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. 2012 Jul;36(7):1399-402.
doi: 10.1007/s00264-012-1508-7. Epub 2012 Feb 23.

Incidence of osteotomies around the knee for the treatment of knee osteoarthritis: a 22-year population-based study

Tuukka T Niinimäki  1 , Antti Eskelinen, Pasi Ohtonen, Mika Junnila, Juhana Leppilahti
Affiliations

Incidence of osteotomies around the knee for the treatment of knee osteoarthritis: a 22-year population-based study

Tuukka T Niinimäki et al. Int Orthop. 2012 Jul.

Abstract

Purpose: Both tibial and femoral osteotomies have been used for the treatment of knee osteoarthritis (OA). Due to the clinical success of total knee arthroplasty (TKA) the current role and incidence of osteotomies remains unknown. The aim of this population-based study was to assess the incidence of osteotomies and compare it with that of knee arthroplasties.

Methods: From the Finnish National Hospital Discharge Register, we identified all patients, aged 18 years or more, who had undergone osteotomy for the treatment of knee OA between 1987 and 2008. The number of arthroplasties was extracted from the Arthroplasty Register.

Results: A total of 6,004 osteotomies were performed for 5,734 patients. The average osteotomy incidence has steadily decreased by 6.2%, and TKA incidence has increased by 9.8% annually. However, in patients aged less than 50 years the osteotomy incidence has increased by 1.4% annually. The decline of osteotomy incidence has been steeper in females than in males (9.0% vs. 3.6%), and during the last decade osteotomies were more commonly performed in male patients.

Conclusion: Incidence of osteotomies for the treatment of knee OA has decreased during last two decades. However, in patients aged less than 50 years the osteotomy incidence has slightly increased. In a comparison by gender, females are more likely to undergo arthoplasty than osteotomy, and it would therefore appear that the current use of osteotomies is predominantly reserved for the treatment of knee OA in relatively young males.

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Figures

Fig. 1
Fig. 1
The incidence of osteotomies around the knee performed for treatment of knee OA
Fig. 2
Fig. 2
The incidence of total knee arthroplasty for the treatment of knee OA
Fig. 3
Fig. 3
The incidence of osteotomy by age groups for the treatment of knee OA
Fig. 4
Fig. 4
The incidence of total knee arthroplasty by age groups for the treatment of knee OA
Fig. 5
Fig. 5
The incidence of unicompartmental knee arthroplasty for the treatment of knee OA
Fig. 6
Fig. 6
The incidence of unicompartmental knee arthroplasty by age groups for the treatment of knee OA
See this image and copyright information in PMC

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References

    1. Kurtz S, Mowat F, Ong K, Chan N, Lau E, Halpern M (2005) Prevalence of primary and revision total hip and knee arthroplasty in the United States from 1990 through 2002. J Bone Joint Surg Am. 87(A);7:1487–1497 - PubMed
    1. Koskinen E, Paavolainen P, Eskelinen A, Pulkkinen P, Remes V. Unicondylar knee replacement for primary osteoarthritis—a prospective follow-up study of 1,819 patients from the Finnish Arthroplasty Register. Acta Orthop Scand. 2007;78(1):128–135. doi: 10.1080/17453670610013538. - DOI - PubMed
    1. Wright JM, Crockett HC, Slawski DP, Madsen MW, Windsor RE. High tibial osteotomy. J Am Acad Orthop Surg. 2005;13(4):279–289. - PubMed
    1. Wolcott M, Traub S, Efird C. High tibial osteotomies in the young active patient. Int Orthop. 2010;34:161–166. doi: 10.1007/s00264-009-0944-5. - DOI - PMC - PubMed
    1. Amendelo A, Bonasia DE. Results of high tibial osteotomy: review of the literature. Int Orthop. 2010;34:155–160. doi: 10.1007/s00264-009-0889-8. - DOI - PMC - PubMed

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