dc.creatorZorzi A.R.
dc.creatorda Silva H.G.
dc.creatorMuszkat C.
dc.creatorMarques L.C.
dc.creatorCliquet Jr A.
dc.creatorde Miranda J.B.
dc.date2011
dc.date2015-06-30T20:26:39Z
dc.date2015-11-26T14:49:36Z
dc.date2015-06-30T20:26:39Z
dc.date2015-11-26T14:49:36Z
dc.date.accessioned2018-03-28T22:00:39Z
dc.date.available2018-03-28T22:00:39Z
dc.identifier
dc.identifierArtificial Organs. , v. 35, n. 3, p. 301 - 307, 2011.
dc.identifier0160564X
dc.identifier10.1111/j.1525-1594.2010.01058.x
dc.identifierhttp://www.scopus.com/inward/record.url?eid=2-s2.0-79952692160&partnerID=40&md5=3af9d3d008a81ceff96f496a58fe72e0
dc.identifierhttp://www.repositorio.unicamp.br/handle/REPOSIP/107950
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/107950
dc.identifier2-s2.0-79952692160
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1253955
dc.descriptionMedial opening-wedge has gained popularity in comparison to other techniques of high tibial osteotomy. This technique involves the creation of a gap in the tibia. Filling the gap with autologous iliac bone graft was recommended in the classic description, to prevent complications such as correction loss or delayed bone union. No previous reports have compared grafted and nongrafted osteotomies. This study hypothesized that the use of autologous bone graft in medial opening-wedge high tibial osteotomy (MOWHTO) less than 12.5mm is unnecessary. A prospective randomized clinical trial was conducted. Forty-six opening-wedge high tibial osteotomies were carried out between April 2007 and December 2008. All had fixation with a type of Puddu stainless steel plate and screws. Patients were randomly divided by software analysis into two groups: group A had osteotomies that were filled with autologous bone graft and group B had osteotomies that were unfilled. Autologous iliac bone graft was harvested in both groups. Clinical and radiographic evaluations were performed twice monthly by blinded investigators. The rates of complications were compared between the groups. There was no difference in demographic data. Mean time to clinical bone union in group A was 12.4 weeks (confidence interval [CI] 11.2-13.6) and in group B was 13.7 weeks (CI 12.5-14.9), but this difference was not significant (P=0.13). Signals of correction loss occurred in one patient (4.35%) in group A, and in two patients (8.70%) in group B. All osteotomies had achieved bone union. It was concluded that time to bone union was not statistically different between the group with bone graft and the group without graft. © 2010, © the Authors. Artificial Organs © 2010, International Center for Artificial Organs and Transplantation and Wiley Periodicals, Inc.
dc.description35
dc.description3
dc.description301
dc.description307
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dc.languageen
dc.publisher
dc.relationArtificial Organs
dc.rightsfechado
dc.sourceScopus
dc.titleOpening-wedge High Tibial Osteotomy With And Without Bone Graft
dc.typeArtículos de revistas


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