title: Healing period after open high tibial osteotomy and related factors: Can we really say that it is long?
abstract: High tibial osteotomy (HTO) is a general procedure for the treatment of degenerative gonarthrosis. In recent years, it has been reported that opening wedge high tibial osteotomy (OWHTO) has become widespread with good results. Despite these facts, HTOs tend to be avoided due to the need for long-term postoperative treatment. To investigate the treatment period for total recovery (healing period) after OWHTO and the factors affecting it. There were 47 cases of medial type degenerative gonarthrosis who underwent OWHTO from 2008 through 2011. The definition of the healing period was based on the time-dependent changes of the Japanese Orthopaedic Association score, focusing especially on pain on walking and pain on ascending/descending stairs. This score was defined as the Ability score. In this study, the healing period ended when the Ability score reached its maximum or when it showed a perfect score. Patients' characteristics were examined to determine their effect on the healing period. The Ability score was 36.7 ± 10.1 (mean ± SD) before surgery and 51.6 ± 5.4 12 months after OWHTO. The healing period was 6.3 ± 3.9 months. Factors correlated with a longer healing period included female sex (correlation coefficient -0.35) and high BMI (correlation coefficient 0.33). Our study suggested that the healing period after OWHTO is approximately 6 months, and patients' BMI and sex appear to be related to this period. This information is expected to be helpful for counseling patients undergoing treatment for gonarthrosis. Level of evidence Therapeutic study, Level IV.
authors.affiliation: Department Orthopedics, Okayama Kyokuto Hospital, Kurata 567-1, Naka-ku, Okayama City, Okayama 703-8265 Japan.
authors.forename: Masamichi
authors.initials: M
authors.lastname: Yokoyama
authors.affiliation: Department Orthopedics, Okayama Kyokuto Hospital, Kurata 567-1, Naka-ku, Okayama City, Okayama 703-8265 Japan.
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Nakamura
authors.affiliation: Department Orthopedics, Okayama Kyokuto Hospital, Kurata 567-1, Naka-ku, Okayama City, Okayama 703-8265 Japan.
authors.forename: Toru
authors.initials: T
authors.lastname: Onishi
authors.affiliation: Department Orthopedics, Okayama Kyokuto Hospital, Kurata 567-1, Naka-ku, Okayama City, Okayama 703-8265 Japan.
authors.forename: Koji
authors.initials: K
authors.lastname: Hirano
authors.affiliation: Department Orthopedics, Okayama Kyokuto Hospital, Kurata 567-1, Naka-ku, Okayama City, Okayama 703-8265 Japan.
authors.forename: Motoyuki
authors.initials: M
authors.lastname: Doi
keywords: Degenerative gonarthrosis; High tibial osteotomy; Surgical management; Treatment period