ReviewJournal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology2016
High tibial osteotomy in the ACL-deficient knee with medial compartment osteoarthritis.
Review in Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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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
26 citing papers in PubMed, 63 citations in OpenAlex.
- Clinical benefit analysis of no tourniquet use in modified single-plane high tibial osteotomy: a retrospective cohort study.BMC musculoskeletal disorders · 2026Article
- SIMULTANEOUS CONTRALATERAL HIGH TIBIAL OSTEOTOMY DURING TOTAL KNEE ARTHROPLASTY: A NEW PERSPECTIVE IN ORTHOPEDIC SURGERY.Orthopedic reviews · 2026Article
- Technical tips and tricks for complex biplanar high tibial osteotomies.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Review
- [Application progress of customized steel plates in osteotomy and orthopedic treatment of knee osteoarthritis].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025Review
- Osteotomies: Indications, Imaging Appearance, Surgical Techniques, and Complications.Diagnostics (Basel, Switzerland) · 2025Review
- Effect of posteriorly inclined sagittal osteotomy on posterior tibial slope in biplanar medial opening wedge high tibial osteotomy: a case series study.BMC musculoskeletal disorders · 2025Article
- Association of Posterior Tibial Slope and Functional Outcome After Total Knee Arthroplasty: An Observational Study.Cureus · 2024Article
- The application of proximal tibial anterior closing wedge osteotomy in anterior cruciate ligament reconstruction.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2024Article
- Mathematical explanations for knee osteotomies: "Dear engineer, how would you explain it in a simple way?"Archives of orthopaedic and trauma surgery · 2024Review
- Joint line convergence angle is the most associated alignment factor with the severity of medial knee osteoarthritis.Journal of experimental orthopaedics · 2024Article
- Influence of variable hinge positioning on coronal and sagittal alignment in uniplanar medial open-wedge high tibial osteotomy.Journal of experimental orthopaedics · 2024Article
- Excellent short-term results of dome-shaped high tibial osteotomy combined with all-inside anterior cruciate ligament reconstruction.Journal of experimental orthopaedics · 2023Article
- Is there any benefit in the combined ligament reconstruction with osteotomy compared to ligament reconstruction or osteotomy alone?: Comparative outcome analysis according to the degree of medial compartment osteoarthritis with anterior or posterior cruciate ligament insufficiency.Archives of orthopaedic and trauma surgery · 2023Article
- Effect of anterior tibial bowing on measurement of posterior tibial slope on conventional X-rays.Archives of orthopaedic and trauma surgery · 2023Article
- Effect of the sagittal osteotomy inclination angle on the posterior tibial slope change in high tibial osteotomy: three-dimensional simulation study.Scientific reports · 2022Article
- Application of SolidWorks software in preoperative planning of high tibial osteotomy.Frontiers in surgery · 2022Article
- A novel biplanar medial opening-wedge high tibial osteotomy: the Z-shaped technique. A case series at 7.2 years follow-up.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2021Article
- Graft Survivorship After Anterior Cruciate Ligament Reconstruction Based on Tibial Slope.The American journal of sports medicine · 2021Article
- Biomechanical Changes in Gait Patterns of Patients with Grade II Medial Gonarthritis.Diagnostics (Basel, Switzerland) · 2021Article
- Preoperative planning by osteotomy master software helps to improve the accuracy of target limb alignment in high tibial osteotomy.Journal of orthopaedic surgery and research · 2020Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
High tibial osteotomy (HTO) has traditionally been used to treat varus gonarthrosis in younger, active patients. Varus malalignment increases the risk of progression of medial compartment osteoarthritis and an HTO can be performed to realign the mechanical axis of the lower limb towards the lateral compartment, thereby decreasing contact pressures in the medial compartment. Anterior cruciate ligament (ACL) insufficiency may lead to post-traumatic arthritis due to altered joint loading and associated injuries to the menisci and articular cartilage. Understanding the importance of posterior tibial slope and its role in sagittal knee stability has led to the development of biplane osteotomies designed to flatten the posterior tibial slope in the ACL deficient knee. Altering the alignment in both the sagittal and coronal planes helps improve stability as well as alter the load in the medial compartment. Detailed history, physical exam and radiographic analysis guide treatment decisions in this high demand patient population. Lateral closing wedge (LCW) and medial opening wedge (MOW) HTOs have been performed and their potential advantages and disadvantages have been well described. Given the triangular shape of the proximal tibia, it is imperative that the surgeon pay close attention to the geometry of the osteotomy "gap" when performing MOW HTO to avoid inadvertently increasing the posterior tibial slope. Simultaneous ACL reconstruction may require technique modifications depending on the type of HTO and ACL graft chosen. With appropriate patient selection and good surgical technique, it is reasonable to expect patients to return to activities of daily living and recreational sports without debilitating pain or instability.
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