ArticleInternational orthopaedics2017
Discrepancy of alignment in different weight bearing conditions before and after high tibial osteotomy.
Article in International orthopaedics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.
- Influence of axial limb rotation on radiographic lower limb alignment: a systematic review.Archives of orthopaedic and trauma surgery · 2022Pooled it
- Preoperative standing-supine difference in joint line convergence angle predicts postoperative alignment change after closing-wedge high tibial osteotomy.Journal of experimental orthopaedics · 2026Article
- 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
- 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
- Postoperative full leg radiographs exhibit less residual coronal varus deformity compared to intraoperative measurements in robotic arm-assisted total knee arthroplasty with the MAKO™ system.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Key-Point Detection Algorithm of Deep Learning Can Predict Lower Limb Alignment with Simple Knee Radiographs.Journal of clinical medicine · 2023Article
- Global varus malalignment increase from double-leg to single-leg stance due to intra-articular changes.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- [Effectiveness of intraoperative tibia fibular angle and femoral fibular angle in predicting coronal lower limb alignment after medial open-wedge high tibial osteotomy].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2022Article
- Differences in preoperative planning for high-tibial osteotomy between the standing and supine positions.Knee surgery & related research · 2021Article
- Change of joint-line convergence angle should be considered for accurate alignment correction in high tibial osteotomy.Knee surgery & related research · 2021Article
- Patient-specific prediction of joint line convergence angle after high tibial osteotomy using a whole-leg radiograph standing on lateral-wedge insole.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Article
- Managing intra-articular deformity in high Tibial osteotomy: a narrative review.Journal of experimental orthopaedics · 2020Review
- Joint line convergence angle predicts outliers of coronal alignment in navigated open-wedge high tibial osteotomy.Archives of orthopaedic and trauma surgery · 2020Article
- Difference in joint line convergence angle between the supine and standing positions is the most important predictive factor of coronal correction error after medial opening wedge high tibial osteotomy.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Article
- Preliminary Evaluation of the Efficacy of Postoperative Early Weight-bearing Rehabilitation Protocol for Patients after Double-level Osteotomy.Progress in rehabilitation medicine · 2020Article
- 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
- Weight-bearing radiography depends on limb loading.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019Article
- Presence of rotational errors in long leg radiographs after total knee arthroplasty and impact on measured lower limb and component alignment.International orthopaedics · 2017Article
- High Tibial Osteotomy With Miniaci Planning Using Manual and Semiautomated Digital Measures.Video journal of sports medicineArticle
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo evaluate the differences in the amount of varus malalignment and valgus (over) correction in relation to three different weight bearing conditions from whole leg AP radiographs (single-limb (SL) stance, double-limb (DL) stance, supine position (S)) before and after high tibial osteotomy (HTO), and to evaluate which alignment parameters affect the changes for patients in three different weight bearing conditions.
methodsA total of 40 consecutive patients (43 knees) with varus osteoarthritis underwent navigation assisted open wedge HTO. Mechanical axis angle (MA) was measured before and after surgery from hip-to-ankle radiographs taken with patients in three different weight bearing conditions. To find significant factors that affect the alignment differences, several variables including patient demographics, soft tissue laxity, pelvic obliquity, and ground mechanical axis deviation of tibia (calculated by the angle between two lines, tibial anatomical axis and weight-bearing line) were evaluated.
resultsPre-operatively, mean MA measured on SL stance radiographs was significantly more varus than on DL stance (10.1° ± 2.4° and 8.0° ± 2.6°, respectively, p < 0.001), which was significantly more varus than on supine position (6.6° ± 2.6°, p < 0.001). Meanwhile, in patients with post-operatively valgus corrected knee, MA did not show the same pattern of change as with pre-operative varus knee. Mean MA measured on DL stance radiographs was more valgus than in supine position (-3.0
conclusionIn pre-operative varus knee, the mean MA on SL stance was changed to more varus than on DL stance, which changed to less valgus in post-operative valgus knee. The understanding in discrepancy of alignment in different weight bearing conditions before and after HTO should be considered for the appropriate realignment of the limb. STUDY
designLevel II Prospective comparative study.
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