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. 2013 Sep;25(3):117-25.
doi: 10.5792/ksrr.2013.25.3.117. Epub 2013 Aug 29.

Comparison between Autogenous Bone Graft and Allogenous Cancellous Bone Graft in Medial Open Wedge High Tibial Osteotomy with 2-Year Follow-up

Sung Won Cho  1 , Dong Hwi Kim, Gwang Chul Lee, Sang Hong Lee, Sang Ha Park
Affiliations

Comparison between Autogenous Bone Graft and Allogenous Cancellous Bone Graft in Medial Open Wedge High Tibial Osteotomy with 2-Year Follow-up

Sung Won Cho et al. Knee Surg Relat Res. 2013 Sep.

Abstract

Purpose: To compare the radiographic and clinical results of medial open wedge high tibial osteotomy (OWHTO) using autogenous bone graft and allogenous cancellous bone graft for medial compartment osteoarthritis of the knee with two-year follow-up.

Materials and methods: Fifty-one patients (52 knees) who underwent medial OWHTO from October 2007 to April. 2010 were included in the study. The patients were divided into group I (n=29) that received an autogenous tricortical bone graft and group II (n=23) that received an allogenous cancellous bone chip graft. The radiographic parameters (preoperative anatomical and mechanical femorotibial angles, modified tibial bone varus angle, and posterior tibial slope), clinical parameters, bone union period, and complications were evaluated from medical records.

Results: The radiographic and clinical outcomes did not show significant difference between two groups. The average bone union period was 11.7 weeks in group I and 12.1 weeks in group II. The visual analog scale score on the first postoperative day was significantly higher in group I than group II.

Conclusions: Medial OWHTO using allogenous cancellous bone graft for medial compartment osteoarthritis of the knee can be considered as an alternative treatment method that provides equivalent radiographic and clinical results of OWHTO using autogenous bone graft and causes less immediate postoperative pain.

Keywords: Bone graft; High tibial osteotomy; Knee; Medial compartment; Osteoarthritis.

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Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1
Fig. 1
Surgical technique. (A) A guide pin was placed from the superomedial portion of the tibial tuberosity to the fibular head approximately 1 cm below the lateral articular margin of the tibia. (B) Osteotomy was advanced with an osteotome to 5 mm medial to the lateral cortex. (C) Two osteotomes were placed in the osteotomy site to spread the osteotomy site without collapsing cutting surface and making intra-articular fracture and lateral hinge tears. (D) The medial tibia was fixed with a Puddu plate.
Fig. 2
Fig. 2
Preoperative correction angle (A), mechanical femorotibial angle and anatomical femorotibial angle (B), modified tibial bone varus angle (C), and posterior tibial slope (D) were measured on radiographs.
Fig. 3
Fig. 3
(A) The preoperative standing whole leg anteroposterior (AP) radiograph obtained in a 67-year-old woman shows the mechanical femorotibial angle is 5.8° varus. (B) The AP radiograph obtained 8 weeks after open wedge high tibial osteotomy using a 10.0-mm Puddu plate with allogenous bone chip (15 mL) shows the mechanical femorotibial angle is 4.8° valgus. (C) The AP radiograph obtained 25 months postoperatively shows the mechanical femorotibial angle is 4.9° valgus.
See this image and copyright information in PMC

References

    1. Gouin F, Yaouanc F, Waast D, Melchior B, Delecrin J, Passuti N. Open wedge high tibial osteotomies: Calcium-phosphate ceramic spacer versus autologous bonegraft. Orthop Traumatol Surg Res. 2010;96:637–645. - PubMed
    1. Rejda BV, Peelen JG, de Groot K. Tri-calcium phosphate as a bone substitute. J Bioeng. 1977;1:93–97. - PubMed
    1. Hernigou P, Ma W. Open wedge tibial osteotomy with acrylic bone cement as bone substitute. Knee. 2001;8:103–110. - PubMed
    1. Koshino T, Murase T, Saito T. Medial opening-wedge high tibial osteotomy with use of porous hydroxyapatite to treat medial compartment osteoarthritis of the knee. J Bone Joint Surg Am. 2003;85:78–85. - PubMed
    1. Kuremsky MA, Schaller TM, Hall CC, Roehr BA, Masonis JL. Comparison of autograft vs allograft in opening-wedge high tibial osteotomy. J Arthroplasty. 2010;25:951–957. - PubMed

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