PMID- 35847191 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220719 IS - 2214-6873 (Print) IS - 2214-6873 (Electronic) IS - 2214-6873 (Linking) VI - 29 DP - 2022 Jul TI - Combined use of beta-tricalcium phosphate with different porosities can accelerate bone remodelling in open-wedge high tibial osteotomy. PG - 30-34 LID - 10.1016/j.asmart.2022.05.004 [doi] AB - BACKGROUND/OBJECTIVE: Beta-tricalcium phosphate (beta-TCP) is often used as a gap filler in open-wedge high tibial osteotomy (OWHTO). The aim of the present study was to investigate the effects of using beta-TCP with different porosities on bone remodelling after OWHTO.Methods: We evaluated 29 knees in 26 patients that underwent OWHTO using beta-TCP with porosities of 60% and 75% (combined group). A further 30 knees in 28 patients that underwent OWHTO using beta-TCP with 60% porosity alone were allocated as a control group. In the combined group, a beta-TCP block with 75% porosity was inserted into the gap at the cancellous bone site and a beta-TCP block with 60% porosity was inserted into the medial cortical bone side. In the control group, a beta-TCP block with 60% porosity was inserted into the osteotomy gap. The bone remodelling phases of the inserted beta-TCP blocks were evaluated on standard anteroposterior radiographs using the modified van Hemert classification at 3 and 6 months post-operatively. RESULTS: The rate of satisfactory bone remodelling at the cancellous bone sites was 86.2% (25/29) in the combined group and 0% (0/30) in the control group at 3 months post-operatively (p<0.05), progressing to 96.6% (28/29) in the combined group and 20% (6/30) in the control group at 6 months post-operatively (p<0.05). CONCLUSION: The present study demonstrated that combined use of beta-TCP with high and low porosities can significantly enhance bone formation. The combined use of artificial bones with different porosities is useful for early bone remodelling in OWHTO. CI - (c) 2022 Asia Pacific Knee, Arthroscopy and Sports Medicine Society. Published by Elsevier (Singapore) Pte Ltd. FAU - Sasaki, Sota AU - Sasaki S AD - Department of Orthopaedic Surgery, Fukuoka University Faculty of Medicine, 7-45-1 Nanakuma, Jonan-ku, Fukuoka, 810-0180, Japan. FAU - Maeyama, Akira AU - Maeyama A AD - Department of Orthopaedic Surgery, Fukuoka University Faculty of Medicine, 7-45-1 Nanakuma, Jonan-ku, Fukuoka, 810-0180, Japan. FAU - Kiyama, Takahiko AU - Kiyama T AD - Department of Orthopaedic Surgery, Fukuoka University Faculty of Medicine, 7-45-1 Nanakuma, Jonan-ku, Fukuoka, 810-0180, Japan. FAU - Kamada, Satoshi AU - Kamada S AD - Department of Rehabilitation, Fukuoka University Faculty of Medicine, 7-45-1 Nanakuma, Jonan-ku, Fukuoka, 810-0180, Japan. FAU - Kobayashi, Tomohiro AU - Kobayashi T AD - Department of Orthopaedic Surgery, Fukuoka University Faculty of Medicine, 7-45-1 Nanakuma, Jonan-ku, Fukuoka, 810-0180, Japan. FAU - Ishii, Satohiro AU - Ishii S AD - Department of Orthopaedic Surgery, Fukuoka University Faculty of Medicine, 7-45-1 Nanakuma, Jonan-ku, Fukuoka, 810-0180, Japan. FAU - Yamamoto, Takuaki AU - Yamamoto T AD - Department of Orthopaedic Surgery, Fukuoka University Faculty of Medicine, 7-45-1 Nanakuma, Jonan-ku, Fukuoka, 810-0180, Japan. LA - eng PT - Journal Article DEP - 20220705 PL - Singapore TA - Asia Pac J Sports Med Arthrosc Rehabil Technol JT - Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology JID - 101648546 PMC - PMC9262697 OTO - NOTNLM OT - Beta-tricalcium phosphate OT - Bone remodelling OT - OWHTO, Medial open-wedge high tibial osteotomy OT - Osteotomy OT - Porosity OT - beta-TCP, beta-tricalcium phosphate COIS- A conflict of interest occurs when an individual's objectivity is potentially compromised by a desire for financial gain, prominence, professional advancement or a successful outcome. AP-SMART Editors strive to ensure that what is published in the Journal is as balanced, objective and evidence-based as possible. Since it can be difficult to distin-guish between an actual conflict of interest and a perceived conflict of interest, the Journal requires authors to dis-close all and any potential conflicts of interest. EDAT- 2022/07/19 06:00 MHDA- 2022/07/19 06:01 PMCR- 2022/07/05 CRDT- 2022/07/18 04:12 PHST- 2022/01/10 00:00 [received] PHST- 2022/04/22 00:00 [revised] PHST- 2022/05/24 00:00 [accepted] PHST- 2022/07/18 04:12 [entrez] PHST- 2022/07/19 06:00 [pubmed] PHST- 2022/07/19 06:01 [medline] PHST- 2022/07/05 00:00 [pmc-release] AID - S2214-6873(22)00014-0 [pii] AID - 10.1016/j.asmart.2022.05.004 [doi] PST - epublish SO - Asia Pac J Sports Med Arthrosc Rehabil Technol. 2022 Jul 5;29:30-34. doi: 10.1016/j.asmart.2022.05.004. eCollection 2022 Jul.