Comparison of Puddu osteotomy with or without autologous bone grafting: a prospective clinical trial

Detalhes bibliográficos
Autor(a) principal: Passarelli,Marcus Ceregatti
Data de Publicação: 2017
Outros Autores: Tonelli Filho,José Roberto, Brizzi,Felipe Augusto Mendes, Campos,Gustavo Constantino de, Zorzi,Alessandro Rozim, Miranda,João Batista de
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista Brasileira de Ortopedia (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162017000500555
Resumo: ABSTRACT Objectives: To test the hypothesis that autologous iliac bone grafts do not enhance clinical results and do not decrease complication rates in patients undergoing medial opening-wedge high tibial , osteotomy. Methods: Forty patients allocated in a randomized, two-armed, double-blinded clinical trial were evaluated between 2007 and 2010. One group received bone graft, and the other group was left without filling the osteotomy defect. The primary outcome was the Knee Society Score. , Radiographic measurement of the frontal anatomical femoral-tibial angle and the progression of osteoarthritis according to the modified Ahlback classification were used as secondary outcomes., Results: There was no difference in KSS scale between the graft group (64.4 ± 21.8) and the graftless group (61.6 ± 17.3; p= 0.309). There was no difference of angle between the femur and tibia in the frontal plane between the groups (graft, = 184 ± 4.6 degrees, graftless = 183.4 ± 5.1 degrees; p= 1.0), indicating that there is no loss of correction due to the lack of the graft. There was significant aggravation of osteoarthritis in a greater number of patients in a graft group (p= 0.005) . Conclusion: Autologous iliac bone graft does not improve clinical outcomes in medium and long-term follow-up of medial opening-wedge high tibial osteotomy fixed with a first generation Puddu plate in the conditions of this study.
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spelling Comparison of Puddu osteotomy with or without autologous bone grafting: a prospective clinical trialKneeOsteoarthritisBone graftOsteotomyABSTRACT Objectives: To test the hypothesis that autologous iliac bone grafts do not enhance clinical results and do not decrease complication rates in patients undergoing medial opening-wedge high tibial , osteotomy. Methods: Forty patients allocated in a randomized, two-armed, double-blinded clinical trial were evaluated between 2007 and 2010. One group received bone graft, and the other group was left without filling the osteotomy defect. The primary outcome was the Knee Society Score. , Radiographic measurement of the frontal anatomical femoral-tibial angle and the progression of osteoarthritis according to the modified Ahlback classification were used as secondary outcomes., Results: There was no difference in KSS scale between the graft group (64.4 ± 21.8) and the graftless group (61.6 ± 17.3; p= 0.309). There was no difference of angle between the femur and tibia in the frontal plane between the groups (graft, = 184 ± 4.6 degrees, graftless = 183.4 ± 5.1 degrees; p= 1.0), indicating that there is no loss of correction due to the lack of the graft. There was significant aggravation of osteoarthritis in a greater number of patients in a graft group (p= 0.005) . Conclusion: Autologous iliac bone graft does not improve clinical outcomes in medium and long-term follow-up of medial opening-wedge high tibial osteotomy fixed with a first generation Puddu plate in the conditions of this study.Sociedade Brasileira de Ortopedia e Traumatologia2017-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162017000500555Revista Brasileira de Ortopedia v.52 n.5 2017reponame:Revista Brasileira de Ortopedia (Online)instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)instacron:SBOT10.1016/j.rboe.2017.09.001info:eu-repo/semantics/openAccessPassarelli,Marcus CeregattiTonelli Filho,José RobertoBrizzi,Felipe Augusto MendesCampos,Gustavo Constantino deZorzi,Alessandro RozimMiranda,João Batista deeng2017-11-10T00:00:00Zoai:scielo:S0102-36162017000500555Revistahttp://www.rbo.org.br/https://old.scielo.br/oai/scielo-oai.php||rbo@sbot.org.br1982-43780102-3616opendoar:2017-11-10T00:00Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)false
dc.title.none.fl_str_mv Comparison of Puddu osteotomy with or without autologous bone grafting: a prospective clinical trial
title Comparison of Puddu osteotomy with or without autologous bone grafting: a prospective clinical trial
spellingShingle Comparison of Puddu osteotomy with or without autologous bone grafting: a prospective clinical trial
Passarelli,Marcus Ceregatti
Knee
Osteoarthritis
Bone graft
Osteotomy
title_short Comparison of Puddu osteotomy with or without autologous bone grafting: a prospective clinical trial
title_full Comparison of Puddu osteotomy with or without autologous bone grafting: a prospective clinical trial
title_fullStr Comparison of Puddu osteotomy with or without autologous bone grafting: a prospective clinical trial
title_full_unstemmed Comparison of Puddu osteotomy with or without autologous bone grafting: a prospective clinical trial
title_sort Comparison of Puddu osteotomy with or without autologous bone grafting: a prospective clinical trial
author Passarelli,Marcus Ceregatti
author_facet Passarelli,Marcus Ceregatti
Tonelli Filho,José Roberto
Brizzi,Felipe Augusto Mendes
Campos,Gustavo Constantino de
Zorzi,Alessandro Rozim
Miranda,João Batista de
author_role author
author2 Tonelli Filho,José Roberto
Brizzi,Felipe Augusto Mendes
Campos,Gustavo Constantino de
Zorzi,Alessandro Rozim
Miranda,João Batista de
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Passarelli,Marcus Ceregatti
Tonelli Filho,José Roberto
Brizzi,Felipe Augusto Mendes
Campos,Gustavo Constantino de
Zorzi,Alessandro Rozim
Miranda,João Batista de
dc.subject.por.fl_str_mv Knee
Osteoarthritis
Bone graft
Osteotomy
topic Knee
Osteoarthritis
Bone graft
Osteotomy
description ABSTRACT Objectives: To test the hypothesis that autologous iliac bone grafts do not enhance clinical results and do not decrease complication rates in patients undergoing medial opening-wedge high tibial , osteotomy. Methods: Forty patients allocated in a randomized, two-armed, double-blinded clinical trial were evaluated between 2007 and 2010. One group received bone graft, and the other group was left without filling the osteotomy defect. The primary outcome was the Knee Society Score. , Radiographic measurement of the frontal anatomical femoral-tibial angle and the progression of osteoarthritis according to the modified Ahlback classification were used as secondary outcomes., Results: There was no difference in KSS scale between the graft group (64.4 ± 21.8) and the graftless group (61.6 ± 17.3; p= 0.309). There was no difference of angle between the femur and tibia in the frontal plane between the groups (graft, = 184 ± 4.6 degrees, graftless = 183.4 ± 5.1 degrees; p= 1.0), indicating that there is no loss of correction due to the lack of the graft. There was significant aggravation of osteoarthritis in a greater number of patients in a graft group (p= 0.005) . Conclusion: Autologous iliac bone graft does not improve clinical outcomes in medium and long-term follow-up of medial opening-wedge high tibial osteotomy fixed with a first generation Puddu plate in the conditions of this study.
publishDate 2017
dc.date.none.fl_str_mv 2017-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162017000500555
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1016/j.rboe.2017.09.001
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dc.publisher.none.fl_str_mv Sociedade Brasileira de Ortopedia e Traumatologia
publisher.none.fl_str_mv Sociedade Brasileira de Ortopedia e Traumatologia
dc.source.none.fl_str_mv Revista Brasileira de Ortopedia v.52 n.5 2017
reponame:Revista Brasileira de Ortopedia (Online)
instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)
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repository.name.fl_str_mv Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)
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