Partial meniscus substitution with a polyurethane scaffold does not improve outcome after an open-wedge high tibial osteotomy
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| 024 | 7 | 0 | |a 10.1007/s00167-014-3206-z |2 doi |
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| 245 | 0 | 0 | |a Partial meniscus substitution with a polyurethane scaffold does not improve outcome after an open-wedge high tibial osteotomy |h [Elektronische Daten] |c [Pablo Gelber, Anna Isart, Juan Erquicia, Xavier Pelfort, Marc Tey-Pons, Juan Monllau] |
| 520 | 3 | |a Purpose: The aim of the study was to determine whether medial meniscal substitution with a polyurethane scaffold (Actifit®) improves the outcome of medial meniscal-deficient varus knees undergoing open-wedge high tibial osteotomy. Methods: Sixty patients with symptomatic varus knees those who underwent open-wedge high tibial osteotomies were prospectively studied. In 30 patients, the medial meniscus was left with a defect larger than 25mm (Group M). An Actifit® device was implanted (Group A) in the remaining 30 patients. Patients were functionally evaluated with WOMET, IKDC and VAS. Patient satisfaction was graded from 0 (not satisfied) to 4 (very satisfied). Results: Both groups were comparable preoperatively. They had similar follow-up periods (31.2months; range 24-47.5; n.s.). WOMET improved a mean of 53.4±8.4 and 42.4±17.2 points in Groups M and A, respectively (p=0.002). IKDC improved a mean of 56.7±12 and 50.3±15.6 points in Groups M and A, respectively (n.s.). VAS dropped 5.9±2.1 and 4.7±2.8 points in Groups M and A, respectively (p=0.006). Patient satisfaction averaged 3.3±0.8 and 3.3±1 in Groups M and A, respectively (n.s.). Conclusions: Patients with symptomatic varus knees were treated with open-wedge high tibial osteotomies, and a meniscectomy was improved more at short-term follow-up in most of the evaluated functional scores than those patients with concomitant implantation of a medial Actifit® implant. However, there was no difference in terms of patient satisfaction with the procedure. Based on the short-term functional results of this study, no data were provided to support medial meniscal substitution with a polyurethane scaffold when an open-wedge high tibial osteotomy is being performed. Level of evidence: Prospective comparative study, Level II. | |
| 540 | |a Springer-Verlag Berlin Heidelberg, 2014 | ||
| 690 | 7 | |a High tibial osteotomy |2 nationallicence | |
| 690 | 7 | |a Actifit |2 nationallicence | |
| 690 | 7 | |a Meniscal substitution |2 nationallicence | |
| 690 | 7 | |a Polyurethane scaffold |2 nationallicence | |
| 690 | 7 | |a Puddu plate |2 nationallicence | |
| 690 | 7 | |a Varus knee |2 nationallicence | |
| 700 | 1 | |a Gelber |D Pablo |u ICATME-Hospital Universitari Quirón Dexeus, Universitat Autònoma de Barcelona, c/Sabino de Arana 5-19, 08028, Barcelona, Spain |4 aut | |
| 700 | 1 | |a Isart |D Anna |u ICATME-Hospital Universitari Quirón Dexeus, Universitat Autònoma de Barcelona, c/Sabino de Arana 5-19, 08028, Barcelona, Spain |4 aut | |
| 700 | 1 | |a Erquicia |D Juan |u ICATME-Hospital Universitari Quirón Dexeus, Universitat Autònoma de Barcelona, c/Sabino de Arana 5-19, 08028, Barcelona, Spain |4 aut | |
| 700 | 1 | |a Pelfort |D Xavier |u ICATME-Hospital Universitari Quirón Dexeus, Universitat Autònoma de Barcelona, c/Sabino de Arana 5-19, 08028, Barcelona, Spain |4 aut | |
| 700 | 1 | |a Tey-Pons |D Marc |u ICATME-Hospital Universitari Quirón Dexeus, Universitat Autònoma de Barcelona, c/Sabino de Arana 5-19, 08028, Barcelona, Spain |4 aut | |
| 700 | 1 | |a Monllau |D Juan |u ICATME-Hospital Universitari Quirón Dexeus, Universitat Autònoma de Barcelona, c/Sabino de Arana 5-19, 08028, Barcelona, Spain |4 aut | |
| 773 | 0 | |t Knee Surgery, Sports Traumatology, Arthroscopy |d Springer Berlin Heidelberg |g 23/1(2015-01-01), 334-339 |x 0942-2056 |q 23:1<334 |1 2015 |2 23 |o 167 | |
| 856 | 4 | 0 | |u https://doi.org/10.1007/s00167-014-3206-z |q text/html |z Onlinezugriff via DOI |
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| 950 | |B NATIONALLICENCE |P 856 |E 40 |u https://doi.org/10.1007/s00167-014-3206-z |q text/html |z Onlinezugriff via DOI | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Gelber |D Pablo |u ICATME-Hospital Universitari Quirón Dexeus, Universitat Autònoma de Barcelona, c/Sabino de Arana 5-19, 08028, Barcelona, Spain |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Isart |D Anna |u ICATME-Hospital Universitari Quirón Dexeus, Universitat Autònoma de Barcelona, c/Sabino de Arana 5-19, 08028, Barcelona, Spain |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Erquicia |D Juan |u ICATME-Hospital Universitari Quirón Dexeus, Universitat Autònoma de Barcelona, c/Sabino de Arana 5-19, 08028, Barcelona, Spain |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Pelfort |D Xavier |u ICATME-Hospital Universitari Quirón Dexeus, Universitat Autònoma de Barcelona, c/Sabino de Arana 5-19, 08028, Barcelona, Spain |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Tey-Pons |D Marc |u ICATME-Hospital Universitari Quirón Dexeus, Universitat Autònoma de Barcelona, c/Sabino de Arana 5-19, 08028, Barcelona, Spain |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Monllau |D Juan |u ICATME-Hospital Universitari Quirón Dexeus, Universitat Autònoma de Barcelona, c/Sabino de Arana 5-19, 08028, Barcelona, Spain |4 aut | ||
| 950 | |B NATIONALLICENCE |P 773 |E 0- |t Knee Surgery, Sports Traumatology, Arthroscopy |d Springer Berlin Heidelberg |g 23/1(2015-01-01), 334-339 |x 0942-2056 |q 23:1<334 |1 2015 |2 23 |o 167 | ||