イトウ　ジユンヤ   伊藤　淳哉    所属   医学部 医学科（東京女子医科大学病院）    職種   助教
論文種別	原著
言語種別	英語
査読の有無	査読あり
表題	Open-wedge high tibial osteotomy with a slight valgus correction from neutral limb alignment achieves clinical improvements comparable with those for knees with varus deformity.
掲載誌名	正式名：Journal of experimental orthopaedics 略　 称：J Exp Orthop ISSNコード：21971153/21971153
掲載区分	国外
巻・号・頁	10(1),pp.75
著者・共著者	Itou Junya, Kuwashima Umito, Itoh Masafumi, Okazaki Ken
担当区分	筆頭著者
発行年月	2023/07
概要	PURPOSE:The effect of open-wedge high tibial osteotomy (OWHTO) on the preoperative neutral alignment of the knee is unknown. The purpose of this study was to clarify the clinical outcome of OWHTO with neutral alignment, defined as within 4 degrees of varus.METHODS:This retrospective study included 72 knees with varus that underwent medial OWHTO. The knees were divided according to the preoperative hip-knee-ankle angle into a neutral alignment group (≤ 4° of varus alignment) and a varus alignment group (> 4° of varus alignment). The Knee Injury and Osteoarthritis Outcome Score (KOOS) and the Forgotten Joint Score-12 (FJS-12) were evaluated preoperatively and during at least 2 years of follow-up postoperatively.RESULTS:There were no significant differences between the preoperative FJS-12 (17.9 versus 23.7; p = 0.16) and postoperative FJS-12 (57.3 versus 60.6; p = 0.52) or KOOS subscale scores (p > 0.05) in the neutral alignment group or the varus alignment group. Each group had a mean change in the KOOS subscale scores that exceeded the minimum clinically important difference.CONCLUSION:The short-term clinical results of OWHTO for neutral alignment were as favourable as those for varus malalignment.LEVEL OF EVIDENCE:IV.
DOI	10.1186/s40634-023-00640-w
PMID	37515658