Patient-reported outcomes correlate with functional scores after opening-wedge high tibial osteotomy: a clinical study

Seung Beom Han, Jong Hee Lee, Seul Gi Kim, Chun Guang Cui, Dong Won Suh, Seung Yup Lee, Ki Mo Jang

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    16 Citations (Scopus)


    Purpose: The purpose of this study was to assess post-operative patient subjective satisfaction and to analyze associated peri-operative factors following biplanar medial open wedge high tibial osteotomy (OWHTO). Methods: The study cohort consisted of 88 patients with a minimum of two years of follow-up. Patient satisfaction was evaluated with a questionnaire that assessed (1) overall satisfaction, (2) pain relief, (3) daily living functions, and (4) cosmesis. Patients were categorized into two groups (satisfied or unsatisfied) based on overall satisfaction questionnaire. Pre- and post-operative objective clinical statuses were assessed with a knee scoring system based on the American Knee Society (AKS), the Western Ontario McMaster University Osteoarthritis Index (WOMAC), and range of motion. Results: Of the 88 patients, 85.2% were graded as satisfied according to the overall satisfaction estimation. The percentage of patients satisfied with pain relief, daily living functions, and cosmesis were 85.2%, 86.4%, and 86.4%, respectively. Multivariable logistic regression analysis demonstrated that pre-operative Hip-Knee-Ankle angle (HKAA) (odds ratio (OR) = 1.812), post-operative AKS knee score (OR = 1.156), and post-operative HKAA (OR = 0.717) were significantly associated with overall satisfaction. Pre-operative HKAA (OR = 1.436), post-operative WOMAC activity score (OR = 0.865), and post-operative HKAA (OR = 0.505) were significant predictors for satisfaction with pain reduction, daily living functions, and cosmesis, respectively. Conclusions: Biplanar medial OWHTO is an effective treatment for osteoarthritis with varus deformity in terms of subjective satisfactory outcome. Several factors, including pre- and post-operative HKAA, post-operative AKS and WOMAC score, were significant predictors for subjective satisfaction. Level of evidence: Level III.

    Original languageEnglish
    Pages (from-to)1067-1074
    Number of pages8
    JournalInternational Orthopaedics
    Issue number5
    Publication statusPublished - 2018 May 1


    • Functional score
    • Knee joint
    • Opening-wedge high tibial osteotomy
    • Osteoarthritis
    • Patients reported outcomes
    • Satisfaction

    ASJC Scopus subject areas

    • Surgery
    • Orthopedics and Sports Medicine


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