ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2016
Effect of soft tissue laxity of the knee joint on limb alignment correction in open-wedge high tibial osteotomy.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 77 papers.
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Who cites it
77 citing papers in PubMed, 155 citations in OpenAlex.
- Changes in Coronal Alignment of the Knee Joint after Supramalleolar Osteotomy.BioMed research international · 2021Trial
- Assessment of valgus laxity after release of the medial structure in medial open-wedge high tibial osteotomy: an in vivo biomechanical study using quantitative valgus stress radiography.BMC musculoskeletal disorders · 2019Trial
- Early weight bearing versus delayed weight bearing in medial opening wedge high tibial osteotomy: a randomized controlled trial.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2017Trial
- Ability of an intentionally smaller anterior than posterior gap to reduce the sagittal tibial slope in opening wedge high tibial osteotomy.BMC musculoskeletal disorders · 2016Trial
- Postoperative Joint Line Convergence Angle (JLCA) following high tibial osteotomy is affected not only by preoperative JLCA but also by postoperative hip-knee-ankle angle.Journal of experimental orthopaedics · 2026Article
- How to choose treatment for patients who are eligible for both unicompartmental knee arthroplasty and high tibial osteotomy?Journal of orthopaedic translation · 2026Review
- Rationale for preoperative planning in the supine position based on variability in the joint line convergence angle before and after open-wedge high tibial osteotomy.Bone & joint open · 2025Article
- Appropriate patient selection based on joint line convergence angle minimizes the difference between the mechanical axis in the standing and supine positions after open-wedge high tibial osteotomy and distal tuberosity osteotomy.Journal of orthopaedic surgery and research · 2025Article
- Full-length weight-bearing radiographs and computed tomography show discrepancies in coronal alignment for robotic arm-assisted total knee arthroplasty.Scientific reports · 2025Article
- Repairing the medial meniscus posterior root during open-wedge high tibial osteotomy does not significantly affect clinical outcomes.Frontiers in surgery · 2025Article
- Alignment rod and gap measurement methods achieve comparable alignment correction in opening wedge high tibial osteotomy for varus osteoarthritic knees.Journal of experimental orthopaedics · 2024Article
- Preoperative Joint Line Convergence Angle as an Indicator of Clinical Outcomes and Accuracy of Alignment Correction After Double-Level Osteotomy.Orthopaedic journal of sports medicine · 2024Article
- Adjusted planning based on the joint line convergence angle improves correction accuracy in the standing position after opening wedge high tibial osteotomy.Journal of orthopaedic surgery and research · 2024Article
- Influence of different standing positions on anatomical parameters of coronal whole-leg weight-bearing radiographs in preoperative planning for high tibial osteotomy.Journal of experimental orthopaedics · 2024Article
- Joint line convergence angle is the most associated alignment factor with the severity of medial knee osteoarthritis.Journal of experimental orthopaedics · 2024Article
- Intraoperative femurofibular angle combined with tibiofibular angle measurement has fewer correction errors in open-wedge high tibial osteotomy.Journal of orthopaedic surgery and research · 2024Article
- 3D osteotomies-improved accuracy with patient-specific instruments (PSI).European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Comparison of short-term clinical outcomes between open-wedge high tibial osteotomy and tibial condylar valgus osteotomy.BMC musculoskeletal disorders · 2024Article
- Constitutional and postoperative joint line obliquity can predict serial alignment change after opening-wedge high tibial osteotomy: analysis using coronal plane alignment of the knee classification.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Changes in ankle and hip joints following medial opening-wedge high tibial osteotomy affect knee joint line obliquity.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
17 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeOpen-wedge high tibial osteotomy (HTO) cannot always accurately correct limb alignment, resulting in under- or over-correction. This study assessed the relationship between soft tissue laxity of the knee joint and alignment correction in open-wedge HTO.
methodsThis prospective study involved 85 patients (86 knees) undergoing open-wedge HTO for primary medial osteoarthritis. The mechanical axis (MA), weight-bearing line (WBL) ratio, and joint line convergence angle (JLCA) were measured on radiographs preoperatively and after 6 months, and the differences between the pre- and post-surgery values were calculated. Post-operative WBL ratios of 57-67 % were classified as acceptable correction. WBL ratios <57 and >67 % were classified as under- and over-corrections, respectively.
resultsPreoperative JLCA correlated positively with differences in MA (r = 0.358, P = 0.001) and WBL ratio (P = 0.003). Difference in JLCA showed a stronger correlation than preoperative JLCA with differences in MA (P < 0.001) and WBL ratio (P < 0.001). Difference in JLCA was the only predictor of both difference in MA (P < 0.001) and difference in WBL ratio (P < 0.001). The difference between pre- and post-operative JLCA differed significantly between the under-correction, acceptable-correction, and over-correction groups (P = 0.033). Preoperative JLCA, however, did not differ significantly between the three groups. Neither preoperative JLCA nor difference in JLCA correlated with change in posterior slope.
conclusionsPreoperative degree of soft tissue laxity in the knee joint was related to the degree of alignment correction, but not to alignment correction error, in open-wedge HTO. Change in soft tissue laxity around the knee from before to after open-wedge HTO correlated with both correction amount and correction error. Therefore, a too large change in JLCA from before to after open-wedge osteotomy may be due to an overly large reduction in JLCA following osteotomy, suggesting alignment over-correction during surgery. LEVEL OF EVIDENCE: II.
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