Recovery of Pre-symptomatic Tegner Activity Level After Double-Level Osteotomy for Medial Compartment Osteoarthritis: Outcomes at 24 Months.

IF 2.7 3区医学 Q2 ORTHOPEDICS

Orthopaedics & Traumatology-Surgery & Research Pub Date : 2026-10-28 DOI:10.1016/j.otsr.2026.104976

Ryo Nagashima, Riku Miyazaki, Mizuki Saito, Kazuyuki Goto, Katsunari Osawa, Naoki Yamada, Jun Hara, Woon-Hwa Jung, Ryohei Takeuchi

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引用次数: 0

Abstract

Background: Double-level osteotomy (DLO) provides high return-to-sport rates, but these are generally based on the immediate preoperative activity level, which may already be reduced by knee pain. We evaluated recovery to a recalled pre-symptomatic activity level and associated factors.

Hypothesis: Recovery would be less frequent against the pre-symptomatic reference than the immediate preoperative level.

Patients and methods: This retrospective study included 51 DLO patients wishing to resume sports, with symptom durations below five years. Tegner activity scale (TAS) scores were recalled for five years before surgery and assessed immediately preoperatively and at 12 and 24 months. Exploratory Firth logistic regression included age, BMI, Kellgren-Lawrence grade, and preoperative Pain Catastrophizing Scale (PCS) to examine failure to recover the five-year TAS at 24 months.

Results: Median [IQR] TAS was 5 [4-8] at the five-year reference, 3 [1-5] preoperatively, 4 [2-5] at 12 months, and 4 [3-7] at 24 months. At 24 months, 56.9% recovered the five-year TAS versus 88.2% recovering the preoperative TAS. Higher PCS was associated with failure to recover the five-year TAS (adjusted OR per point, 1.066; 95% CI, 1.008-1.143; p = 0.025).

Discussion: Recovery proportions differed by reference, with interpretation limited by recall bias and patient selection. Higher PCS was associated with non-recovery in exploratory analysis.

Level of evidence: III; retrospective cohort study.

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内侧间隔骨关节炎双节段截骨术后症状前Tegner活动水平的恢复：24个月的结果

背景：双节段截骨术（DLO）提供了很高的恢复运动率，但这通常是基于术前立即的活动水平，这可能已经因膝关节疼痛而降低。我们评估恢复到症状前的活动水平和相关因素。假设：根据症状前参考，恢复的频率低于立即术前水平。患者和方法：本回顾性研究包括51例希望恢复运动的DLO患者，症状持续时间低于5年。回顾术前5年的Tegner活动量表（TAS）评分，并在术前、12个月和24个月立即进行评估。探索性Firth logistic回归包括年龄、BMI、kelgren - lawrence分级和术前疼痛灾难量表（PCS），以检查5年TAS在24个月时未能恢复。结果：参考5年时，中位[IQR] TAS为5[4-8]，术前为3[1-5]，12个月时为4[2-5]，24个月时为4[3-7]。24个月时，56.9%的患者恢复了5年的TAS，而88.2%的患者恢复了术前的TAS。较高的PCS与未能恢复5年TAS相关（每点调整OR， 1.066; 95% CI, 1.008-1.143; p = 0.025）。讨论：不同文献的恢复比例不同，解释受回忆偏倚和患者选择的限制。探索性分析显示，较高的PCS与未恢复相关。证据等级：III；回顾性队列研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Orthopaedics & Traumatology-Surgery & Research 医学-外科

CiteScore

5.10

自引率

26.10%

发文量

329

审稿时长

12.5 weeks

期刊介绍： Orthopaedics & Traumatology: Surgery & Research (OTSR) publishes original scientific work in English related to all domains of orthopaedics. Original articles, Reviews, Technical notes and Concise follow-up of a former OTSR study are published in English in electronic form only and indexed in the main international databases.