Published online May 18, 2024. doi: 10.5312/wjo.v15.i5.444
Revised: March 5, 2024
Accepted: April 12, 2024
Published online: May 18, 2024
Processing time: 112 Days and 14.5 Hours
Core Tip: A great deal of uncertainty exists in the literature about which operation, out of unicompartmental knee arthroplasty (UKA) or high tibial osteotomy (HTO), is more beneficial in the treatment of knee osteoarthritis. This study adds evidence to the existing literature base, concluding that HTOs and UKAs are equally efficacious operative interventions capable of providing a comparable degree of improvement in joint function and global health-related quality of life, to those with medial compartment knee osteoarthritis at one year postoperatively. This study is the first of its kind to report a correlation analysis between the angle of Mikulicz line and patient-reported health outcomes. It demonstrated that preoperatively, a more distolaterally angled Mikulicz line was associated worse knee function/health-related quality of life. The mechanisms underlying this relationship remain unknown and represent an avenue for future research; the authors of this study posit an association with the external knee adduction moment.