ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2020
Retaining the medial collateral ligament in high tibial medial open-wedge osteotomy mostly results in post-operative intra-articular gap reduction.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2020. 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.
- Prediction model for abnormal joint line obliquity after open wedge high tibial osteotomy using knee radiographic parameters.Knee surgery & related research · 2026Article
- High tibial osteotomy achieves unloading of the medial tibiofemoral compartment irrespective of arthritic status or medial collateral ligament release: A biomechanical assessment.Journal of experimental orthopaedics · 2026Article
- Superficial Medial Collateral Ligament Transection Sufficiently Increases Joint Space Width for Medial Meniscal Procedures During Medial Open-Wedge High Tibial Osteotomy.Arthroscopy, sports medicine, and rehabilitation · 2025Article
- Adjusted planning based on the joint line convergence angle improves correction accuracy in the standing position after opening wedge high tibial osteotomy.Journal of orthopaedic surgery and research · 2024Article
- Analysis of the determinant factor of the medial joint space width after medial opening wedge high tibial osteotomy.Archives of orthopaedic and trauma surgery · 2023Article
- Transverse osteotomy closer to tibial plateau is associated with larger postoperative change in valgus laxity after open-wedge high tibial osteotomy.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- The Effect of Adding Corticosteroid to the Periarticular Injection Cocktail for Pain Control after Total Hip and Total Knee Arthroplasty: A Double-Blinded Randomized Clinical Trial.The archives of bone and joint surgery · 2022Article
- Medial unicompartmental knee replacement is a viable treatment option after failed high tibial osteotomy: a systematic review.EFORT open reviews · 2022Review
- Association of Serum Vitamin D with Serum Cytokine Profile in Patients with Knee Osteoarthritis.Cartilage · 2021Article
- Serum Calprotectin as a Blood-Based Biomarker for Monitoring Knee Osteoarthritis at Early but Not Late Stages.Cartilage · 2021Article
- Prior high tibial osteotomy is not a contraindication for medial unicompartmental knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- Classical target coronal alignment in high tibial osteotomy demonstrates validity in terms of knee kinematics and kinetics in a computer model.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Article
- High Tibial Osteotomy With Miniaci Planning Using Manual and Semiautomated Digital Measures.Video journal of sports medicineArticle
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Authors and funding
6 authors.
Funding
Abstract
purposeThe current study aimed to evaluate how open-wedge high tibial osteotomy (OWHTO) without the release of medial collateral ligament (MCL) changes in vivo intra-articular joint space after the surgery.
methodsPatients with varus malalignment of the knee with an indication for OWHTO were included in this study. The intra-articular gap was measured before and 30 min after OWHTO without MCL release using a series of calibrated nerve hooks. The association of post-operative gap size with varus angle, medial proximal tibial angle (MPTA), lateral distal femoral angle (LDFA) and joint line convergence angle (JLCA) was also assessed.
resultsA total of 42 knees from 38 patients were evaluated. The mean size of the intra-articular gap of the medial compartment was 5.2 ± 1 mm before the osteotomy and 3.1 ± 2.2 mm at 30 min post-osteotomy. The size of the intra-articular gap decreased post-operatively in 30 knees (71.5%), increased in eight knees (19%) and remained the same in the remaining four knees (9.5%). Smaller MPTA and more correction were associated with a decrease in gap size after the osteotomy (p = 0.01 and p = 0.03, respectively). A significant negative correlation was observed between the correction size and the gap size after osteotomy (r = - 0.317, p = 0.04).
conclusionIntra-articular pressure of the medial compartment increases in the majority of cases following OWHTO without MCL release. Until the factors affecting this increased pressure are thoroughly identified, MCL release seems to be a wiser option during OWHTO. LEVEL OF EVIDENCE: III.
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