ArticleJournal of experimental orthopaedics2025
High tibial osteotomy with individualised alignment and meniscal centralisation improves KOOS sports and recreation and cartilage status compared to conventional Fujisawa-point alignment without centralisation: A propensity score matching study.
Article in Journal of experimental orthopaedics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Sagittal alignment and patellofemoral consequences of open wedge high tibial osteotomy: a comparative radiological and gait analysis of supratubercle and distal tibial tuberosity techniques.Journal of orthopaedic surgery and research · 2026Article
- A long-term comparison of radiographic and clinical outcomes between 62% and 70% weight-bearing line targets in medial opening wedge high tibial osteotomy.Journal of experimental orthopaedics · 2026Article
- Concomitant arthroscopy during valgus-producing high tibial osteotomy does not demonstrate consistent additional clinical benefit despite improved cartilage findings: A systematic review of comparative studies.Journal of experimental orthopaedics · 2026Review
- High tibial osteotomy with individualised alignment and meniscal centralisation improves KOOS sports and recreation and cartilage status compared to conventional Fujisawa-point alignment without centralisation: A propensity score matching study.Journal of experimental orthopaedics · 2025Article
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Authors and funding
8 authors.
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Abstract
Purpose: This study was performed to compare clinical outcomes of medial opening-wedge high tibial osteotomy (MOWHTO) with individualised alignment and medial meniscus centralisation versus conventional alignment targeting the Fujisawa point without centralisation using propensity score matching. It was hypothesised that the individualised approach with centralisation would not be inferior to conventional HTO targeting the Fujisawa point. Methods: This retrospective matched case-control study analysed 161 consecutive knees treated with MOWHTO. After applying uniform exclusion criteria and 1:1 propensity score matching for demographic, radiographic, and meniscal factors, 24 knees with HTO and centralisation and 24 control knees were compared. The centralisation group received individualised alignment based on patient characteristics, targeting a weight-bearing line (WBL) ratio of 57.0%-62.5%, whereas the control group followed the standard 62.5% WBL target. The primary outcome was the Knee Injury and Osteoarthritis Outcome Score (KOOS). The secondary outcomes were radiographic alignment and International Cartilage Repair Society (ICRS) cartilage grade on second-look arthroscopy. Results: The mean follow-up duration was 2.5 ± 0.4 years in the centralisation group and 2.5 ± 0.5 years in the control group. Both groups showed significant improvements in all KOOS subscales from preoperative to final follow-up (all Conclusion: MOWHTO with individualised alignment and medial meniscus centralisation achieved clinical outcomes not inferior to conventional alignment targeting the Fujisawa point without centralisation. Level of Evidence: Level III, retrospective cohort study.
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