ArticleJournal of orthopaedic surgery and research2019
Design optimization of high tibial osteotomy plates using finite element analysis for improved biomechanical effect.
Article in Journal of orthopaedic surgery and research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed, 47 citations in OpenAlex.
- Risk Factors and Clinical Outcomes of Osteotomy Plane Violation by D-Hole Screws in Medial Open Wedge High Tibial Osteotomy: A Simulation and Comparative Study.Medicina (Kaunas, Lithuania) · 2023Trial
- Medial closing wedge distal femoral varus osteotomy alters the stress distribution pattern of the patellofemoral joint: An evaluation using computed tomography osteoabsorptiometry.Journal of experimental orthopaedics · 2026Article
- [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
- Optimal Plate Position for Biomechanical Stability in Medial Opening-Wedge High Tibial Osteotomy: A Finite Element Analysis.Clinics in orthopedic surgery · 2025Article
- [Research progress in biomechanics of different fixation methods for medial opening-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 · 2025Review
- Preliminary exploration of finite element biomechanical preoperative planning for complex tibial plateau fractures.Scientific reports · 2025Article
- Biomechanical and biocompatibility study of carbon fibre/kevlar high tibial osteotomy elastic composite plate.Archives of orthopaedic and trauma surgery · 2025Article
- Comparing Simulation Approaches Used in Finite Element Modelling of a Medial Opening Wedge High Tibial Osteotomy.Annals of biomedical engineering · 2025Article
- Fixation stability and stress redistribution following metal block use in opening-wedge high tibial osteotomy: a finite element analysis.Frontiers in bioengineering and biotechnology · 2025Article
- Mechanical stability of the proximal tibia with different bone formations after plate removal in medial opening-wedge high tibial osteotomy: a finite element analysis.Journal of orthopaedic surgery and research · 2024Article
- Article
- Biomechanical evaluation of a newly designed locking plate for opening wedge high tibial osteotomy: stress distribution and stability in the presence of lateral hinge fracture.Journal of orthopaedic surgery and research · 2024Article
- Prediction of prognosis in supramalleolar osteotomy with or without additional fibula osteotomy by approaching a biomechanical study: a finite element analysis.Biomedical engineering letters · 2024Review
- [Biomechanical study of three-dimensional printed filler block design in open wedge high tibial osteotomy].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2024Article
- How effective is proximal fibular osteotomy in redistributing joint pressures? Insights from an HTO comparative in-silico study.Journal of orthopaedic surgery and research · 2024Article
- Bone mineral density around the knee after open wedge high tibial osteotomy measured up to 24 months in 51 patients.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Bone Grafting Outcomes in Smokers Undergoing High Tibial Osteotomy: A Systematic Review.Cureus · 2023Review
- Biomechanical analysis of internal fixation system stability for tibial plateau fractures.Frontiers in bioengineering and biotechnology · 2023Article
- Is a Complete Anatomical Fit of the Tomofix Plate Biomechanically Favorable? A Parametric Study Using the Finite Element Method.The archives of bone and joint surgery · 2022Article
- Monocortical fixation for locking plate distal screws does not impair mechanical properties in open-wedge high tibial osteotomy.BMC musculoskeletal disorders · 2021Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHigh tibial osteotomy (HTO) is a common treatment for moderate osteoarthritis of the medial compartment in the knee joint by the translation of the force center toward the lateral compartment. However, the stability of a short plate such as Puddu used in this procedure was not as effective as other long plates such as Tomofix. No previous studies have used a rigorous and systematic design optimization method to determine the optimal shape of short HTO plate. Therefore, the purpose of this study is to evaluate the improved biomechanical stability of a short HTO plate by using design optimization and finite element (FE) analysis.
methodsA FE model of HTO was subjected to physiological and surgical loads in the tibia. Taguchi-style L27 orthogonal arrays were used to identify the most significant factors for optimizing the design parameters. The optimal design variables were calculated using the nondominated sorting genetic algorithm II. Plate and bone stresses and wedge micromotions in the initial and optimized designs were chosen as the comparison indices.
resultsOptimal designed HTO plate showed the decreased micromotions over the initial HTO plate with enhanced plate stability. In addition, increased bone stress and decreased plate stress supported the positive effect on stress shielding compared to initial HTO plate design. The results yielded a new short HTO design while demonstrating the feasibility of design optimization and potential improvements to biomechanical stability in HTO design. The newly developed short HTO plate throughout the optimization and computational simulation showed the improved biomechanical effect as good as the golden standard, TomoFix, does.
conclusionsThis study showed that plate design has a strong influence on the stability after HTO. This study demonstrated that the optimized short plates had low stress shielding effect and less micromotion because of its improvement in biomechanical performances. Our result showed that design optimization is an effective tool for HTO plate design. This information can aid future developments in HTO plate design and can be expanded to other implant designs.
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