ArticleArthroscopy techniques2022
Open Wedge High Tibial Osteotomy with Pes Anserinus Preservation and Insertion of Bone Substitutes.
Article in Arthroscopy techniques, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 22 citations in OpenAlex.
- Pes Anserinus and Superficial Medial Collateral Ligament Preserving High Tibial Osteotomy Combined with Arthroscopic Medial Meniscus Root Repair for Medial Compartment Osteoarthritis with Varus Deformity: A Prospective Case Series of 20 Patients.Journal of orthopaedic case reports · 2026Article
- Effect of Pes Anserinus Release on Postoperative Pain and Medial Stability in Medial Opening Wedge High Tibial Osteotomy.Medicina (Kaunas, Lithuania) · 2026Article
- Biomechanical comparison of a novel hockey-stick locking plate with a pes anserinus sparing design for Schatzker IV tibial plateau fractures.BMC musculoskeletal disorders · 2026Article
- Time-Dependent Anchor Hole Expansion May Associate with Meniscal Extrusion After Open-Wedge High Tibial Osteotomy Combined with Medial Meniscus Posterior Root Tear Repair and Meniscal Centralization.Bioengineering (Basel, Switzerland) · 2026Article
- Tibial morphological variations reveal medial proximal tibial angle discrepancies in Japanese patients: Three-type classification for high tibial osteotomy.Journal of experimental orthopaedics · 2025Article
- Does pes anserinus release affect outcomes in medial open wedge high tibial osteotomy?International orthopaedics · 2025Article
- Long-Term Outcomes and Prognostic Factors of Medial Open Wedge High Tibial Osteotomy for Medial Compartment Knee Osteoarthritis or Osteonecrosis.Journal of clinical medicine · 2025Article
- Biomechanical effects of LCWHTO vs. MOWHTO on medial meniscus posterior root repair: a finite element analysis.Scientific reports · 2025Article
- Comparison of the indications for high tibial osteotomy and double-level osteotomy for the correction of diverse lower-leg deformities in an Asian population with medial compartment osteoarthritis: a retrospective observational study.International orthopaedics · 2024Observational
- Article
- A Review on Polymers for Biomedical Applications on Hard and Soft Tissues and Prosthetic Limbs.Polymers · 2023Review
- Effect of limb alignment correction on medial meniscus extrusion under loading condition in high tibial osteotomy.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2023Article
- The gap height in open wedge high tibial osteotomy is not affected by the starting point of the osteotomy.BMC musculoskeletal disorders · 2023Article
- Flexion Contracture in Knee Osteoarthritis Can Be Fully Eliminated by Hybrid Closed Wedge High Tibial Osteotomy Using a Reduction-Insertion-Compression Handle.Arthroscopy techniques · 2023Article
- Femoral-varus tibial-valgus osteotomy (FVTVO) for neutrally-aligned knee osteoarthritis with severe joint line obliquity enables return to sports activities: A case series study.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2023Article
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- Around-knee osteotomy conversion for failed high tibial osteotomy: Re-correction high tibial osteotomy and additional distal femoral osteotomy may enable return to sporting activities.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2022Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Biplanar open wedge high tibial osteotomy (OWHTO) has become common since the introduction of OWHTO-specific plates. However, the management of soft tissues, including skin, the pes anserinus, and the superficial medial collateral ligament (sMCL) release vary among surgeons. We introduce an OWHTO methodology that avoids pes incision and repair, uses bone substitute insertion into the opening gap and includes management of soft tissues to minimize complications. We adopted a reversed curved oblique incision to reduce the risk of saphenous nerve injury. We avoided pes incision, taking advantage of its posterior component force to allow it to function as a compressor of the ascending osteotomy site. The proximal component force of the pes provides compression between the bone substitute insertions and the proximal/distal cortices. This allows postoperative weight bearing to be distributed to the substitute, which may reduce the risk of implant failure. The sMCL is detached from the distal tibial attachment without cutting, enabling its return to its original position underneath the pes and to be repaired. This sMCL release with complete pes preservation may reduce the risk of deep infection or medial laxity during total knee arthroplasty conversion, and further reduce the risks of OWHTO.
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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.