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• W1965216971 endingPage "161" @default.
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• W1965216971 abstract "Purpose We sought to determine survival and clinical outcomes of high tibial osteotomy (HTO) with or without articular cartilage surgery and/or meniscal allograft transplantation in patients with medial compartment chondral pathology, varus malalignment, and/or meniscal deficiency, whether there is any difference in survival or clinical outcome between these patient cohorts, and whether there is any difference between opening- (OWHTO) and closing-wedge (CWHTO) techniques. Methods A systematic review of multiple medical databases was performed using PRISMA guidelines. Study quality was assessed via modified Coleman Methodology Scores (MCMS). Results Sixty-nine studies were included (4557 subjects). MCMS rating was overall poor. Mean follow-up was 7.1 years. Mean subject age was 53 years. Survival of isolated HTO was 92.4%, 84.5%, 77.3%, and 72.3% at 5, 10, 15, and 20 years of follow-up. At 5 years of follow-up, HTO with articular cartilage surgery had significantly greater survival (97.7%) than either isolated HTO (92.4%) or HTO with MAT (90.9%). Isolated HTO, HTO with articular cartilage surgery, and HTO with MAT all significantly improved subjective and objective clinical outcome scores. At two years of follow-up, survival was significantly greater following OWHTO (98.7%) versus CWHTO (96.7%). However, at all other time points with or without combined articular cartilage surgery and/or MAT, there was no significant survival difference between the techniques. Conclusions Survival and clinical outcomes of isolated HTO were excellent at short- and mid-term follow-ups, but deteriorated with time. HTO with concomitant procedures also demonstrated excellent early survival and clinical outcomes that deteriorated with time (up to 10 years)." @default.
• W1965216971 created "2016-06-24" @default.
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• W1965216971 date "2013-06-01" @default.
• W1965216971 modified "2023-10-01" @default.
• W1965216971 title "Survival and clinical outcome of isolated high tibial osteotomy and combined biological knee reconstruction" @default.
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• W1965216971 doi "https://doi.org/10.1016/j.knee.2012.12.012" @default.
• W1965216971 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/23477914" @default.
• W1965216971 hasPublicationYear "2013" @default.
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