ReviewJournal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology2011
Role of high tibial osteotomy in chronic injuries of posterior cruciate ligament and posterolateral corner.
Review in Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 96 citations in OpenAlex.
- Single versus double bundle in posterior cruciate ligament (PCL) reconstruction: a meta-analysis.Scientific reports · 2022Pooled it
- Progress in the treatment of knee osteoarthritis with high tibial osteotomy: a systematic review.Systematic reviews · 2021Pooled it
- Radiological outcomes in a randomized trial comparing opening wedge and closing wedge techniques of high tibial osteotomy.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2017Trial
- Anterior open wedge high tibial osteotomy for slope correction as a successful method in PCL insufficiency-Radiological and clinical results of a cohort study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Factors influencing the posterior tibial slope after medial opening-wedge high tibial osteotomy.Frontiers in bioengineering and biotechnology · 2025Article
- RETURN TO SPORTS FOLLOWING KNEE OSTEOTOMY IN COMPETITIVE ATHLETES - CASE SERIES.Acta ortopedica brasileira · 2025Article
- Mathematical explanations for knee osteotomies: "Dear engineer, how would you explain it in a simple way?"Archives of orthopaedic and trauma surgery · 2024Review
- Changes in Patellar Height and Tibial Posterior Slope after Biplanar High Tibial Osteotomy with Computer-Designed Personalized Surgical Guides: A Retrospective Study.Orthopaedic surgery · 2024Article
- Effect of Posterior Tibial Slope on Outcomes After Posterior Cruciate Ligament Reconstruction.Orthopaedic journal of sports medicine · 2024Article
- Open wedge osteotomy of medial tibial condyle gives good results in management of neglected diagonal lesions of proximal tibia.Journal of clinical orthopaedics and trauma · 2022Article
- A review of role of osteotomy in knee ligament injuries.Journal of clinical orthopaedics and trauma · 2022Review
- Tibial condylar valgus osteotomy (TCVO): Surgical technique and clinical results for knee osteoarthritis with varus deformity.Journal of clinical orthopaedics and trauma · 2021Article
- Effects of sagittal tibial osteotomy on frontal alignment of the knee and patellar height.International orthopaedics · 2020Article
- Decision making for concomitant high tibial osteotomy (HTO) in cartilage repair patients based on a nationwide cohort study of 4968 patients.Archives of orthopaedic and trauma surgery · 2020Article
- The underlying mechanism of partial anterior cruciate ligament injuries to the meniscus degeneration of knee joint in rabbit models.Journal of orthopaedic surgery and research · 2020Article
- Advances in modern osteotomies around the knee : Report on the Association of Sports Traumatology, Arthroscopy, Orthopaedic surgery, Rehabilitation (ASTAOR) Moscow International Osteotomy Congress 2017.Journal of experimental orthopaedics · 2019Review
- The Role of Osteotomy for the Treatment of PCL Injuries.Current reviews in musculoskeletal medicine · 2018Review
- Underappreciated Factors to Consider in Revision Anterior Cruciate Ligament Reconstruction: A Current Concepts Review.Orthopaedic journal of sports medicine · 2018Review
- Do ethnicity and gender influence posterior tibial slope?Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2017Article
- Current Concepts of Posterolateral Corner Injuries of the Knee.Knee surgery & related research · 2017Review
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
High tibial osteotomy (HTO) is a surgical procedure used to change the mechanical weight-bearing axis and alter the loads carried through the knee. Conventional indications for HTO are medial compartment osteoarthritis and varus malalignment of the knee causing pain and dysfunction. Traditionally, knee instability associated with varus thrust has been considered a contraindication. However, today the indications include patients with chronic ligament deficiencies and malalignment, because an HTO procedure can change not only the coronal but also the sagittal plane of the knee. The sagittal plane has generally been ignored in HTO literature, but its modification has a significant impact on biomechanics and joint stability. Indeed, decreased posterior tibial slope causes posterior tibia translation and helps the anterior cruciate ligament (ACL)-deficient knee. Vice versa, increased tibial slope causes anterior tibia translation and helps the posterior cruciate ligament (PCL)-deficient knee. A review of literature shows that soft tissue procedures alone are often unsatisfactory for chronic posterior instability if alignment is not corrected. Since limb alignment is the most important factor to consider in lower limb reconstructive surgery, diagnosis and treatment of limb malalignment should not be ignored in management of chronic ligamentous instabilities. This paper reviews the effects of chronic posterior instability and tibial slope alteration on knee and soft tissues, in addition to planning and surgical technique for chronic posterior and posterolateral instability with HTO.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.