ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2019
Hybrid closed wedge high tibial osteotomy improves patellofemoral joint congruity compared with open wedge high tibial osteotomy.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
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Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.
- The Relationships between Coronal Plane Alignments and Patient-Reported Outcomes Following High Tibial Osteotomy: A Systematic Review.Cartilage · 2021Pooled it
- Comparison of Patellofemoral Degeneration After Three Types of High Tibial Osteotomy: Retrotuberosity Biplane Open-Wedge, Supratuberosity Biplane Open-Wedge, and Closed-Wedge Techniques.Orthopaedic journal of sports medicine · 2026Article
- Three-dimensional computed tomography-based comparison reveals divergent patellar and tibial tubercle behaviour between lateral closed-wedge and medial open-wedge high tibial osteotomy.Journal of experimental orthopaedics · 2026Article
- Hybrid closed wedge high tibial osteotomy is associated with short-term arthroscopic changes in the patellofemoral joint.BMC musculoskeletal disorders · 2026Article
- Preoperative knee cartilage degeneration in the patellofemoral joint results in worse clinical outcome scores 2 years after inverted V-shaped high tibial osteotomy.Journal of experimental orthopaedics · 2026Article
- Experience of High Tibial Osteotomy for Patients with Rheumatoid Arthritis Treated with Recent Medication: A Case Series.Journal of clinical medicine · 2025Article
- Patellofemoral mechanics after uniplane open wedge high tibial osteotomy is superior to those after biplane open wedge high tibial osteotomy.BMC musculoskeletal disorders · 2025Article
- Occurrence of Patellofemoral Joint Osteoarthritis in Long-Term Postoperative Cases of Open-Wedge High Tibial Osteotomy: Differences in Symptoms Based on Patient-Standing Type Evaluation with and Without Patellofemoral Joint Osteoarthritis.Indian journal of orthopaedics · 2024Article
- "Accelerated postoperative rehabilitation protocol for Medial Open Wedge High Tibial Osteotomy enhances early return to routine activities".Journal of clinical orthopaedics and trauma · 2024Article
- Comparison of different degrees of varus deformity correction with open-wedge high tibial osteotomy: a retrospective study over 5 years.Journal of orthopaedic surgery and research · 2024Article
- Article
- Satisfactory long-term outcomes for combined anterior cruciate ligament reconstruction and lateral closing wedge high tibial osteotomy.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Radiologic simulation of leg length change after double level osteotomy in preoperative surgical planning.Knee surgery & related research · 2023Article
- Good clinical outcomes and return to sports after hybrid closed-wedge high tibial osteotomy.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Early surgical outcomes and influencing factors of high tibial osteotomy.Frontiers in surgery · 2023Article
- Opening wedge high tibial osteotomy for medial compartment knee osteoarthritis: Planning and improving outcomes: Case series and literature review.Journal of clinical orthopaedics and trauma · 2023Article
- Potential anatomic risk factors resulting oversized postoperative medial proximal tibial angle after double level osteotomy.BMC musculoskeletal disorders · 2022Article
- Simultaneous Correction of Varus Deformity and Posterior Tibial Slope by Modified Hybrid Closed-Wedge High Tibial Osteotomy.Arthroscopy techniques · 2022Article
- Patellofemoral Joint after Opening Wedge High Tibial Osteotomy: A Comparative Study of Uniplane versus Biplane Osteotomies.Orthopaedic surgery · 2022Article
- Surgical planning of osteotomies around the knee differs between preoperative standing and supine radiographs in nearly half of cases.BMC musculoskeletal disorders · 2022Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo evaluate clinical outcomes and radiographic changes in patellofemoral (PF) joint congruity between open wedge high tibial osteotomy (OWHTO) and hybrid closed wedge HTO (HCWHTO).
methodsFrom 2011 to 2013, 36 knees in 31 patients who underwent OWHTO and 21 knees in 17 patients who underwent HCWHTO were evaluated in this retrospective study with a minimum 5-year follow-up. Radiological outcomes including hip-knee-ankle angle (HKA), femoral patellar height index (FPHI), preoperative PF osteoarthritis (OA) grade, medial and lateral joint spaces of the PF joint, and congruence angle were measured. Clinical parameters including the Knee injury and Osteoarthritis Outcome Score (KOOS) and the Oxford Knee Score (OKS) were also evaluated. Preoperative and final follow-up values for each procedure were compared in outcome analyses.
resultsMean preoperative HKA and the degree of PF-OA were significantly more severe for patients treated with HCWHTO compared with those treated with OWHTO (p = 0.001, p = 0.0001). Mean postoperative FPHI was significantly decreased with proximalization of the patella in HCWHTO (p = 0.01) but showed no significant change in OWHTO (n.s.). Regarding PF joint congruity after HCWHTO, lateral joint space and congruence angle were significantly improved (p = 0.0001, p = 0.005), while medial joint space was not significantly changed (n.s.). After OWHTO, congruence angle showed no significant difference (n.s.), but medial and lateral joint spaces were significantly decreased (p = 0.0001, p = 0.018). There were no significant differences in KOOS and OKS between the groups (n.s., n.s.).
conclusionsAlthough degrees of varus knee and PF-OA were more severe in HCWHTO than those in OWHTO, HCWHTO led to improved PF joint congruity, and its mid-term clinical outcomes were equivalent to those of OWHTO. Therefore, in patients with varus knee combined with PF-OA preoperatively, HCWHTO is a more effective treatment than OWHTO. LEVEL OF EVIDENCE: Therapeutic level III.
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