Open-Wedge Osteotomy Using an Internal Plate Fixator in Patients With Medial-Compartment Gonarthritis and Varus Malalignment: 3-Year Results With Regard to Preoperative Arthroscopic and Radiographic Findings

Bovine xenograft locking Puddu plate versus tricalcium phosphate spacer non-locking Puddu plate in opening-wedge high tibial osteotomy: a prospective double-cohort study

“…Although long locking plates showed better biomechanical properties when compared to short spacer plates [20,21], their costs are higher, and hardware removal is required in a significant number of patients because of local discomfort [22]. On the other hand, the Puddu plate is a reliable implant associated with good clinical results [15,23].…”

Prospective evaluation of a new plate fixator for valgus-producing medial open-wedge high tibial osteotomy

“…However, disadvantages of this implant include its bulky design, which causes local discomfort in most patients until implant removal [49,50]. Further non-variable predefined directions of the locking screws carry the risk for crossthreading and limit tunnel placement during concomitant anterior (ACL) or posterior (PCL) cruciate ligament reconstruction.…”

Evaluation of Functional Results of Medial Opening Wedge High Tibial Osteotomy for Unicompartmental Osteoarthritis Varus Knee

“…Duivenvoorden et al 30 in a randomised control trial with six-year follow-up found that OWHTO was associated with more complications (38% vs. 9% in closing-wedge group), but closing-wedge HTO was associated with more early conversions to total knee arthroplasty (22% vs. 8% in opening-wedge group). They advised an OWHTO with rigid plate fixation and without bone graft for patients with medial compartment OA of the knee and varus malalignment of <12° to minimise the risk of complications and to maximise the survival.…”