AUTHOR=Lu Jizhe , Peng Zhiwei , Gu Qiang , Wu Xinming , Zhu Zhexi , Liu Guodong , Xu Hang , Tong Lei 
  
TITLE=Gait and plantar pressure changes after medial open-wedge high tibial osteotomy combined with arthroscopic partial meniscectomy
  
JOURNAL=Frontiers in Bioengineering and Biotechnology
  
VOLUME=Volume 14 - 2026
  
YEAR=2026
  
URL=https://www.frontiersin.org/journals/bioengineering-and-biotechnology/articles/10.3389/fbioe.2026.1760858
  
DOI=10.3389/fbioe.2026.1760858
  
ISSN=2296-4185
  
ABSTRACT=PurposeTo evaluate the effects of medial open-wedge high tibial osteotomy (MOWHTO) combined with arthroscopic partial meniscectomy (APM) on spatiotemporal gait parameters and plantar pressure distribution in patients with varus knee osteoarthritis (KOA).MethodsA prospective study was conducted including 25 patients with medial compartment KOA who underwent MOWHTO combined with APM and 25 healthy controls. Gait parameters and plantar pressure were recorded preoperatively and 4 months postoperatively using the Zebris FDM pressure platform. Radiographic parameters—including the femorotibial angle (FTA), medial proximal tibial angle (MPTA), weight-bearing line ratio (WBLR), and tibial plafond inclination (TPI)—as well as clinical scores (VAS, HSS, WOMAC, and Lysholm) were assessed.ResultsPostoperative radiographic parameters and clinical scores significantly improved (P < 0.001). Stride length (P < 0.05), gait velocity, and affected-limb stance duration (P < 0.01) increased. COP path length (P < 0.001) and gait temporal symmetry indices (P < 0.01) decreased. Radiographic correction correlated with plantar-pressure variables (P < 0.05). Medial forefoot (M1) and medial heel (HM) contact time and peak pressure also increased (P < 0.05).ConclusionMOWHTO combined with APM was associated with improvements in lower-limb alignment, gait performance, plantar-pressure distribution, and gait symmetry during the short-term postoperative period.