ArticleJournal of orthopaedic surgery and research2017
Long-term results and comparison of the three different high tibial osteotomy and fixation techniques in medial compartment arthrosis.
Article in Journal of orthopaedic surgery and research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.
What it found
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Who cites it
17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 44 citations in OpenAlex.
- Good long-term survival and patient-reported outcomes after high tibial osteotomy for medial compartment osteoarthritis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Pooled it
- Radiographic changes and clinical outcomes after open and closed wedge high tibial osteotomy: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2019Pooled it
- Pooled it
- 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
- Is there a relationship between recurrence and obesity in the three-year mid-term follow-up of patients who underwent high tibial osteotomy due to medial gonarthrosis?Joint diseases and related surgery · 2025Article
- Mathematical explanations for knee osteotomies: "Dear engineer, how would you explain it in a simple way?"Archives of orthopaedic and trauma surgery · 2024Review
- A Comprehensive Review of Current Management Trends in Medial Compartment Arthritis of the Knee Joint.Cureus · 2024Review
- Long-Term Survival and Predictors of Failure of Opening Wedge High Tibial Osteotomy.Orthopaedic surgery · 2023Article
- Less risk of conversion to total knee arthroplasty without significant clinical and survivorship difference for opening-wedge high tibial osteotomies in varus knee deformities at 10-year minimum follow-up compared to closing-wedge high tibial osteotomies.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Long-term follow-up results of medial opening wedge high tibia osteotomy with a pre-countered non-locking steel plate.Archives of orthopaedic and trauma surgery · 2022Article
- Proximal Tibiofibular Dislocation in Closing-Wedge High Tibial Osteotomy Increases the Risk of Medium and Long-Term Total Knee Replacement.Journal of clinical medicine · 2021Article
- Satisfactory long-term survival, functional and radiological outcomes of open-wedge high tibial osteotomy for managing knee osteoarthritis: Minimum 10-year follow-up study.Journal of orthopaedic translation · 2021Article
- Closing-wedge high tibial osteotomy, a reliable procedure for osteoarthritic varus knee.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Article
- The outcome of biphasic calcium phosphate bone substitute in a medial opening wedge high tibial osteotomy.Journal of materials science. Materials in medicine · 2020Article
- Radiological, functional, and anatomical outcome in patients with osteoarthritic knee undergoing high tibial osteotomy.SICOT-J · 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
- The influence of post-operative knee coronal alignment parameters on long-term patient-reported outcomes after closed-wedge high tibial osteotomy.Journal of orthopaedicsArticle
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe purpose of this study is to report and analyze the long-term outcomes of the patients who underwent high tibial osteotomy (HTO) with three different techniques for the treatment of medial compartment arthrosis.
methodsA total of 187 patients (195 knees) who underwent HTO between 1990 and 2010 were retrospectively evaluated. Eighty-eight knees, opening-wedge osteotomy with Puddu plate (group A); 51 knees, transverse osteotomy below the tubercle with external fixator (group B); and 29 knees, closing-wedge osteotomy with staple fixation (group C) were included in the study. The patients (mean age 44.9 ± 10.6 years, mean follow-up of 12.4 ± 3.2 years) were called for final controls and survival rates of the knees, and functional evaluations of the patients were performed using Knee Society Score (KSS) and Hospital for Special Surgery (HSS) knee score assessments.
resultsIn the comparison of the three groups, there were no differences regarding the mean age, preoperative arthrosis levels, or preoperative deformity analyses (n.s.). The main finding of these comparisons showed that the closing-wedge osteotomy has the greatest lateralization effect on mechanical axis deviation (MAD) (p = 0.024), the greatest valgization effect on medial proximal tibial angles (MPTA) (p = 0.026), and the lowest posterior tibial slope (PTS) angles (p = 0.032) in comparison to the other groups. There were no functional differences between the three groups in the long-term assessment of patients with KSS and HSS knee scores. According to the Kaplan-Meier survival analysis, the probability of the survival of the native knee joint after HTO was 93.4% in 5 years and 71.2% in 10 years in our study group. During the follow-up of the 168 knees, revision surgery with total knee replacement was needed in 27 knees (16%). The mean time from HTO to total knee replacement was 8.9 years in these patients.
conclusionsHTO has acceptable long-term clinical and functional results that should not be underestimated by orthopedic surgeons under pressure to perform arthroplasty operations.
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