ArticleOrthopaedic journal of sports medicine2026
Effect of Coronal Plane Knee Alignment Classification on Clinical Outcomes After High Tibial Osteotomy.
Article in Orthopaedic journal of sports medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Studies on the coronal plane alignment of the knee (CPAK) classification after high tibial osteotomy (HTO) are scarce. Purpose: To (1) clarify the distribution of the CPAK phenotype in patients who underwent HTO and (2) compare the clinical results according to the CPAK phenotypes. Study Design: Case Series; Level of evidence, 4. Methods: Overall, 171 knees of patients with HTO were retrospectively evaluated. The primary outcome was to investigate the serial changes in the CPAK preoperatively and 2 years postoperatively. The secondary outcome was to assess the subcategories of the knee injury and osteoarthritis outcome score (KOOS) and postoperative change of KOOS according to the CPAK. Results: The most common pre- and postoperative CPAK phenotype types were I (62%), II (22.8%), IV (8.8%), VI (36.7%), V (18.9%), and IX (13%). The distribution of preoperative CPAK significantly changed after HTO. KOOS subscales showed no significant differences according to the CPAK phenotypes. Conclusion: The most common pre- and postoperative CPAK phenotypes were I and VI. No significant differences in the KOOS subscales were observed according to CPAK phenotypes following HTO.
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