Return to Play After H-CWHTO (Hybrid Closed Wedge High Tibial Osteotomy)

Return to Play After H-CWHTO (Hybrid Closed Wedge High Tibial Osteotomy)

Tomoyuki Shimakawa, MD, JAPAN Ryuichi Nakamura, MD, PhD, JAPAN Akira Okano, MD, PhD, JAPAN Yuki Yamauchi, MD,PhD, JAPAN

Yaesekai Doujin Hospital, Urasoe, Okinawa, JAPAN


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Anatomic Location

Anatomic Structure

Diagnosis / Condition

Treatment / Technique

Patient Populations


Summary: Return to sports after H-CWHTO surgery, which is indicated when arthropathic changes have progressed, may be expected to be adequate.


Purpose

There are many reports on return to sports after knee osteotomy, and the rate of return to sports after open wedge high tibial osteotomy (OWHTO) is particularly high. On the other hand, hybrid CWHTO (H-CWHTO), a variant of closed wedge high tibial osteotomy (CWHTO) indicated for more advanced knee osteoarthritis, has shown good results, but there are no reports on return to sports after surgery. Therefore, we report here the return to sports at 2 years after surgery.

Methods

In a retrospective cohort study, patients underwent radiographic evaluation before and after surgery and were asked questions using a questionnaire at 2 years postoperatively.

Results

Thirty-one patients with 39 knees were included in the study, with a preoperative Tegner activity score (all median values below) of 3.9, K-L grade 2.6, %MA 18.1%, mMPTA 83°, and age 63.1 years. Twenty-two patients (71%) continued to play sports 2 years after surgery as they did before surgery.

Conclusion

Return to sports after H-CWHTO surgery, which is indicated when arthropathic changes have progressed, may be expected to be adequate.