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6 to 91.6. Kujala subscores for pain improved from 8.6 to 30.4, for instability improved from 6.4 to 17.9, and their ability to climb stairs increased from 6.9 to 17.9 (all P0.0001). Multivariate logistic regression model identified that patient age (P0.005) and advanced chondral damage (P0.001) were the dominant factors predicting inferior clinical outcomes using Kujala's score. HTDO provided good results regarding the pain symptoms, instability and the ability to climb stairs. Advanced chondral damage and advanced age ha