Evidence map›Paper›PMID 42898098›Full record

ArticleAsia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology2026

Clinical outcomes and patient satisfaction following implant removal after open wedge high tibial osteotomy.

Junya Hara, Akira Maeyama, Tetsuro Ishimatsu, Taiki Matsunaga, Shizuhide Nakayama, Takuaki Yamamoto

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Article in Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology, 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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5 · Who and what money

Authors and funding

6 authors.

Junya HaraDepartment of Orthopaedic Surgery, Fukuoka University Faculty of Medicine, 7-45-1, Nanakuma, Jonan-ku, Fukuoka, 814-0180, Japan.
Akira MaeyamaDepartment of Orthopaedic Surgery, Fukuoka University Faculty of Medicine, 7-45-1, Nanakuma, Jonan-ku, Fukuoka, 814-0180, Japan.
Tetsuro IshimatsuDepartment of Orthopaedic Surgery, Fukuoka University Faculty of Medicine, 7-45-1, Nanakuma, Jonan-ku, Fukuoka, 814-0180, Japan.
Taiki MatsunagaDepartment of Orthopaedic Surgery, Fukuoka University Faculty of Medicine, 7-45-1, Nanakuma, Jonan-ku, Fukuoka, 814-0180, Japan.
Shizuhide NakayamaDepartment of Orthopaedic Surgery, Fukuoka University Faculty of Medicine, 7-45-1, Nanakuma, Jonan-ku, Fukuoka, 814-0180, Japan.
Takuaki YamamotoDepartment of Orthopaedic Surgery, Fukuoka University Faculty of Medicine, 7-45-1, Nanakuma, Jonan-ku, Fukuoka, 814-0180, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Symptoms of implant-associated irritation have been reported as a complication of open wedge high tibial osteotomy (OWHTO). While some centers perform implant removal only when such complications occur, others routinely perform implant removal. However, the benefits of implant removal after OWHTO have not yet been clarified. The purpose of this study was to evaluate patient satisfaction with implant removal after OWHTO and to investigate the benefits of implant removal. Methods: We prospectively enrolled 40 consecutive patients who underwent implant removal after OWHTO between August 2021 and December 2023. We compared radiographic findings, clinical scores, and the answers to a questionnaire created by our center before and 3 months after the implant removal. Postoperatively, patients were asked to rate their satisfaction with the implant removal on a 5-point scale. Results: The visual analogue scale (VAS) for pain showed significant improvement at 3 months after implant removal. There were also significant improvements in the total Knee injury and Osteoarthritis Outcome Score (KOOS), KOOS for pain, KOOS for function, Japanese Orthopaedic Association score, and Medical Outcomes Study Short Form-36 scores at 3 months after implant removal. A questionnaire created at our center about symptoms in the region surrounding the implant wound showed improvements in irritation symptoms with implant removal. Thirty-nine of 40 patients (97.5%) were satisfied or very satisfied with the results of implant removal. The postoperative VAS and satisfaction with the procedure were negatively correlated, and the postoperative VAS influenced the level of patient satisfaction. Conclusion: Implant removal after OWHTO was associated with improvements in pain, clinical scores, and patient satisfaction. Furthermore, the frequency of complications after implant removal was very low. These findings suggest that implant removal after OWHTO Level of evidence: LevelⅢ, prospective cohort study.

Indexed as

ComplicationsHigh tibial osteotomyImplant removalKnee

Identifiers

PMID42898098
PMCPMC13677323

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