Journal article
Reduction Osteotomy of the Prominent Tibial Tubercle After Osgood-Schlatter Disease.
- Pagenstert G Department of Orthopedics and Traumatology, University Hospital Basel, Basel, Switzerland.
- Wurm M Department of Orthopaedic Sports Medicine, Technische Universität München (TUM), Munich, Germany.
- Gehmert S Department of Orthopedics and Traumatology, University Hospital Basel, Basel, Switzerland.
- Egloff C Department of Orthopedics and Traumatology, University Hospital Basel, Basel, Switzerland. Electronic address: christian.egloff@usb.ch.
- 2017-04-30
Published in:
- Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association. - 2017
Adolescent
Adult
Child
Female
Humans
Knee Joint
Lysholm Knee Score
Male
Osteochondrosis
Osteotomy
Pain Measurement
Reoperation
Tibia
Treatment Outcome
English
PURPOSE
To evaluate the functional and clinical outcome of a new closing-wedge osteotomy for the prominent tibial tubercle after Osgood-Schlatter disease.
METHODS
Between 2010 and 2014, 7 consecutive adults (mean age, 28.6 years; range, 26-35 years) were treated by closing-wedge reduction osteotomy of a painful tibial tubercle. All patients had prior nonsurgical and surgical treatment. Preoperative and postoperative tubercular prominence, Caton-Deschamps index for patellar height, the Kujala Anterior Knee Pain Scale, Lysholm Knee Score as well as visual analog scale score and Tegner activity scores were recorded.
RESULTS
Mean follow-up after reduction osteotomy was 31.3 months (27-41 months). The bony prominence of the tibial tubercle was significantly reduced (mean 8 mm, P < .001) and the Caton-Deschamps index was lowered from 1.29 to 1.09 (P < .001). From preoperative to last follow-up, the Kujala Anterior Knee Pain Scale increased from 54.71 preoperative to 84.71 (P < .001); the Lysholm Knee Score improved from 72.42 to 94.14 (P < .001); the Tegner activity score increased from 3.1 to 5.7 (P < .001), whereas the visual analog scale significantly decreased from 5.8 to 1.2 (P < .001). No complications were recorded, and all patients were satisfied with clinical outcome.
CONCLUSIONS
Closing-wedge osteotomy of the tibial tubercle effectively reduced the bony prominence after Osgood-Schlatter disease and consecutively improved the outcome in terms of knee pain and function. Thus, we can recommend this procedure in selected patients.
LEVEL OF EVIDENCE
Level IV, therapeutic case series.
To evaluate the functional and clinical outcome of a new closing-wedge osteotomy for the prominent tibial tubercle after Osgood-Schlatter disease.
METHODS
Between 2010 and 2014, 7 consecutive adults (mean age, 28.6 years; range, 26-35 years) were treated by closing-wedge reduction osteotomy of a painful tibial tubercle. All patients had prior nonsurgical and surgical treatment. Preoperative and postoperative tubercular prominence, Caton-Deschamps index for patellar height, the Kujala Anterior Knee Pain Scale, Lysholm Knee Score as well as visual analog scale score and Tegner activity scores were recorded.
RESULTS
Mean follow-up after reduction osteotomy was 31.3 months (27-41 months). The bony prominence of the tibial tubercle was significantly reduced (mean 8 mm, P < .001) and the Caton-Deschamps index was lowered from 1.29 to 1.09 (P < .001). From preoperative to last follow-up, the Kujala Anterior Knee Pain Scale increased from 54.71 preoperative to 84.71 (P < .001); the Lysholm Knee Score improved from 72.42 to 94.14 (P < .001); the Tegner activity score increased from 3.1 to 5.7 (P < .001), whereas the visual analog scale significantly decreased from 5.8 to 1.2 (P < .001). No complications were recorded, and all patients were satisfied with clinical outcome.
CONCLUSIONS
Closing-wedge osteotomy of the tibial tubercle effectively reduced the bony prominence after Osgood-Schlatter disease and consecutively improved the outcome in terms of knee pain and function. Thus, we can recommend this procedure in selected patients.
LEVEL OF EVIDENCE
Level IV, therapeutic case series.
- Language
-
- English
- Open access status
- closed
- Identifiers
-
- DOI 10.1016/j.arthro.2017.02.012
- PMID 28454996
- Persistent URL
- https://sonar.ch/global/documents/232401
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