuri M (2006) High tibial osteotomy for medial compartment osteoarthritis. Knee 13:87–92
Ghoneem HF, Wright JG, Cole WG, Rang M (1996) The Ilizarov method for correction of complex deformities. Psycological and functional outcomes. J Bone Joint Surg 78-A:1480–1485
Kocyigit H, Aydemir O, Fisek G, Olmez N, Memis A (1999) Validity and reliability of Turkish version of Short form 36: a study of a patients with romatoid disorder (Article in Turkish). J Drug Ther 12:102–106
Maly MR, Costigan PA, Olney SJ (2006) Determinants of self-reported outcome measures in people with knee osteoarthritis. Arch Phys Med Rehabil 87:96–104
Martin L, Farrell M, Lambrenos K, Nayagam D (2003) Living with the Ilizarov frame: adolescent perceptions. J Adv Nurs 43:478–487
Matsen FA 3rd (1996) Early effectiveness of shoulder arthroplasty for patients who have primary glenohumeral degenerative joint disease. J Bone Joint Surg 78-A:260–264
Mc Kee MD, Yoo D, Schemitsch EH (1998) Health status after Ilizarov reconstruction of posttraumatic lower limb deformity. J Bone Joint Surg 80-B:360–364
Nagel A, Insall JN, Scuderi GR (1996) Proximal tibial osteotomy. a subjective outcome study. J Bone Joint Surg 78-A:1353–1358
Ozcan A, Tulum Z, Bacakoglu AK (2003) The relationship between quality of life and functional status measurements in shoulder impingement syndrome (Article in Turkish). Acta Orthop Traumatol Turc 37:219–225
Paley D, Maar DC, Herzenberg JE (1994) New concepts in high tibial osteotomy for medial compartment osteoarthritis. Orthop Clin North Am 25:483–498
Patel AA, Donegan D, Albert T (2007) The 36-item short form. J Am Acad Orthop Surg 15:126–134
Salaffi F, Carotti M, Grassi W (2005) Health-related quality of life in patients with hip or knee osteoarthritis: comparison of generic and disease-specific instruments. Clin Rheumatol 24:29–37
Sen C, Kocaoglu M, Eralp L (2003) The advantages of circular external fixation used in high tibial osteotomy (average 6 years follow-up). Knee Surg Sports Traumatol Arthrosc 11:139–144
Tang WC, Henderson IJP (2005) High tibial osteotomy: long term survival analysis and patient’s perspective. Knee 12:410–413
van der Waal JM, Terwee CB, van der Windt DAWM, Bouter LM, Dekker J (2005) The impact of non-traumatic hip and knee disroders on health-related quality of life as measured with the SF-36 or SF-12. A systemic review. Qual Life Res 14:1141–1155
Vatansever A, Ozic U, Okcu G (2005) Assesment of quality of life of patients after hemiarthroplasty for proximal femoral fractures. Acta Orthop Traumatol Turc 39:237–242
Ware JE Jr, Gandek B (1998) Overview of the SF-36 health survey and the international quality of life assessment (IQOLA) project. J Clin Epidemiol 51:903–912
Ware JE Jr, Kosinski M, Gandek B, Aaronson NK, Apolone G, Bech P, Brazier J, Bullinger M, Kaasa S, Leplege A, Prieto L, Sullivan M (1998) The factor structure of the SF-36 health survey in 10 countries: results from the IQOLA project. International quality of life assessment. J Clin Epidemiol 51:1159–1165
Ware JE JR, Sherbourne CD (1992) The MOS 36-item short form health survey (SF-36). I. Conceptual framework and item selection. Med Care 30:473–483
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Gunes, T., Erdem, M., Bostan, B. et al. Quality of life in patients with varus gonarthrosis treated with high tibial osteotomy using the circular external fixator. Knee Surg Sports Traumatol Arthr 16, 311–316 (2008). https://doi.org/10.1007/s00167-007-0473-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00167-007-0473-y