ArticleArchives of orthopaedic and trauma surgery2021
Factors related to the early outcome of medial open wedge high tibial osteotomy: coronal limb alignment affects more than cartilage degeneration state.
Article in Archives of orthopaedic and trauma surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Clinical relevance of joint line obliquity after high tibial osteotomy for medial knee osteoarthritis remains controversial: a systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Pooled it
- Influences of Tibial Plateau Morphology on JLCA Change, Clinical Outcomes and Cartilage Regeneration After Medial Opening Wedge High Tibial Osteotomy.Orthopaedic journal of sports medicine · 2026Article
- Relationships Among Bone Marrow Lesions, Cartilage Improvement, and Short- to Midterm Patient-Reported Outcomes After Opening-Wedge High Tibial Osteotomy.Orthopaedic journal of sports medicine · 2026Article
- Knee extensor strength normalised to body weight is associated with patient-reported outcomes at 12 months after open-wedge high tibial osteotomy.Journal of experimental orthopaedics · 2026Article
- Factors influencing clinical outcomes in patients with knee osteoarthritis undergoing arthroscopic treatment.American journal of translational research · 2026Article
- Lack of evidence for an effect of joint line obliquity after medial opening wedge high tibial osteotomy: A 12-year single-centre retrospective study.Journal of experimental orthopaedics · 2026Article
- Rationale for preoperative planning in the supine position based on variability in the joint line convergence angle before and after open-wedge high tibial osteotomy.Bone & joint open · 2025Article
- Assessing joint line obliquity in valgus-producing high tibial osteotomy: A scoping review of the literature.Journal of orthopaedics · 2025Review
- Achieving Sufficient Valgus Alignment is Essential to Ensure Low Residual Pain in Short- to Midterm Follow-up After High Tibial Osteotomy in KL Grade 4 Osteoarthritis Patients.Orthopaedic journal of sports medicine · 2025Article
- An increased medial proximal tibial angle of greater than 95 degrees after opening wedge high tibial osteotomy is not associated with deterioration of minimum 10-year clinical outcomes.Archives of orthopaedic and trauma surgery · 2024Article
- Patients aged 55 or older undergoing around the knee osteotomy have a higher rate of deep vein thrombosis but not overall early post-operative complications.Journal of experimental orthopaedics · 2024Article
- Joint line convergence angle is the most associated alignment factor with the severity of medial knee osteoarthritis.Journal of experimental orthopaedics · 2024Article
- Clinical and radiological results of high tibial of osteotomy over the age of 65 are comparable to that of under 55 at minimum 2-year follow-up: a propensity score matched analysis.Knee surgery & related 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
- Can double-level osteotomy prevent patellofemoral osteoarthritis progression compared with open wedge high tibial osteotomy?Archives of orthopaedic and trauma surgery · 2023Article
- Influence of lateral hinge fractures on biplanar medial closing-wedge distal femoral osteotomy for valgus knee: a new classification of lateral hinge fracture.Archives of orthopaedic and trauma surgery · 2023Article
- Observational
- 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
- Extreme Hinge Axis Positions Are Necessary to Achieve Posterior Tibial Slope Reduction With Small Coronal-Plane Corrections in Medial Opening Wedge High Tibial Osteotomy.Orthopaedic journal of sports medicine · 2022Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
introductionThis study aimed to identify possible factors influencing the early outcome after medial open wedge high tibial osteotomy (MOWHTO). MATERIALS AND
methodsA total of 87 MOWHTO cases with a minimum of 2-year follow-up and second-look arthroscopic results available were enrolled. The cartilage degeneration state was evaluated by the International Cartilage Repair Society (ICRS) grading. Radiographic parameters including the hip-knee-ankle axis (HKA), medial proximal tibia angle (MPTA), posterior tibial slope, patellar height, mechanical lateral distal femoral angle (LDFA), joint line convergence angle (JLCA), joint line obliquity (JLO), and weight-bearing line ratio (WBLR) were measured. The pre-operative arthritic change was evaluated by Kellgren-Lawrence (KL) classification. According to the post-operative HKA, knees were divided into three (Under/Optimal/Over-correction) subgroups. Subjective International Knee Documentation Committee (IKDC) scores were evaluated and factors related to post-operative IKDC scores were analyzed.
resultsThe pre-operative HKA (P = 0.002), post-operative HKA (P = 0.007), pre-operative MPTA (P = 0.011), and pre-operative WBLR (P = 0.031) were significantly related to the post-operative IKDC score. Cartilage degeneration states evaluated from first and second-look arthroscopy were not associated with post-operative IKDC score. Subgroup analysis revealed that the Under-correction group had significantly lower post-operative IKDC scores compared to the Optimal and Over-correction group (P = 0.012 and P = 0.030, respectively).
conclusionOur result suggests that a sub-optimal correction of coronal limb alignment negatively affects the early outcome of MOWHTO. On the other hand, the effect of the degree of cartilage degeneration was not significant.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.