ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2020
A protective hinge wire, intersecting the osteotomy plane, can reduce the occurrence of perioperative hinge fractures in medial opening wedge osteotomy.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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Who cites it
28 citing papers in PubMed, 67 citations in OpenAlex.
- Reinforcement K-wires reduce the risk of tibial plateau and lateral cortex fractures during open wedge high tibial osteotomy: a prospective comparative cohort study.BMC musculoskeletal disorders · 2026Article
- Complications of osteotomies around the knee.Bulletin of the Hospital for Joint Disease (2013) · 2026Review
- Reduced lateral hinge stress and fracture risk in double-hinge medial open-wedge high tibial osteotomy: A finite element study.Joint diseases and related surgery · 2026Article
- A single lateral hinge screw increased resistance to varus stress after medial closing wedge distal femoral osteotomy in a Sawbones model: A biomechanical analysis.Journal of experimental orthopaedics · 2025Article
- Evaluation of the effectiveness of Kirschner wires in preventing lateral hinge fractures in high tibial osteotomy: A finite element analysis.Joint diseases and related surgery · 2025Article
- The Sentinel Wires Technique for Safe Open Wedge High Tibial Osteotomy.Arthroscopy techniques · 2025Article
- Effects of K-wire diameter and insertion angle on femoral bone medial closing-wedge osteotomies: a finite element study.Scientific reports · 2025Article
- The effect of lateral hinge fracture with hinge hole and protective K-wire for medial opening-wedge high tibial osteotomy by compression testing and finite element analysis.Journal of orthopaedic surgery and research · 2025Article
- The Type of Lateral Hinge Fracture in Medial Open-Wedge High Tibial Osteotomy Determines Its Stability: A Biomechanical Study.The American journal of sports medicine · 2025Article
- The Novel Osteopore® Wedge in Medial Opening Wedge High Tibial Osteotomy: A Technical Note.Cureus · 2025Article
- Fixation of Takeuchi Type II/III lateral hinge fractures provides favourable stability of a medial open wedge high tibial osteotomy-A biomechanical study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 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
- Quantitative analysis of protective Kirschner wire diameters in lateral opening wedge distal femoral osteotomy: A finite element study.Joint diseases and related surgery · 2025Article
- Article
- Opening wedge high tibial osteotomy yields comparable to superior outcomes to unicompartmental knee arthroplasty at 2 years of follow-up in patients suffering from Ahlbäck III knee osteoarthritis: A propensity score-matched analysis.Journal of experimental orthopaedics · 2024Article
- Finite Element Analysis of Protective Measures against Lateral Hinge Fractures in High-Tibial Osteotomy.Advances in orthopedics · 2024Article
- Patient-specific cutting guides increase accuracy of medial opening wedge high tibial osteotomy procedure: A retrospective case-control study.Journal of experimental orthopaedics · 2024Article
- Effect of lateral hinge fractures for bone union and clinical outcomes following opening-wedge distal tibial tubercle osteotomy in comparison with opening-wedge high tibial osteotomy.Journal of experimental orthopaedics · 2023Article
- A systematic approach to managing complications after proximal tibial osteotomies of the knee.Journal of experimental orthopaedics · 2023Review
- Distalization of hinge site with use of hinge wire reduces hinge fracture rates in closing wedge distal femoral osteotomy.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeA recent study reported that positioning a K-wire to intersect the cutting plane at the theoretical lateral hinge location increases the lateral hinge's resistance to fracture during the opening of opening wedge high tibial osteotomy (OWHTO). The purpose of this study was to evaluate the clinical relevance of the use of this K-wire and its benefits in terms of lateral hinge protection during OWHTO in daily practice.
methodsA retrospective comparative study identified 206 patients who underwent OWHTO from January 2014 to December 2017. Among these patients, 71 had an additional K-wire (HK + group), whereas 135 did not (HK- group). The subjects meeting the inclusion criteria were included in a matched pairing process, which identified 60 patients in the HK + group and 60 patients in the HK- group. Mean follow-up time was 2.3 ± 1.0 years (range 2-4.2). Radiographic outcomes were evaluated with intraoperative and postoperative fluoroscopic imaging and with CT imaging at 6 weeks post OWHTO surgery. The knee osteoarthritis outcomes score (KOOS) was used and time needed to return to work and any kind of sports was collected.
resultsThirty six patients (30%) were found to have a LHF. Among these patients, 26 (72%) did not have an additional K-wire positioned at their theoretical lateral hinge location (HK- group) during the procedure. LHF rate for patients without additional K-wire group (HK-) was 43.3%, whereas it was 16.7% for the patients with an additional K-wire (HK +) [Odd ratio 3.8 95% CI 1.6-8.3; p = 0.005]. The mean time to return to work, return to any kind of sports, and bone union was significantly shorter for HK + group (p < 0.05).
conclusionThis study demonstrated that during OWHTO, positioning a K-wire intersecting the cutting plane at the theoretical lateral hinge location reduced the number of intraoperative lateral hinge fractures. LEVEL OF EVIDENCE: III retrospective case-control study.
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