Autologous Osteophyte Grafting for Open-Wedge High Tibial Osteotomy

Takenori Akiyama, Ken Okazaki, Taro Mawatari, Satoshi Ikemura, Shunsuke Nakamura

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Osteophytes are physiological bony outgrowths that develop at the margins of the articular surfaces during the progression of osteoarthritis; they are associated with active endochondral bone formation processes and expressions of various growth factors. We believe they could be a source of bone grafts as a result of a potentially strong osteoinductive effect. Moreover, osteophytes can be easily harvested by arthroscopy in patients undergoing open-wedge high tibial osteotomy (OW-HTO) for medial unicompartmental knee osteoarthritis. Therefore, we have been using osteophyte autografts for osteotomy gaps in OW-HTO with positive preliminary results indicating rapid bone healing of osteotomy sites. In this technical note, we introduce a technique for harvesting autologous osteophytes by arthroscopy and implanting them into the gap formed after OW-HTO. We expect that autologous osteophyte grafting can be a useful method for accelerating bone union and therefore enabling weight bearing from an early stage after surgery, which will lead to an early return to social activities.

Original languageEnglish
Pages (from-to)e989-e995
JournalArthroscopy Techniques
Volume5
Issue number5
DOIs
Publication statusPublished - Oct 1 2016

Fingerprint

Osteophyte
Osteotomy
Arthroscopy
Bone and Bones
Knee Osteoarthritis
Autografts
Weight-Bearing
Osteogenesis
Osteoarthritis
Intercellular Signaling Peptides and Proteins
Joints
Transplants

All Science Journal Classification (ASJC) codes

  • Orthopedics and Sports Medicine

Cite this

Autologous Osteophyte Grafting for Open-Wedge High Tibial Osteotomy. / Akiyama, Takenori; Okazaki, Ken; Mawatari, Taro; Ikemura, Satoshi; Nakamura, Shunsuke.

In: Arthroscopy Techniques, Vol. 5, No. 5, 01.10.2016, p. e989-e995.

Research output: Contribution to journalArticle

Akiyama, Takenori ; Okazaki, Ken ; Mawatari, Taro ; Ikemura, Satoshi ; Nakamura, Shunsuke. / Autologous Osteophyte Grafting for Open-Wedge High Tibial Osteotomy. In: Arthroscopy Techniques. 2016 ; Vol. 5, No. 5. pp. e989-e995.
@article{d754c700c1af409c88665771ade6ed2e,
title = "Autologous Osteophyte Grafting for Open-Wedge High Tibial Osteotomy",
abstract = "Osteophytes are physiological bony outgrowths that develop at the margins of the articular surfaces during the progression of osteoarthritis; they are associated with active endochondral bone formation processes and expressions of various growth factors. We believe they could be a source of bone grafts as a result of a potentially strong osteoinductive effect. Moreover, osteophytes can be easily harvested by arthroscopy in patients undergoing open-wedge high tibial osteotomy (OW-HTO) for medial unicompartmental knee osteoarthritis. Therefore, we have been using osteophyte autografts for osteotomy gaps in OW-HTO with positive preliminary results indicating rapid bone healing of osteotomy sites. In this technical note, we introduce a technique for harvesting autologous osteophytes by arthroscopy and implanting them into the gap formed after OW-HTO. We expect that autologous osteophyte grafting can be a useful method for accelerating bone union and therefore enabling weight bearing from an early stage after surgery, which will lead to an early return to social activities.",
author = "Takenori Akiyama and Ken Okazaki and Taro Mawatari and Satoshi Ikemura and Shunsuke Nakamura",
year = "2016",
month = "10",
day = "1",
doi = "10.1016/j.eats.2016.04.026",
language = "English",
volume = "5",
pages = "e989--e995",
journal = "Arthroscopy Techniques",
issn = "2212-6287",
publisher = "Elsevier Inc.",
number = "5",

}

TY - JOUR

T1 - Autologous Osteophyte Grafting for Open-Wedge High Tibial Osteotomy

AU - Akiyama, Takenori

AU - Okazaki, Ken

AU - Mawatari, Taro

AU - Ikemura, Satoshi

AU - Nakamura, Shunsuke

PY - 2016/10/1

Y1 - 2016/10/1

N2 - Osteophytes are physiological bony outgrowths that develop at the margins of the articular surfaces during the progression of osteoarthritis; they are associated with active endochondral bone formation processes and expressions of various growth factors. We believe they could be a source of bone grafts as a result of a potentially strong osteoinductive effect. Moreover, osteophytes can be easily harvested by arthroscopy in patients undergoing open-wedge high tibial osteotomy (OW-HTO) for medial unicompartmental knee osteoarthritis. Therefore, we have been using osteophyte autografts for osteotomy gaps in OW-HTO with positive preliminary results indicating rapid bone healing of osteotomy sites. In this technical note, we introduce a technique for harvesting autologous osteophytes by arthroscopy and implanting them into the gap formed after OW-HTO. We expect that autologous osteophyte grafting can be a useful method for accelerating bone union and therefore enabling weight bearing from an early stage after surgery, which will lead to an early return to social activities.

AB - Osteophytes are physiological bony outgrowths that develop at the margins of the articular surfaces during the progression of osteoarthritis; they are associated with active endochondral bone formation processes and expressions of various growth factors. We believe they could be a source of bone grafts as a result of a potentially strong osteoinductive effect. Moreover, osteophytes can be easily harvested by arthroscopy in patients undergoing open-wedge high tibial osteotomy (OW-HTO) for medial unicompartmental knee osteoarthritis. Therefore, we have been using osteophyte autografts for osteotomy gaps in OW-HTO with positive preliminary results indicating rapid bone healing of osteotomy sites. In this technical note, we introduce a technique for harvesting autologous osteophytes by arthroscopy and implanting them into the gap formed after OW-HTO. We expect that autologous osteophyte grafting can be a useful method for accelerating bone union and therefore enabling weight bearing from an early stage after surgery, which will lead to an early return to social activities.

UR - http://www.scopus.com/inward/record.url?scp=84996938119&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84996938119&partnerID=8YFLogxK

U2 - 10.1016/j.eats.2016.04.026

DO - 10.1016/j.eats.2016.04.026

M3 - Article

AN - SCOPUS:84996938119

VL - 5

SP - e989-e995

JO - Arthroscopy Techniques

JF - Arthroscopy Techniques

SN - 2212-6287

IS - 5

ER -