Clinical Study

Open Wedge High Tibial Osteotomy with Distal Tubercle Osteotomy Lessens Change in Patellar Position

Table 2

Pre- and postoperative radiographic measurements by operative group.

VariablesOWHTO ()OWHTO/DTO () value

Preoperative Insall-Salvati1.02 ± 0.131.01 ± 0.230.932
Postoperative Insall-Salvati0.97 ± 0.121.00 ± 0.140.353
Preoperative modified Insall-Salvati1.48 ± 0.131.46 ± 0.160.701
Postoperative modified Insall-Salvati1.40 ± 0.151.47 ± 0.170.072
Preoperative Blackburne-Peel0.80 ± 0.110.79 ± 0.110.800
Postoperative Blackburne-Peel0.71 ± 0.150.76 ± 0.150.138
Preoperative Caton-Deschamps0.93 ± 0.080.90 ± 0.120.237
Postoperative Caton-Deschamps0.83 ± 0.110.86 ± 0.140.265
Preoperative modified Miura-Kawamura0.89 ± 0.080.84 ± 0.120.077
Postoperative modified Miura-Kawamura0.81 ± 0.120.83 ± 0.160.552
Preoperative tibial slope (degrees)8.3 ± 3.58.7 ± 3.90.655
Postoperative tibial slope (degrees)11.1 ± 3.2311.2 ± 4.160.943
Preoperative lateral patella tilt (degrees)14.1 ± 2.4714.5 ± 3.690.582
Postoperative lateral patella tilt (degrees)12.1 ± 2.1813.1 ± 3.980.249
Preoperative lateral patella shift0.14 ± 0.030.15 ± 0.470.493
Postoperative lateral patella shift0.13 ± 0.040.14 ± 0.050.450

Values expressed as mean SD; OWHTO, open wedge high tibial osteotomy; DTO, distal tubercle osteotomy.