Is there a relationship between recurrence and obesity in the three-year mid-term follow-up of patients who underwent high tibial osteotomy due to medial gonarthrosis?
Ibrahim Bozkurt1
, Mustafa Bulut2, Umut Öktem1, Sinan Yılmaz3, Özgür Selim Uysal4, Izzet Bingöl5, Durmuş Ali Öçgüder5
1Department of Orthopedics and Traumatology, Ankara City Hospital, Ankara, Türkiye
2Department of Orthopedics and Traumatology, Polatlı Duatepe State Hospital, Ankara, Türkiye
3Department of Orthopedics and Traumatology, Memorial Ankara Hospital, Ankara, Türkiye
4Department of Orthopedics and Traumatology, Özel 100. Yıl Hospital, Ankara, Türkiye
5Department of Orthopedics and Traumatology, Ankara Yıldırım Beyazıt University, Ankara, Türkiye
Keywords: Body mass index, high tibial osteotomy, recurrence, varus gonarthrosis.
Abstract
Objectives: This study aimed to radiologically evaluate the possible relationship between the body mass index (BMI) and recurrence of varus deformity during the mid-term follow-up of patients treated for medial gonarthrosis.
Patients and methods: Fifty-six patients (11 males, 45 females; mean age: 53.8±7.2 years; range, 29 to 64 years) who underwent medial opening wedge osteotomy for the treatment of isolated medial varus gonarthrosis between January 1, 2020, and June 1, 2021, were retrospectively reviewed. Patients were categorized according to BMI values as having a healthy weight (18.5-24.9 kg/m2 ), being overweight (25.0-29.9 kg/m2 ), or being obese (≥30 kg/m2 ). Mechanical medial proximal tibial angle, hip-knee-ankle angle, joint line convergence angle, and knee adduction moment calculations were performed based on radiographs.
Results: Among the 56 patients, the mean age of those with healthy weight was 42.5±13.2 years, that of the overweight group was 53.3±6.4 years, and that of the obese group was 54.0±5.8 years. Radiological evaluations were statistically improved postoperatively compared to preoperative scores across BMI groups (p<0.05). There were no correlations between age and radiological scores or BMI (p>0.05). Similarly, no correlation was found between BMI and radiological scores (p>0.05).
Conclusion: Body mass index is not of significance in medial opening wedge osteotomy radiological scores in short- and mid-term follow-up.
Citation: Bozkurt I, Bulut M, Öktem U, Yılmaz S, Uysal ÖS, Bingöl I, et al. Is there a relationship between recurrence and obesity in the three-year mid-term follow-up of patients who underwent high tibial osteotomy due to medial gonarthrosis? Jt Dis Relat Surg 2025;36(1):119-128. doi: 10.52312/jdrs.2025.1985.
Idea/concept, design, control/ supervision, data collection and processing, analysis and interpretation, literature review, writing the article, critical review: İ.B., M.B., U.Ö., İ.B.; Idea/concept, data collection and processing, analysis and interpretation, literature review, critical review: S.Y., Ö.S.U., D.A.Ö.
The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.
The authors received no financial support for the research and/or authorship of this article.
The data that support the findings of this study are available from the corresponding author upon reasonable request.