ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2018
Patella height is not altered by descending medial open-wedge high tibial osteotomy (HTO) compared to ascending HTO.
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 37 papers, 2 of them syntheses that pooled it.
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Who cites it
37 citing papers in PubMed, 2 syntheses or guidelines pooled it, 61 citations in OpenAlex.
- Is proximal tibial tubercle osteotomy superior to distal tibial tubercle osteotomy for medial compartmental osteoarthritis? A meta-analysis.Journal of orthopaedic surgery and research · 2023Pooled it
- Distal tibial tubercle osteotomy can lessen change in patellar height post medial opening wedge high tibial osteotomy? A systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2022Pooled it
- Medial open-wedge high tibial osteotomy alters sagittal tibial tubercle-trochlear groove distance.Archives of orthopaedic and trauma surgery · 2026Article
- Malrotated lateral radiographs do not allow for proper assessment of patellar height using the Caton-Deschamps Index.Journal of experimental orthopaedics · 2026Article
- Distal tubercle osteotomy in medial opening-wedge high tibial osteotomy is superior in rotational alignment changes compared to proximal tubercle osteotomy: a propensity score-matched analysis.Journal of orthopaedic surgery and research · 2025Article
- A 10-year follow-up of autogenous osteochondral transplantation combined with medial opening-wedge high tibial osteotomy for large medial femoral condyle chondral delamination: A case report.Joint diseases and related surgery · 2025Article
- Is there a difference in bony stability at three months postoperatively between opening-wedge high tibial osteotomy and opening-wedge distal tuberosity osteotomy?Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2025Article
- Increased kinematic changes in ascending compared with descending biplanar cut in open wedge high tibial osteotomy-a multibody simulation.Knee surgery & related research · 2024Article
- Postoperative onset lateral hinge fracture is a risk factor for delayed union of the tibial tuberosity in medial opening wedge distal tibial tuberosity osteotomy.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2024Article
- Osteotomy Correction Angle Cut-off Points Can Guide the Operation to Prevent a Significant Decrease in Patella Height.Orthopaedic surgery · 2024Article
- Effect of ascending and descending medial open wedge high tibial osteotomy on patella height and functional outcomes-a retrospective study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Maintaining Posterior Tibial Slope and Patellar Height During Medial Opening Wedge High Tibial Osteotomy.Orthopaedic journal of sports medicine · 2023Article
- Influence of medial open wedge high tibial osteotomy on tibial tuberosity-trochlear groove distance.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Medially and distally inserted tuberosity screw fixation of the osteotomized tubercle is safe and effective in retro-tubercular bi-planar opening-wedge high tibial osteotomy.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Can double-level osteotomy prevent patellofemoral osteoarthritis progression compared with open wedge high tibial osteotomy?Archives of orthopaedic and trauma surgery · 2023Article
- Preoperative joint line convergence angle correction is a key factor in optimising accuracy in varus knee correction osteotomy.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Influence of Medial Osteotomy Height and Hinge Position in Open Wedge High Tibial Osteotomy: A Simulation Study.Diagnostics (Basel, Switzerland) · 2022Article
- Prognostic factors for medial open-wedge high tibial osteotomy with spacer implantation in patients with medial compartmental knee osteoarthritis.Journal of orthopaedic surgery and research · 2022Article
- Patellar Height after High Tibial Osteotomy of the Distal Tibial Tuberosity: A Retrospective Study of Age Stratification.Computational and mathematical methods in medicine · 2022Article
- Medial Open Wedge High tibial Osteotomy (MOWHTO) does not relevantly alter patellar kinematics: a cadaveric study.Archives of orthopaedic and trauma surgery · 2022Article
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
purposeThe primary purpose of the study was to gain insight into geometric changes of the patellar height (PH) and posterior tibial slope (PTS) after a biplanar ascending medial open-wedge high tibial osteotomy (HTO) compared to biplanar descending medial open-wedge HTO in patients with genu varum.
methodsSixty-four patients (mean age 45.2 ± 8.7 years, females n = 24, males n = 40) with varus malalignment and medial gonarthrosis were retrospectively studied. Patients received either a biplanar ascending or descending medial open-wedge HTO. Radiographic analysis included the assessment of standing total leg axis, PH, and PTS prior to and after surgery.
resultsIn the ascending HTO group, PH decreased significantly by 4.0% (p = 0.037, Caton-Deschamps index) after an average leg axis valgus-producing correction of 7.1° ± 2.8°. In the descending HTO group, with an average leg axis correction of 7.0° ± 3.7°, there were no significant PH changes. There were no significant differences between the ascending and descending HTO groups regarding PTS or leg axis. The mean post-operative leg axis between ascending (1.6° ± 1.9°) and descending HTO (1.9° ± 2.4°) was not significantly different.
conclusionCompared to the biplanar ascending medial open-wedge HTO, the descending HTO did not influence patella height or increase the posterior tibial slope. In order to respect patellofemoral and slope-related knee kinematics, a biplanar descending medial open-wedge HTO has proven useful to control patella height and posterior tibial slope. These findings underscore the importance of the preoperative patella height assessment in the osteotomy planning and subsequent choice of the biplanar osteotomy direction. LEVEL OF EVIDENCE: IV.
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