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Opening-wedge high tibial osteotomy (OWHTO) is expected to result in higher patient satisfaction compared with knee arthroplasty due to joint preservation. However, patient satisfaction rates as well as factors associated with satisfaction after OWHTO remain unclear. To evaluate patient subjective satisfaction after OWHTO and determine factors associated with patient satisfaction after OWHTO. Case-control study; Level of evidence, 3. This study enrolled 123 patients (123 knees) who underwent unilateral OWHTO. Clinical parameters, includ