ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2022
Patients with varus knee osteoarthritis undergoing high tibial osteotomy exhibit more femoral varus but similar tibial morphology compared to non-arthritic varus knees.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Impact of distal femoral morphology on short-term outcomes following high tibial osteotomy (HTO) in varus knees.Archives of orthopaedic and trauma surgery · 2026Review
- Palliative high tibial osteotomy achieves comparable outcomes to corrective osteotomy in varus knees with medial compartment osteoarthritis: A long-term clinical and radiological retrospective study.Journal of experimental orthopaedics · 2026Article
- How Do the Morphological Abnormalities of Femoral Head and Neck, Femoral Shaft and Femoral Condyle Affect the Occurrence and Development of Medial Knee Osteoarthritis.Orthopaedic surgery · 2023Article
- A significant rate of tibial overcorrection with an increased JLO occurred after isolated high tibial osteotomy without considering international consensus.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Hip abduction angle after open-wedge high tibial osteotomy is associated with the timed up & go test and recurrence of varus alignment.Scientific reports · 2023Article
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Authors and funding
7 authors.
Funding
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Abstract
purposeThe aim of this study was to compare alignment parameters between patients undergoing high tibial osteotomy (HTO) for knee osteoarthritis (OA) and non-arthritic controls.
methodsPre-operative computed tomography images from 194 patients undergoing HTO for medial knee OA and 118 non-arthritic controls were utilized. All patients had varus knee alignment (mean age: 57 ± 11 years; 45% female). The hip-knee-ankle (HKA) angle, mechanical lateral distal femoral angle (mLDFA), medial proximal tibial angle (MPTA) and non-weight-bearing joint line convergence angle (nwJLCA) were compared between "control group" and "HTO group". Femoral and tibial phenotypes were also assessed and compared between groups. Variables found on univariate analysis to be different between the groups were entered into a binary logistic regression model.
resultsThe mean age was lower (Δ = 4 ± 6 years, p = 0.024), body mass index (BMI) was higher (Δ = 1.1 ± 2.8 kg/m
conclusionPatients undergoing HTO for medial knee OA have more femoral varus compared to non-arthritic controls while tibial morphology was similar. This will be an important consideration in pre-operating planning for realignment osteotomy in patients presenting with medial knee OA and warrants further investigation. LEVEL OF EVIDENCE: III, retrospective comparative study.
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