Table 1.
Survival rates and functional outcomes
| Author | No. of cases (mean age) | Technique | Implant | Survival (y) | Outcomes |
|---|---|---|---|---|---|
| Neiemayer et al. (2010) | 69 (47 Y) | owhto | TomoFix plate | overall complication rate 8.6 % (3 y) | Preop scores IKDC 47.2; Lysholm 54.2 Postop scores (3 Y) IKDC 72.7; Lysholm 79.1 |
| Hernigou et al. (2010) | 53 (60 Y) | owhto + porous beta-tricalcium phosphate (Ceraver) | buttress plate (steel) | 88.7 % (10 y) | no pain in 40; slight pain in 2; moderate/severe pain in 6; severe pain 6 → revision |
| DeMeo et al. (2010) | 20 (49 Y) | owhto | Puddu plate | 70 % (8 y) | Preop scores HHS 75.9; Lysholm 54.2 Postop scores (2 Y) HHS 92.7; Lysholm 89.1 Postop scores (8 Y) HHS 86.8; Lysholm 83 |
| Shallberger et al. (2011) | 71 (40 Y) | owhto + cwhto | bent one-half tubular plate; in owhto autologous tricortical bone graft | 98 % (5 y) 92 % (10 y) 71 % (15 y) |
WOMAC 84 KOOS 71 (at final F-U) |
| Shröter et al. (2011) | 35 (45 Y) | owhto | HTO plate | Overall complication rate 34 % plate-related complication rate 23 % (1 y) |
Preop: Lysholm 55.5 HHS 74.8 Tegner 2.6 IKDC 43.0 1 Year F-U: Lysholm 73 HHS 87.8 Tegner 3.7 IKDC 66.1 |
| LaPrade et al. (2012) | 47 (40.5 Y) | owhto | Puddu plate | 94 % (3.6 y) | Modified Cincinnati Knee Scores Preop: 42.9 Postop: 65.1 (3.6 Y F-U) |
| Niinimäki et al. (2012) | 3195 (54 Y) | owhto + cwhto | n.e. | 89 % (5 y) 73 % (10 y) |
n.e. |
| Bode et al. (2013) | 51 (47 Y) | owhto | TomoFix plate | 96 % (5 y) | Preop scores IKDC 47.3; Lysholm 54.3 Postop scores (5 Y) IKDC 69.4; Lysholm 76.6 |
| Bonasia et al. (2014) | 99 (54 Y) | owhto (1 autologous iliac bone graft + 60 HATriC substitute wedges) | Puddu plate | 98.7 % (5 y) 75.9 % (7.5 y) |
Preop scores KSS 135.6 WOMAC 50.7 Postop scores (5 Y) KSS 160.5 WOMAC 76.1 |
| Flecher et al. (2006) | 301 (42 Y) | cwhto | Blount stable plate | 94.8 % (5 y) 92.8 % (10 y) 89.7 % (15 y) 85.1 % (20 y) |
77 % satisfactory (18 Y F-U) |
| Akizuki et al. (2008) | 118 (63 Y) | cwhto | Giebel plate | 97.6 % (10 y) 90.4 % (15 y) |
Preop scores HHS 60.7 Postop scores (1 and 5 Y) HHS 90 Postop scores (15 Y) HHS 84; excellent or good results in 73.7 % |
| Gstöttner et al. (2008) | 134 (n.e.) | cwhto | staple | 94 % (5 y) 79.9 % (10 y) 65.5 % (15 y) 54,1 % (18 y) |
n.e. |
| Hui et al. (2011) | 413 (50 Y) | cwhto | Krakow staple | 95 % (5 y) 79 % (10 y) 56 % (15 y) |
BOA: 85 % would surgery again: 84 % |
| Efe et al. (2011) | 199 (54 Y) | cwhto | AO plate | 93 % (5 y) 84 % (9.6 y) 68 % (15 y) |
HSS: 54 excellent (85–100 points) 74 good (70–81 point) 51 fair (60–69 point) 20 poor (<60 point) |
BOA British Orthopaedic Association Patient Satisfaction Scale, cwhto closing wedge high tibial osteotomy, F-U follow-up, HHS Hospital for Special Surgery score, IKDC International Knee Documentation Committee score, KOOS Knee Injury and Osteoarthritis Outcome score, KSS Knee Society score, n.en not evaluated, owhto open wedge high tibial osteotomy, WOMAC Western Ontario and McMaster Universities Osteoarthritis Index score