ArticleBMC musculoskeletal disorders2016
Health-related quality of life and clinical outcomes following medial open wedge high tibial osteotomy: a prospective study.
Article in BMC musculoskeletal disorders, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 29 citations in OpenAlex.
- Effects of Medial Opening-Wedge High Tibial Osteotomy on 3-Dimensional Knee Joint Biomechanics and Trunk Posture.Orthopaedic journal of sports medicine · 2026Article
- Time-Course of Knee Muscle Strength Recovery at 3, 6, and 12 Months Postoperatively After Open Wedge High Tibial Osteotomy: Differential Recovery Patterns of Maximal Power and Muscle Endurance.Journal of clinical medicine · 2026Article
- High survival rates and patient satisfaction 12 years after medial open wedge high tibial osteotomy surgery: A prospective cohort study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Patient response to osteotomy around the knee joint at one year post-operation-fulfilment of expectations and current health status.Archives of orthopaedic and trauma surgery · 2023Article
- Work intensity and quality of life can be restored following double-level osteotomy in varus knee osteoarthritis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Standing Steadiness and Asymmetry after High Tibial Osteotomy Surgery: A 2 Year Follow-Up Study.Journal of personalized medicine · 2022Article
- Overweight patients benefit from high tibial osteotomy to the same extent as patients with normal weights but show inferior mid-term results.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Functional Outcome of High Tibial Osteotomy in Patients with Medial Compartment Osteoarthritis Using Dynamic Axial Fixator -a prospective study.Journal of clinical orthopaedics and trauma · 2020Article
- Tibial and femoral osteotomies in varus deformities - radiological and clinical outcome.BMC musculoskeletal disorders · 2020Observational
- Patients' expectations of osteotomies around the knee are high regarding activities of daily living.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019Article
- Satisfactory functional and radiological outcomes can be expected in young patients under 45 years old after open wedge high tibial osteotomy in a long-term follow-up.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2018Article
- Interview based malnutrition assessment can predict adverse events within 6 months after primary and revision arthroplasty - a prospective observational study of 351 patients.BMC musculoskeletal disorders · 2018Observational
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOpen wedge high tibial osteotomy (HTO) is an established method for the treatment of patients with varus malalignment and medial compartment osteoarthritis. In these patients, health-related quality of life (HRQL) can be improved by using this procedure. The purpose of the present study consisted in evaluating HRQL up to 18 months after HTO, comparing the results to values of the German normal population, and in analyzing the impact of preoperative HRQL on the postoperative clinical result. It was hypothesized that normal values in physical and mental health can be achieved within 18 months after operation. STUDY
designProspective case series. LEVEL OF EVIDENCE: IV.
methods120 patients were included in this prospective case series from 12/2008 to 12/2011. All patients underwent open wedge HTO without a bone graft using the TomoFix(TM) plate. HRQL was assessed by using the SF-36 questionnaire, preoperatively, as well as 6, 12, and 18 months postoperatively. Regular scoring, norm-based scaling, and the physical and mental component summary scores (PCS and MCS) were evaluated. Clinical outcome was assessed by using Lequesne, Lysholm, HSS and IKDC Score.
resultsHRQL could be described in 96 patients. The PCS of HRQL showed a statistically significant pre- to postoperative improvement (30.2 ± 13.4 to 45.9 ± 13.5 after 18 months). A reduced preoperative mental component summary score (MCS) resulted in lower values of each clinical score (p < 0.05) and in a prolonged duration of incapacity for work (MCS < 50:15.0 ± 12.8 weeks, vs. MCS ≥ 50: 9.1 ± 4.8 weeks, p < 0.05). MCS values improved from the pre- to postoperative measurements and comparable values to the normal population were reached already within 6 months after surgery (46.0 ± 14.9 pre-operatively and 48.5 ± 13.7 after 6 months), and after 18 months even a score of 49.5 ± 12.4 was achieved.
conclusionLower preoperative mental component score results in reduced postoperative clinical outcome and prolonged duration of incapacity for work after HTO. In contrast to PCS, MCS showed comparable values to the normal population within 6 months after HTO.
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