10-Year Survival Rates After High Tibial Osteotomy Using Angular Stable Internal Plate Fixation: Case Series With Subgroup Analysis of Outcomes After Combined Autologous Chondrocyte Implantation and High Tibial Osteotomy

Bode L, Salzmann G, Schmal H, et al. · Orthopaedic Journal of Sports Medicine

10-year survival 87.2% overall and 94.3% in the HTO+ACI subgroup; pain fell and Lysholm rose. BMI of 35 or higher and female sex predicted conversion to arthroplasty.

Population

125 patients after modern open-wedge HTO with locking-plate fixation (90 HTO alone, 35 HTO+ACI), mean 9.9-year follow-up

Intervention

Open-wedge HTO (with or without ACI)

Comparator

Internal subgroup comparison

Limitations

Retrospective single-center series; subgroups not randomized.