High tibial osteotomy solely for the purpose of return to lifelong sporting activities among elderly patients: A case series study

We examined a case series of 9 KOA patients (12 knees) aged 50 or above with a desire for RTS, who underwent HTO. We assessed patients before surgery and 2 years after surgery to evaluate surgical outcomes and RTS. The results revealed that patients’ average Japanese Orthopaedic Association score was significantly improved at 2 years after surgery (97.5 ± 4.5), compared with the preoperative score (87.9 ± 7.2; p = 0.008). In addition, the average Tegner activity level score was significantly improved at 2-year follow-up (5.8 ± 1.1) compared with the preoperative score (2.8 ± 1.1; p < 0.001). Eight of nine cases except a marathon runner returned to pre-symptom sporting performance levels. Overall, the current findings suggest that OWHTO provides an appropriate treatment for older KOA patients with a desire for RTS.
Source: Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology - Category: Sports Medicine Source Type: research