オカザキ　ケン   Okazaki Ken   岡崎　賢    所属   医学部 医学科（東京女子医科大学病院）    職種   教授・基幹分野長
論文種別	原著
言語種別	英語
査読の有無	査読あり
表題	Patient reported outcomes after high tibial osteotomy show comparable results at different ages in the mid-term to long-term follow-up.
掲載誌名	正式名：Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association 略　 称：J Orthop Sci ISSNコード：14362023/09492658
掲載区分	国外
巻・号・頁	24(5),pp.855-860
著者・共著者	Kuwashima Umito, Okazaki Ken, Iwasaki Kenyu, Akasaki Yukio, Kawamura Hideya, Mizu-Uchi Hideki, Hamai Satoshi, Nakashima Yasuharu
担当区分	2nd著者
発行年月	2019/09
概要	BACKGROUND:Few studies have evaluated the impact of age on patient-reported outcomes in the long-term follow-up after high tibial valgus osteotomy (HTO). The purpose of this study is to assess the association between age at surgery and patient-reported clinical outcomes in the mid-term to long-term follow-up of HTO.MATERIALS AND METHODS:We mailed the 2011 Knee Society score (KSS) questionnaires to 234 consecutive patients (295 knees) who had undergone closing-wedge HTO, and 158 patients (202 knees, 68.5%) returned a completed questionnaire. The cohort was divided into two groups depending on the age at the time of surgery, and pairs matched the follow-up period and sex was created. The mean follow-up period was approximately 12 years. KSS scores at the final follow-up were compared between two groups using the Student t test and chi-square test, and the survival rates were calculated using Kaplan-Meier survival curves.RESULTS:The symptom, satisfaction, and expectation scores were not significantly different between the ≤64-year-old patients and ≥65-year-old patients. The functional activities score was significantly lower in older patients than in younger patients. The overall survival rates of HTO were 99.1 ± 0.4% at 5 years, 94.4 ± 1.2% at 10 years, and 84.6 ± 2.7% at 15 years. There was no significant difference in the survival rate after HTO between the two groups divided by the age (p = 0.602).CONCLUSIONS:Pain relief and satisfaction after HTO in older patients were comparable to those in younger patients in the mid-term to long-term follow-up, although the functional activity was affected by age.
DOI	10.1016/j.jos.2018.12.022
PMID	30642727