ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2018
The effects of different hinge positions on posterior tibial slope in medial open-wedge high tibial osteotomy.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 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
34 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.
- Distal tibial tubercle osteotomy can lessen change in patellar height post medial opening wedge high tibial osteotomy? A systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2022Pooled it
- A novel 3D-printed patient-specific instrument based on "H-point" for medial opening wedge high tibial osteotomy: a cadaver study.Journal of orthopaedic surgery and research · 2022Trial
- Different sagittal cutting plane orientations do not affect posterior tibial slope in open wedge high tibial osteotomy: a Sawbone model study.Archives of orthopaedic and trauma surgery · 2026Article
- Altered subchondral bone mineral density in painful knee osteoarthritis without cysts: a comparative analysis of lateral and medial regions.BMC musculoskeletal disorders · 2025Article
- Measuring osteotomy wedge angle is more important than measuring wedge height in open wedge osteotomies around the knee in preoperative planning.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Comparing Simulation Approaches Used in Finite Element Modelling of a Medial Opening Wedge High Tibial Osteotomy.Annals of biomedical engineering · 2025Article
- 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
- Is it beneficial to use lateral protective crossing K-wires during medial open wedge high tibial osteotomy? A retrospective comparative study.Journal of orthopaedic surgery and research · 2025Article
- Hinge Position Dominance Over Osteotomy Inclination in Medial Open-Wedge High Tibial Osteotomy: A Key Factor in Posterior Tibial Slope Changes.Cartilage · 2025Article
- Factors influencing the posterior tibial slope after medial opening-wedge high tibial osteotomy.Frontiers in bioengineering and biotechnology · 2025Article
- Axial rotation of the hinge axis can cause changes in coronal tibial alignment in anterior tibial closing wedge osteotomy in a 3D simulation model.Journal of experimental orthopaedics · 2025Article
- How to Perform an Accurate and Safe Medial Open Wedge High Tibial Osteotomy; A Technical Note.The archives of bone and joint surgery · 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
- Maintaining Posterior Tibial Slope and Patellar Height During Medial Opening Wedge High Tibial Osteotomy.Orthopaedic journal of sports medicine · 2023Article
- Changes in Parameters after High Tibial Osteotomy: Comparison of EOS System and Computed Tomographic Analysis.Journal of clinical medicine · 2023Article
- The gap height in open wedge high tibial osteotomy is not affected by the starting point of the osteotomy.BMC musculoskeletal disorders · 2023Article
- The influence of different hinge position on PTS during HTO: comparison between open-wedge and closed-wedge HTO.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- [Application status of open-wedge high tibial osteotomy assisted by three-dimensional printing patient-specific cutting guides].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2023Review
- A lower starting point for the medial cut increases the posterior slope in opening-wedge high tibial osteotomy: a cadaveric study.Journal of experimental orthopaedics · 2022Article
- Influence of Medial Osteotomy Height and Hinge Position in Open Wedge High Tibial Osteotomy: A Simulation Study.Diagnostics (Basel, Switzerland) · 2022Article
Corrections and comments
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe purpose of this study was to determine the standard hinge position to minimize effects from medial open-wedge high tibial osteotomy (HTO) on the posterior tibial slope.
methodsSixteen cadaveric knees underwent medial open-wedge osteotomy using either the standard or the low hinge position. To define the standard hinge position, a line 3 cm inferior to the medial tibial plateau towards the fibular head and located its intersection with a longitudinal line 1 cm medial to the fibular shaft was drawn. Low hinge position was defined as the point 1 cm inferior to the standard position. After tibial osteotomy, computed tomography scans of each knee were taken and three-dimensional models were constructed to characterize hinge position orientation and measure the osteotomy site effects on posterior tibial slope, medial proximal tibial angle, and gap ratio (the ratio of the anterior to posterior gap in the opened wedge).
resultsIn two low hinge position specimens, the tibial lateral cortex hinge fracture occurred. Osteotomy through the low hinge position resulted in significantly greater posterior tibial slope compared to the standard hinge position (mean ± standard deviation) (11.2 ± 3.0° and 5.6 ± 2.5°, respectively; p < 0.001). Medial proximal tibial angle was also significantly greater for low compared to standard hinge position (95.4 ± 3.5° and 88.0 ± 3.5°, respectively; p < 0.001). Gap ratio was not significantly different between the two groups.
conclusionHinge position significantly affects the posterior tibial slope and medial proximal tibial angle following medial open-wedge HTO. Accurate hinge position is crucial to prevent complications from changes in posterior tibial slope and medial proximal tibial angle after surgery.
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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.