ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2018
High tibial osteotomy accelerates lateral compartment osteoarthritis in discoid meniscus patients.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 30 citations in OpenAlex.
- Identical clinical outcomes between neutral and classic targeted alignments after high tibial osteotomy in medial meniscus posterior root tear: a prospective randomized study.International orthopaedics · 2024Trial
- Lateral Meniscus Hypermobility Is Associated With Popliteomeniscal Fascicle Injuries in Patients With Varus Knee Osteoarthritis Undergoing Medial Opening-Wedge High Tibial Osteotomy.Arthroscopy, sports medicine, and rehabilitation · 2025Article
- Meniscal attachment reconstruction combined with high tibial osteotomy in a patient with genu varum and posterior root injury of the lateral meniscus: a case report and brief review of the literature.Frontiers in surgery · 2025Article
- Intraoperative femurofibular angle combined with tibiofibular angle measurement has fewer correction errors in open-wedge high tibial osteotomy.Journal of orthopaedic surgery and research · 2024Article
- Visualization of lateral meniscus extrusion during gait using dynamic ultrasonographic evaluation.Journal of medical ultrasonics (2001) · 2023Article
- Influence of lower-limb mechanical axis on the curative effect of medial high tibial osteotomy for knee osteoarthritis.BMC surgery · 2022Article
- Regeneration of the lateral discoid meniscus after arthroscopic saucerization in an adult patient undergoing high tibial osteotomy: A case report.Clinical case reports · 2022Article
- Remodified Mason-Allen suture technique concomitant with high tibial osteotomy for medial meniscus posterior root tears improved the healing of the repaired root and suppressed osteoarthritis progression.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- Are There Harmful Effects of Preoperative Mild Lateral or Patellofemoral Degeneration on the Outcomes of Open Wedge High Tibial Osteotomy for Medial Compartmental Osteoarthritis?Orthopaedic journal of sports medicine · 2020Article
- The proper correction of the mechanical axis in high tibial osteotomy with concomitant cartilage procedures-a retrospective comparative study.Journal of orthopaedic surgery and research · 2019Article
- Treatment options for the symptomatic post-meniscectomy knee.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019Review
- Effect of arthroscopic resection for discoid lateral meniscus on the axial alignment of the lower limb.International orthopaedics · 2018Article
- A Switch of an Idea: Simultaneous High Tibial Osteotomy and Lateral Meniscal Allograft Transplantation.Cureus · 2018Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 2 countries.
Funding
Abstract
purposeThe valgus high tibial osteotomy (HTO) in patients with medial osteoarthritis and discoid lateral meniscus can result in increased load on the lateral compartment and hence a higher chances of tear. This may accelerate the progression of osteoarthritis on lateral compartment. We, therefore, carried out the case control study with a hypothesis that an HTO would accelerate the progression of osteoarthritis (OA) on lateral compartment in patients with complete discoid meniscus.
methodsThe records of all patients with open wedge HTO from 2008 to 2012 were evaluated for complete lateral discoid meniscus. The patient who had a valgus HTO with or without partial meniscectomy for medial compartmental OA was included for this study. Cases to control were chosen to match age, body mass index (BMI), pre-operative osteoarthritis grade, and deformity angles in ratio 1:2. Patient's records were studied for demographic data, clinical examination records, and pre-operative knee functional scores and radiological scores and were compared with post-operative data.
resultsThirty-six patients out of 674 patients, who underwent an HTO, consisted of discoid meniscus group. 72 patients were chosen as control group. Four patients showed progression of OA on the lateral compartment in discoid group compared to none in control group. Although control groups showed a little bit better functional outcomes, there were no statistical differences between two groups (n.s.).
conclusionThe high tibial osteotomy could result in accelerated lateral compartment osteoarthritis in patients with complete discoid meniscus, and the procedure should be used with caution in such patients. LEVEL OF EVIDENCE: IV.
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