vmireavizВестник медицинского института «РЕАВИЗ». Реабилитация, Врач и ЗдоровьеBulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH)2226-762X2782-1579РЕАВИЗ10.20340/vmi-rvz.2025.3.CLIN.7vmireaviz-1278Research ArticleКлиническая медицинаClinical medicineАнализ походки и кинематики коленного сустава до операции, через 6 и 18 месяцев после открытоугольной высокой тибиальной остеотомииGait analysis and knee kinematics before surgery, 6 and 18 months after high tibial osteotomyhttps://orcid.org/0000-0003-3092-9753ПризовА. П.PrizovA. P.

Призов Алексей Петрович - Д-р мед. наук, профессор кафедры травматологии и ортопедии; врач травматолог-ортопед отделения травматологии и ортопедии Вклад автора: концептуализация, методология, редактирование.

ул. Миклухо-Маклая, д. 6, Москва, 117198;ул. Бакинская, д. 26, г. Москва, 115516

Aleksey P. Prizov - Dr. Sci. (Med.), Professor of the Department of Traumatology and Orthopedics; Traumatologist-orthopedist of the Department of Traumatology and Orthopedics Author's contribution: conceptualization, methodology, editing.

6, Miklukho-Maklaya st., Moscow, 117198;26, Bakinskaya str., Moscow, 115516

aprizov@yandex.ruhttps://orcid.org/0000-0002-6736-9772ЗагороднийН. В.ZagorodniyN. V.

Загородний Николай Васильевич - Д-р мед. наук, профессор, академик РАН, зав. кафедрой травматологии и ортопедии Вклад автора: исследование, обработка и сбор данных, написание первоначального проекта.

ул. Миклухо-Маклая, д. 6, Москва, 117198

Nikolay V. Zagorodniy - Dr. Sci. (Med.), Professor, Academician of the Russian Academy of Sciences, Head of the Department of Traumatology and Orthopedics Author contribution: research, data processing and collection, writing the initial draft.

6, Miklukho-Maklaya st., Moscow, 117198

zagorodniy51@mail.ruhttps://orcid.org/0009-0005-7484-3363ВостриковА. М.VostrikovA. M.

Востриков Анатолий Максимович - Аспирант кафедры травматологии и ортопедии Вклад автора: методология, валидация, формальный анализ.

ул. Миклухо-Маклая, д. 6, Москва, 117198

Anatoliy M. Vostrikov - Postgraduate student, Department of Traumatology and Orthopedics Author contribution: methodology, validation, formal analysis.

6, Miklukho-Maklaya st., Moscow, 117198

a.vos3kov@yandex.ruhttps://orcid.org/0000-0002-2794-4912СкворцовД. В.SkvortsovD. V.

Скворцов Дмитрий Владимирович - Д-р мед. наук, профессор, зав. лабораторией Вклад автора: редактирование, написание, формальный анализ.

Ореховый бульвар, д. 28, г. Москва, 115682

Dmitriy V. Skvortsov - Dr. Sci. (Med.), Professor, Head of Laboratory Author contribution: editing, writing, formal analysis.

28, Orekhovy Blvd., Moscow, 115682

dskvorts63@mail.ruhttps://orcid.org/0000-0001-7507-7772АйрапетовГ. А.AyrapetovG. A.

Айрапетов Георгий Александрович - Д-р мед. наук, профессор кафедры травматологии и ортопедии Вклад автора: формальный анализ и редактирование.

ул. Миклухо-Маклая, д. 6, Москва, 117198

Georgiy A. Ayrapetov - Dr. Sci. (Med.), Professor, Department of Traumatology and Orthopedics Author's contribution: formal analysis and editing.

6, Miklukho-Maklaya st., Moscow, 117198

airapetovga@yandex.ruhttps://orcid.org/0000-0001-5292-7930ЛазкоФ. Л.LazkoF. L.

Лазко Федор Леонидович - Д-р мед. наук, профессор кафедры травматологии и ортопедии; врач травматолог-ортопед отделения травматологии и ортопедии Вклад автора: сбор данных.

ул. Миклухо-Маклая, д. 6, Москва, 117198;ул. Бакинская, д. 26, г. Москва, 115516

Fedor L. Lazko - Dr. Sci. (Med.), Professor, Department of Traumatology and Orthopedics; traumatologist-orthopedist, Department of Traumatology and Orthopedics Author's contribution: data collection.

6, Miklukho-Maklaya st., Moscow, 117198;26, Bakinskaya str., Moscow, 115516

fedor_lazko@mail.ruhttps://orcid.org/0000-0002-2938-5173АхпашевА. А.AkhpashevA. A.

Ахпашев Александр Анатольевич - Канд. мед. наук, доцент кафедры травматологии и ортопедии Вклад автора: обший контроль, сбор данных.

Ореховый бульвар, д. 28, г. Москва, 115682

Aleksandr A. Akhpashev - Cand. Sci. (Med.), Associate Professor of the Department of Traumatology and Orthopedics Author's contribution: general control, data collection.

28, Orekhovy Blvd., Moscow, 115682

akhpashev@yandex.ruhttps://orcid.org/0000-0003-3777-6294АлтуховаА. В.AltukhovaA. V.

Алтухова Алена Владимировна - Врач реабилитолог Вклад автора: обследование пациентов, анализ данных.

Ореховый бульвар, д. 28, г. Москва, 115682

Alena V. Altukhova - Rehabilitation physician Author's contribution: patient examination, data analysis.

28, Orekhovy Blvd., Moscow, 115682

altukhova.aa@bk.ruРоссийский университет дружбы народов им. Патриса Лумумбы; Городская клиническая больница им. В.М. БуяноваРоссияPatrice Lumumba Peoples' Friendship University of Russia; City Clinical Hospital named after V.M. BuyanovRussian FederationРоссийский университет дружбы народов им. Патриса ЛумумбыРоссияPatrice Lumumba Peoples' Friendship University of RussiaRussian FederationФедеральный научно-клинический центр ФМБА РоссииРоссияFederal Research and Clinical Centre of Russia’s Federal Medical-Biological Agency,Russian Federation202501082025153129137Copyright © Призов А.П., Загородний Н.В., Востриков А.М., Скворцов Д.В., Айрапетов Г.А., Лазко Ф.Л., Ахпашев А.А., Алтухова А.В., 20252025Призов А.П., Загородний Н.В., Востриков А.М., Скворцов Д.В., Айрапетов Г.А., Лазко Ф.Л., Ахпашев А.А., Алтухова А.В.Prizov A.P., Zagorodniy N.V., Vostrikov A.M., Skvortsov D.V., Ayrapetov G.A., Lazko F.L., Akhpashev A.A., Altukhova A.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://vestnik.reaviz.ru/jour/article/view/1278

Введение. Корригирующая остеотомия коленного сустава используется как суставосберегающая операция при варусной деформации. Долгосрочные функциональные результаты ещё недостаточно хорошо изучены. Цель исследования заключалась в оценке отдалённых функциональных, клинических результатов и оценке биомеханики походки у пациентов через 6 и 18 месяцев после хирургической коррекции. Объект и методы. В исследование включено 20 пациентов с медиальным остеоартрозом коленного сустава 2–3 стадии и варусной деформацией более > 4º. Всего пациентам было проведено 21 оперативное вмешательство. Пациентам проводилась рентгенография нижних конечностей под нагрузкой, а оценка функции коленного сустава осуществлялась при помощи шкал KSS, KOOS и ВАШ. Биомеханические параметры ходьбы регистрировались с помощью инерциальной сенсорной системы в период до операции, через 6 и 18 месяцев после операции. Были проанализированы временные и кинематические параметры ходьбы. Результаты. Рентгенологические показатели продемонстрировали стабильную коррекцию варусной деформации. По шкалам KOOS, KS и ВАШ наблюдалось умеренное динамическое улучшение функции оперированного коленного сустава в период наблюдения до операции, через 6 и 18 месяцев после операции. Биомеханические показатели продемонстрировали улучшение функции коленного сустава в первые 6 месяцев после операции. Заключение. Таким образом, основные изменения в клиникофункциональном состоянии происходят в первые 6 месяцев после оперативного лечения. По данным исследования, в отдалённом периоде наблюдения выявлено умеренное клиническое улучшение, которое оценивалось по шкалам ВАШ, KOOS и KSS. Биомеханические изменения были незначительными.

Introduction. Corrective knee joint osteotomy is used as a joint-preserving surgery for varus deformity. Longer-term functional outcomes have not been studied well enough yet. The study objective was to assess longer-term functional, clinical, outcomes and gait biomechanics in patients after 6 and 18 months after surgery correction. Object and methods. The study included 20 patients with medial osteoarthritis of the knee of grade 2–3 and a varus deformity of > 4°. A total of 21 surgeries were performed on the patients. Full length weightbearing (FLWB) X-ray and corrective knee joint assessments were done using the KSS, KOOS and VAS scoring systems were obtained from all the patients. Biomechanical gait parameters were captured using an inertial sensor system at the timepoint of before the surgery, 6 months, and 18 months after surgery. Temporal and kinematic parameters of walking were analyzed. Results. The radiological parameters showed stable varus deformity correction. According to the KOOS, KS and VAS scores, there was a moderate dynamic improvement in the operated knee function during the follow-up period before surgery to 6 and to 18 months after surgery. Biomechanical parameters showed an improvement in corrective knee joint function of the operated side in the first 6 months after surgery. In the following year, there were some subjective improvements but without any significant changes in gait biomechanics or knee kinematics. Conclusion. Thus, the main changes in the clinical and functional state occur in the first 6 months after surgery. According to the study data, there was a moderate clinical improvement, as assessed by VAS, KOOS and KSS, in the long-term follow-up period. The biomechanical changes were minor.

анализ походки [D005684]кинематика [D001696]коленный сустав [D007719]высокая тибиальная остеотомия [D010027]открытоугольная остеотомия [D010027]биомеханика [D001696]послеоперационный период [D011184]функциональные результаты [D016896]реабилитация [D012046]gait analysis [D005684]kinematics [D001696]knee joint [D007719]high tibial osteotomy [D010027]opening wedge osteotomy [D010027]biomechanics [D001696]postoperative period [D011184]functional outcomes [D016896]rehabilitation [D012046]Исследование было профинансировано в рамках государственного проекта ФНКЦ ФМБА России, государственный регистрационный номер 20.004.21.800.The study was funded as part of the government assignment to FNKC FMBA, state registration No. 20.004.21.800.ReferencesFujisawa Xie K., Han X., Jiang X. et al. The effect of varus knee deformities on the ankle alignment in patients with knee osteoarthritis. J Orthop Surg Res. 2019;14:134. https://doi.org/10.1186/s13018-019-1191-0Fujisawa Xie K., Han X., Jiang X. et al. The effect of varus knee deformities on the ankle alignment in patients with knee osteoarthritis. J Orthop Surg Res. 2019;14:134. https://doi.org/10.1186/s13018-019-1191-0Whatling G.M., Biggs P. R., Elson D.W., Metcalfe A., Wilson C., Holt C. High tibial osteotomy results in improved frontal plane knee moments, gait patterns and patient-reported outcomes. Knee surgery, sports traumatology, arthroscopy: official journal of the ESSKA. 2020;28(9):2872–2882. https://doi.org/10.1007/s00167-019-05644-7Whatling G.M., Biggs P. R., Elson D.W., Metcalfe A., Wilson C., Holt C. High tibial osteotomy results in improved frontal plane knee moments, gait patterns and patient-reported outcomes. Knee surgery, sports traumatology, arthroscopy: official journal of the ESSKA. 2020;28(9):2872–2882. https://doi.org/10.1007/s00167-019-05644-7Gao L, Madry H, Chugaev DV, Denti M, Frolov A, Burtsev M, Magnitskaya N, Mukhanov V, Neyret P, Solomin LN, Sorokin E, Staubli AE, Stone KR, Vilenskiy V, Zayats V, Pape D, Korolev A. Advances in modern osteotomies around the knee: Report on the Association of Sports Traumatology, Arthroscopy, Orthopaedic surgery, Rehabilitation (ASTAOR) Moscow International Osteotomy Congress 2017. J Exp Orthop. 2019 Feb 25;6(1):9. https://doi.org/10.1186/s40634-019-0177-5. PMID: 30805738; PMCID: PMC6389998.Gao L, Madry H, Chugaev DV, Denti M, Frolov A, Burtsev M, Magnitskaya N, Mukhanov V, Neyret P, Solomin LN, Sorokin E, Staubli AE, Stone KR, Vilenskiy V, Zayats V, Pape D, Korolev A. Advances in modern osteotomies around the knee: Report on the Association of Sports Traumatology, Arthroscopy, Orthopaedic surgery, Rehabilitation (ASTAOR) Moscow International Osteotomy Congress 2017. J Exp Orthop. 2019 Feb 25;6(1):9. https://doi.org/10.1186/s40634-019-0177-5. PMID: 30805738; PMCID: PMC6389998.Murray R., Winkler P.W., Shaikh H.S., Musahl V. High Tibial Osteotomy for Varus Deformity of the Knee. Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews. 2021;5(7):e21.00141. https://doi.org/10.5435/JAAOSGlobal-D-21-00141Murray R., Winkler P.W., Shaikh H.S., Musahl V. High Tibial Osteotomy for Varus Deformity of the Knee. Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews. 2021;5(7):e21.00141. https://doi.org/10.5435/JAAOSGlobal-D-21-00141Peng H., Ou A., Huang X., Wang C., Wang L., Yu T., Zhang Y., Zhang Y. Osteotomy Around the Knee: The Surgical Treatment of Osteoarthritis. Orthopaedic surgery. 2021;13(5):1465–1473. https://doi.org/10.1111/os.13021Peng H., Ou A., Huang X., Wang C., Wang L., Yu T., Zhang Y., Zhang Y. Osteotomy Around the Knee: The Surgical Treatment of Osteoarthritis. Orthopaedic surgery. 2021;13(5):1465–1473. https://doi.org/10.1111/os.13021Sarwar S, Lu J, Marcella C, Ming-liang J. Indications and clinical outcomes of High Tibial Osteotomy: a literature review. J Orthoped Muscular Syst. 2019;2(1):1007.Sarwar S, Lu J, Marcella C, Ming-liang J. Indications and clinical outcomes of High Tibial Osteotomy: a literature review. J Orthoped Muscular Syst. 2019;2(1):1007.Sabzevari S., Ebrahimpour A., Roudi M.K., Kachooei A.R. High Tibial Osteotomy: A Systematic Review and Current Concept. The archives of bone and joint surgery. 2016;4(3):204–212.Sabzevari S., Ebrahimpour A., Roudi M.K., Kachooei A.R. High Tibial Osteotomy: A Systematic Review and Current Concept. The archives of bone and joint surgery. 2016;4(3):204–212.Black MS, d'Entremont AG, McCormack RG, Hansen G, Carr D, Wilson DR. The effect of wedge and tibial slope angles on knee contact pressure and kinematics following medial opening-wedge high tibial osteotomy. Clin Biomech (Bristol, Avon). 2018 Jan;51:17-25. https://doi.org/10.1016/j.clinbiomech.2017.10.021 Epub 2017 Nov 2. PMID: 29154178.Black MS, d'Entremont AG, McCormack RG, Hansen G, Carr D, Wilson DR. The effect of wedge and tibial slope angles on knee contact pressure and kinematics following medial opening-wedge high tibial osteotomy. Clin Biomech (Bristol, Avon). 2018 Jan;51:17-25. https://doi.org/10.1016/j.clinbiomech.2017.10.021 Epub 2017 Nov 2. PMID: 29154178.Morin V., PailheR., DuvalB. R. et al. Gait analysis following medial opening-wedge high tibial osteotomy. Knee Surgery, Sports Traumatology, Arthroscopy. 2017;26(6):1838–1844. https://doi.org/10.1007/s00167-017-4421-1Morin V., PailheR., DuvalB. R. et al. Gait analysis following medial opening-wedge high tibial osteotomy. Knee Surgery, Sports Traumatology, Arthroscopy. 2017;26(6):1838–1844. https://doi.org/10.1007/s00167-017-4421-1Lind M, McClelland J, Wittwer JE, Whitehead TS, Feller JA, Webster KE. Gait analysis of walking before and after medial opening wedge high tibial osteotomy. Knee Surg Sports Traumatol Arthrosc. 2013;21:74–81. https://doi.org/10.1007/s00167-011-1496-y.Lind M, McClelland J, Wittwer JE, Whitehead TS, Feller JA, Webster KE. Gait analysis of walking before and after medial opening wedge high tibial osteotomy. Knee Surg Sports Traumatol Arthrosc. 2013;21:74–81. https://doi.org/10.1007/s00167-011-1496-y.Liu X., Chen Z., Gao Y., Zhang J., Jin Z. High Tibial Osteotomy: Review of Techniques and Biomechanics. Journal of healthcare engineering. 2019;2019:8363128. https://doi.org/10.1155/2019/8363128Liu X., Chen Z., Gao Y., Zhang J., Jin Z. High Tibial Osteotomy: Review of Techniques and Biomechanics. Journal of healthcare engineering. 2019;2019:8363128. https://doi.org/10.1155/2019/8363128Bode G., von Heyden J., Pestka J., Schmal H., Salzmann G., Südkamp N., Niemeyer P. Prospective 5-year survival rate data following openwedge valgus high tibial osteotomy. Knee Surg Sports Traumatol Arthrosc. 2015 Jul;23(7):1949-55. https://doi.org/10.1007/s00167-013-2762-yBode G., von Heyden J., Pestka J., Schmal H., Salzmann G., Südkamp N., Niemeyer P. Prospective 5-year survival rate data following openwedge valgus high tibial osteotomy. Knee Surg Sports Traumatol Arthrosc. 2015 Jul;23(7):1949-55. https://doi.org/10.1007/s00167-013-2762-yDa Silva HGPV, Zorzi AR, da Silva HPV, de Miranda JB. Gait analysis in short-term follow-up of medial opening wedge high tibial osteotomy. Eur J Orthop Surg Traumatol. 2018;28(5):939-946. https://doi.org/10.1007/s00590-017-2099-1Da Silva HGPV, Zorzi AR, da Silva HPV, de Miranda JB. Gait analysis in short-term follow-up of medial opening wedge high tibial osteotomy. Eur J Orthop Surg Traumatol. 2018;28(5):939-946. https://doi.org/10.1007/s00590-017-2099-1Da Cunha R.J., Kraszewski A.P., Hillstrom H.J., Fragomen A.T., Rozbruch S.R. Biomechanical and Functional Improvements Gained by Proximal Tibia Osteotomy Correction of Genu Varum in Patients with Knee Pain. HSS journal : the musculoskeletal journal of Hospital for Special Surgery. 2020;16(1):30–38. https://doi.org/10.1007/s11420-019-09670-6Da Cunha R.J., Kraszewski A.P., Hillstrom H.J., Fragomen A.T., Rozbruch S.R. Biomechanical and Functional Improvements Gained by Proximal Tibia Osteotomy Correction of Genu Varum in Patients with Knee Pain. HSS journal : the musculoskeletal journal of Hospital for Special Surgery. 2020;16(1):30–38. https://doi.org/10.1007/s11420-019-09670-6Skvortsov D, Kaurkin S, Prizov A, Altukhova A, Goncharov E, Nikitin A. Gait analysis and knee joint kinematics before a and 6 month after of corrective valgus osteotomy at patients with medial knee arthritis. Int Orthop. 2022 Apr 13. https://doi.org/10.1007/s00264-022-05370-9Skvortsov D, Kaurkin S, Prizov A, Altukhova A, Goncharov E, Nikitin A. Gait analysis and knee joint kinematics before a and 6 month after of corrective valgus osteotomy at patients with medial knee arthritis. Int Orthop. 2022 Apr 13. https://doi.org/10.1007/s00264-022-05370-9Skvortsov D., Kaurkin S., Prizov A., Altukhova A., Troitskiy A., Lazko F. Biomechanical Changes in Gait Patterns of Patients with Grade II Medial Gonarthritis. Diagnostics. 2021;11:1242. https://doi.org/10.3390/diagnostics11071242Skvortsov D., Kaurkin S., Prizov A., Altukhova A., Troitskiy A., Lazko F. Biomechanical Changes in Gait Patterns of Patients with Grade II Medial Gonarthritis. Diagnostics. 2021;11:1242. https://doi.org/10.3390/diagnostics11071242Leitch K.M., Birmingham T.B., Dunning C.E., Giffin J.R. Medial opening wedge high tibial osteotomy alters knee moments in multiple planes during walking and stair ascent. Gait & Posture. 2015;42(2):165–171. https://doi.org/10.1016/j.gaitpost.2015.05.005Leitch K.M., Birmingham T.B., Dunning C.E., Giffin J.R. Medial opening wedge high tibial osteotomy alters knee moments in multiple planes during walking and stair ascent. Gait & Posture. 2015;42(2):165–171. https://doi.org/10.1016/j.gaitpost.2015.05.005Saragaglia D., Mercier N., Colle P.E. Computer-assisted osteotomies for genu varum deformity: which osteotomy for which varus? Int Orthop. 2010 Feb;34(2):185-90. https://doi.org/10.1007/s00264-009-0757-6. Epub 2009 Mar 21.Saragaglia D., Mercier N., Colle P.E. Computer-assisted osteotomies for genu varum deformity: which osteotomy for which varus? Int Orthop. 2010 Feb;34(2):185-90. https://doi.org/10.1007/s00264-009-0757-6. Epub 2009 Mar 21.Saragaglia D., Nemer C., Colle P.E. Computer-assisted double level osteotomy for severe genu varum. Sports Med Arthrosc Rev. 2008 Jun;16(2):91-6. https://doi.org/10.1097/JSA.0b013e318172b562Saragaglia D., Nemer C., Colle P.E. Computer-assisted double level osteotomy for severe genu varum. Sports Med Arthrosc Rev. 2008 Jun;16(2):91-6. https://doi.org/10.1097/JSA.0b013e318172b562Fürmetz J., Patzler S., Wolf F. et al. Tibial and femoral osteotomies in varus deformities - radiological and clinical outcome. BMC Musculoskelet . 2020;21:201. https://doi.org/10.1186/s12891-020-03232-2Fürmetz J., Patzler S., Wolf F. et al. Tibial and femoral osteotomies in varus deformities - radiological and clinical outcome. BMC Musculoskelet . 2020;21:201. https://doi.org/10.1186/s12891-020-03232-2Huang J., Tian F, Zhang Z, Shi W, Lin J, Chen L, Yang H. Reliability and concurrent validity of angle measurements in lower limb: EOS 3D goniometer versus 2D manual goniometer. Journal of Orthopaedic Translation. 2020;24:96-102.Huang J., Tian F, Zhang Z, Shi W, Lin J, Chen L, Yang H. Reliability and concurrent validity of angle measurements in lower limb: EOS 3D goniometer versus 2D manual goniometer. Journal of Orthopaedic Translation. 2020;24:96-102.Collins NJ, Misra D, Felson DT, Crossley KM, Roos EM. Measures of knee function: International Knee Documentation Committee (IKDC) Subjective Knee Evaluation Form, Knee Injury and Osteoarthritis Outcome Score (KOOS), Knee Injury and Osteoarthritis Outcome Score Physical Function Short Form (KOOS-PS), Knee Outcome Survey Activities of Daily Living Scale (KOS-ADL), Lysholm Knee Scoring Scale, Oxford Knee Score (OKS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Activity Rating Scale (ARS), and Tegner Activity Score (TAS). Arthritis Care Res (Hoboken). 2011 Nov;63 Suppl 11(0 11):S208-28. https://doi.org/10.1002/acr.20632 PMID: 22588746; PMCID: PMC4336550.Collins NJ, Misra D, Felson DT, Crossley KM, Roos EM. Measures of knee function: International Knee Documentation Committee (IKDC) Subjective Knee Evaluation Form, Knee Injury and Osteoarthritis Outcome Score (KOOS), Knee Injury and Osteoarthritis Outcome Score Physical Function Short Form (KOOS-PS), Knee Outcome Survey Activities of Daily Living Scale (KOS-ADL), Lysholm Knee Scoring Scale, Oxford Knee Score (OKS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Activity Rating Scale (ARS), and Tegner Activity Score (TAS). Arthritis Care Res (Hoboken). 2011 Nov;63 Suppl 11(0 11):S208-28. https://doi.org/10.1002/acr.20632 PMID: 22588746; PMCID: PMC4336550.Odum SM, Fehring TK; Knee Society Crosswalk Writing Group. Can Original Knee Society Scores Be Used to Estimate New 2011 Knee Society Scores? Clin Orthop Relat Res. 2017 Jan;475(1):160-167. https://doi.org/10.1007/s11999-016-4886-0. PMID: 27178041; PMCID: PMC5174033Odum SM, Fehring TK; Knee Society Crosswalk Writing Group. Can Original Knee Society Scores Be Used to Estimate New 2011 Knee Society Scores? Clin Orthop Relat Res. 2017 Jan;475(1):160-167. https://doi.org/10.1007/s11999-016-4886-0. PMID: 27178041; PMCID: PMC5174033Huskisson, E.C. Measurement of pain. Lancet. 1974;304:1127–1131.Huskisson, E.C. Measurement of pain. Lancet. 1974;304:1127–1131.Habib MK, Khan ZA. Radiological, functional, and anatomical outcome in patients with osteoarthritic knee undergoing high tibial osteotomy. SICOT J. 2019;5:12. https://doi.org/10.1051/sicotj/2019009. Epub 2019 May 3. PMID: 31050336; PMCID: PMC6498865.Habib MK, Khan ZA. Radiological, functional, and anatomical outcome in patients with osteoarthritic knee undergoing high tibial osteotomy. SICOT J. 2019;5:12. https://doi.org/10.1051/sicotj/2019009. Epub 2019 May 3. PMID: 31050336; PMCID: PMC6498865.Keyt LK, Hevesi M, Levy BA, Krych AJ, Camp CL, Stuart MJ. High Tibial Osteotomy with a Modern Polyetheretherketone (PEEK) System: MidTerm Results at a Mean of 6 Years Follow-Up. J Knee Surg. 2020 Nov 23. https://doi.org/10.1055/s-0040-1721090. Epub ahead of print. PMID: 33231279.Keyt LK, Hevesi M, Levy BA, Krych AJ, Camp CL, Stuart MJ. High Tibial Osteotomy with a Modern Polyetheretherketone (PEEK) System: MidTerm Results at a Mean of 6 Years Follow-Up. J Knee Surg. 2020 Nov 23. https://doi.org/10.1055/s-0040-1721090. Epub ahead of print. PMID: 33231279.Thompson KA, Darden CN, Katsman A, Alaia MJ, Strauss EJ, Jazrawi LM. Short-Term Clinical Outcomes of High Tibial Osteotomy with the iBalance HTO System. Bull Hosp Jt Dis. (2013). 2019 Dec;77(4):256-262. PMID: 31785139.Thompson KA, Darden CN, Katsman A, Alaia MJ, Strauss EJ, Jazrawi LM. Short-Term Clinical Outcomes of High Tibial Osteotomy with the iBalance HTO System. Bull Hosp Jt Dis. (2013). 2019 Dec;77(4):256-262. PMID: 31785139.Sawaguchi T, Takeuchi R, Nakamura R et al. Outcome after treatment of osteoarthritis with open-wedge high-tibial osteotomy with a plate: 2-year results of a Japanese cohort study. Journal of Orthopaedic Surgery. January 2020. https://doi.org/10.1177/230949901988799Sawaguchi T, Takeuchi R, Nakamura R et al. Outcome after treatment of osteoarthritis with open-wedge high-tibial osteotomy with a plate: 2-year results of a Japanese cohort study. Journal of Orthopaedic Surgery. January 2020. https://doi.org/10.1177/230949901988799Lawrence C.M. Lau, Jason C.H. Fan, Kwong-Yin Chung et al. Satisfactory long-term survival, functional and radiological outcomes of openwedge high tibial osteotomy for managing knee osteoarthritis: Minimum 10-year follow-up study. Journal of Orthopaedic Translation. 2021;26:60-66. https://doi.org/10.1016/j.jot.2020.03.003Lawrence C.M. Lau, Jason C.H. Fan, Kwong-Yin Chung et al. Satisfactory long-term survival, functional and radiological outcomes of openwedge high tibial osteotomy for managing knee osteoarthritis: Minimum 10-year follow-up study. Journal of Orthopaedic Translation. 2021;26:60-66. https://doi.org/10.1016/j.jot.2020.03.003van Egmond N, Stolwijk N, van Heerwaarden R, van Kampen A, Keijsers Gait analysis before and after corrective osteotomy in patients with knee osteoarthritis and a valgus deformity. NLW. Knee Surg Sports Traumatol Arthrosc. 2017 Sep;25(9):2904-2913. https://doi.org/10.1007/s00167-016-4045-xvan Egmond N, Stolwijk N, van Heerwaarden R, van Kampen A, Keijsers Gait analysis before and after corrective osteotomy in patients with knee osteoarthritis and a valgus deformity. NLW. Knee Surg Sports Traumatol Arthrosc. 2017 Sep;25(9):2904-2913. https://doi.org/10.1007/s00167-016-4045-x

The authors declare that there are no conflicts of interest present.