ArticleInternational orthopaedics2016
Analysis of the effects of high tibial osteotomy on tibial rotation.
Article in International orthopaedics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.
- Leg length change after opening wedge and closing wedge high tibial osteotomy: A meta-analysis.PloS one · 2017Pooled it
- Open Wedge High Tibial Osteotomy with Distal Tubercle Osteotomy Lessens Change in Patellar Position.BioMed research international · 2017Trial
- Effect of asymmetric anterior and posterior wedge openings on medial and lateral posterior tibial slope in medial open wedge high tibial osteotomy: An in vitro study on sheep tibias.Acta orthopaedica et traumatologica turcica · 2025Article
- Three-Dimensional Hinge Axis Orientation Contributes to Simultaneous Alignment Correction in All Three Anatomical Planes in Opening-Wedge High Tibial Osteotomy.Arthroscopy, sports medicine, and rehabilitation · 2024Article
- Osseous factors influencing distal tibial rotation in biplane medial opening wedge high tibial osteotomy.International orthopaedics · 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
- Changes in Parameters after High Tibial Osteotomy: Comparison of EOS System and Computed Tomographic Analysis.Journal of clinical medicine · 2023Article
- Discharging the medial knee compartment: comparison of pressure distribution and kinematic shifting after implantation of an extra-capsular absorber system (ATLAS) and open-wedge high tibial osteotomy-a biomechanical in vitro analysis.Archives of orthopaedic and trauma surgery · 2023Article
- Changes in sagittal and axial plane alignment in medial opening wedge high tibial osteotomy: a prospective observational study.Musculoskeletal surgery · 2023Observational
- Analysis of changes in tibial torsion angle on open-wedge high tibial osteotomy depending on the osteotomy level.Knee surgery & related research · 2022Article
- Alignment changes after open-wedge high tibial osteotomy result in offloading in the patellofemoral joint: a SPECT/CT analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Tibial Derotational Osteotomy for Patellofemoral Instability: A Systematic Review.Advances in orthopedics · 2022Article
- Three dimensional CT analysis of the change in rotational alignment in double level osteotomy after double level osteotomy performed for varus osteoarthritic knees.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2021Article
- Rotational Changes in the Distal Tibial Fragment Relative to the Proximal Tibial Fragment at the Osteotomy Site after Open-Wedge High-Tibial Osteotomy.BioMed research international · 2021Article
- Preoperative flexion contracture is a predisposing factor for cartilage degeneration at the patellofemoral joint after open wedge high tibial osteotomy.Knee surgery & related research · 2020Article
- Opening gap width influences distal tibial rotation below the osteotomy site following open wedge high tibial osteotomy.PloS one · 2020Article
- Tibial rotational alignment after opening-wedge and closing-wedge high tibial osteotomy.Nagoya journal of medical science · 2019Article
- Retro-tubercular gap widening can be caused by inappropriate anterior osteotomy and large opening gap in the medial biplanar open-wedge HTO.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019Article
- Medial open wedge vs. lateral closed wedge high tibial osteotomy - Indications based on the findings of patellar height, leg length, torsional correction and clinical outcome in one hundred cases.International orthopaedics · 2019Article
- The correlation of sagittal osteotomy inclination and the anteroposterior translation in medial open-wedge high tibial osteotomy-one of the causes affecting the patellofemoral joint?International orthopaedics · 2019Observational
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeLimited literature reports on internal and external rotation of the distal fragment in the context of valgus open wedge (OW) high tibial osteotomy (HTO). In the authors clinical observation, the distal fragment was always rotated internally in relation to the proximal fragment by the end of the surgical procedure. The purpose was to evaluate the influence of valgus OW-HTO on post-operative tibial torsion. STUDY
designProspective case series.
methodsFifty patients (10 female, 40 male; mean age 42.1 ± 9.4 years) underwent valgus OW- HTO. The osteotomy was spread and fixed with a locking plate at the posteromedial aspect of the proximal tibia. The osteotomy of the tibial tuberosity was performed either proximally or distally dependent on the patello-femoral findings. Two independent observers measured axial tibial rotation using K-wires placed into the anterior margin of the tibia proximal and distal to the osteotomy.
resultsAn overall mean of 4.4 ± 2.8° internal rotation of the distal tibia has been shown. In four patients with additional single step double bundle ACL-replacement after harvesting ipsilateral autologous hamstring grafts, the distal tibia rotated internally by 0.1 ± 0.3°, accordingly in the other 46 patients by 4.8 ± 2.6°.
conclusionsValgus OW-HTO produces significant internal axial rotation of the distal tibia. This might be caused by soft tissue tension of the medial hamstrings/soft tissue structures and the location of the lateral tibial hinge. CLINICAL RELEVANCE: Surgeons have to take into consideration that valgus OW HTO might result in significant 3D changes of the tibia. Higher degrees of internal torsion of the tibia might influence overall gait mechanics and specifically alternate patellofemoral kinematics.
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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.