ArticleJournal of orthopaedic surgery and research2023
High tibial osteotomy improves balance control in patients with knee osteoarthritis and a varus deformity.
Article in Journal of orthopaedic surgery and research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 5 citations in OpenAlex.
- Personalized training and orthopedic inserts bring significant benefits in the posturographic assessment of patients with early gonarthrosis - a randomized controlled trial.Scientific reports · 2026Trial
- Article
- Changes in Balance Outcomes Following High Tibial Osteotomy in Patients With Knee Osteoarthritis: A Systematic Review.Health science reports · 2026Review
- Three dimensional printing-assisted biplane stereotomy to treat severe varus knee with femoral deformity: a technical note.BMC musculoskeletal disorders · 2025Article
- Comparative impact of high tibial osteotomy and supramalleolar osteotomy on limb alignment and ankle function: a retrospective study.Journal of orthopaedic surgery and research · 2025Article
- [Influence and risk factors of lateral hinge fracture on early effectiveness of supramalleolar osteotomy].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024Article
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundImpaired knee stability is observed in patients with medial compartment knee osteoarthritis (OA) and varus malalignment. Although high tibial osteotomy (HTO) is widely used to treat OA-related knee varus deformity, its long-term influence on balance control in OA patients is poorly reported. This study aimed to evaluate the impact of HTO on balance control and assess its biological and functional significance.
methodsThirty-two patients with medial compartment knee OA as well as varus deformity who were scheduled for HTO underwent static posturographic tests one month pre- and three months as well as one year postoperatively, respectively, along with forty matched control subjects. Radiographic and clinical evaluations were synchronously carried out on patients pre- and postoperatively.
resultsDecreased postural sway was observed in patients one year after HTO. When compared to the control subjects, more postural sway was found in patients one month pre- and three months postoperatively. No difference was observed between the patients and control subjects one year postoperatively. The alignment and joint function of the affected knees significantly improved after HTO.
conclusionsThis study revealed that HTO improves balance control in patients with knee OA and varus deformity. Correct alignment and improved joint function enhance the likelihood of normal postural stability. Hence, this intervention allows the knee joint to recover its corrective compensatory role in postural regulation and should be taken into account for managing knee OA patients.
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