ArticleKnee surgery & related research2021
Change of joint-line convergence angle should be considered for accurate alignment correction in high tibial osteotomy.
Article in Knee surgery & related research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07410429 (Realigning Rehab), which is not on this map. Cited by 40 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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Realigning Rehab: A Randomized Controlled Trial on Specific Exercises Versus Standard Care for Medial Knee Pain and Varus Alignment
Who cites it
40 citing papers in PubMed, 58 citations in OpenAlex.
- Complementary roles of standing, supine, and valgus-stress whole-leg radiographs in medial open-wedge high tibial osteotomy planning: supine minimizes bias, whereas standing and valgus-stress reduce outliers.Knee surgery & related research · 2026Article
- 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
- Preoperative standing-supine difference in joint line convergence angle predicts postoperative alignment change after closing-wedge high tibial osteotomy.Journal of experimental orthopaedics · 2026Article
- Modification of the coronal plane alignment of the knee classification considering the joint line convergence angle in high tibial osteotomy: a geometric approach.Journal of orthopaedic surgery and research · 2026Article
- Quantitative analysis of bony and soft tissue contributions to varus deformity across knee osteoarthritis stages.Journal of experimental orthopaedics · 2026Article
- Postoperative Joint Line Convergence Angle (JLCA) following high tibial osteotomy is affected not only by preoperative JLCA but also by postoperative hip-knee-ankle angle.Journal of experimental orthopaedics · 2026Article
- Impact of distal femoral morphology on short-term outcomes following high tibial osteotomy (HTO) in varus knees.Archives of orthopaedic and trauma surgery · 2026Review
- Excessive tibial valgus was not associated with worse 5-year clinical outcomes after medial opening-wedge high tibial osteotomy for advanced knee osteoarthritis: a retrospective cohort study.Frontiers in surgery · 2026Article
- Palliative high tibial osteotomy achieves comparable outcomes to corrective osteotomy in varus knees with medial compartment osteoarthritis: A long-term clinical and radiological retrospective study.Journal of experimental orthopaedics · 2026Article
- Rationale for preoperative planning in the supine position based on variability in the joint line convergence angle before and after open-wedge high tibial osteotomy.Bone & joint open · 2025Article
- Changes of Knee Phenotypes Following Osteotomy Around the Knee in Patients with Valgus or Varus Deformities-A Retrospective Cross-Sectional Study.Journal of clinical medicine · 2025Article
- Article
- Correlation of lower limb alignment with medial mensical extrusion in knee osteoarthritis.Archives of orthopaedic and trauma surgery · 2024Article
- Preoperative Joint Line Convergence Angle as an Indicator of Clinical Outcomes and Accuracy of Alignment Correction After Double-Level Osteotomy.Orthopaedic journal of sports medicine · 2024Article
- Adjusted planning based on the joint line convergence angle improves correction accuracy in the standing position after opening wedge high tibial osteotomy.Journal of orthopaedic surgery and research · 2024Article
- 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
- Difference in Correction Power between Hybrid Lateral Closed-Wedge High Tibial Osteotomy and Medial Open-Wedge High Tibial Osteotomy was Associated with Severity of Varus Deformity and Different Hinge Distance from Center of Deformity.Diagnostics (Basel, Switzerland) · 2024Article
- Does preoperative bone marrow edema affect clinical outcomes after medial open-wedge high tibial osteotomy?Knee surgery & related research · 2024Article
- Enhanced deep learning model enables accurate alignment measurement across diverse institutional imaging protocols.Knee surgery & related research · 2024Article
- Influence of Previous Arthroscopic Meniscectomy on Midterm to Long-term Outcomes After Medial Open-Wedge High Tibial Osteotomy.Orthopaedic journal of sports medicine · 2023Article
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe alignment correction after high tibial osteotomy (HTO) is made both by bony correction and soft-tissue correction around the knee. Change of the joint-line convergence angle (JLCA) represents the soft-tissue correction after HTO, which is the angle made by a tangential line between the femoral condyles and the tibial plateau. We described the patterns of JLCA change and related factors after HTO and investigated the appropriate preoperative planning method.
methodsEighty patients who underwent HTO between 2013 and 2016 were included for this retrospective study. Standing, whole-limb radiograph, supine knee anteroposterior (AP) and lateral were measured on the preoperative and postoperative radiographs. The patterns of JLCA changes and related factors were analyzed.
resultsJLCA decreased by a mean of 0.9° ± 1.2° (P < 0.001) after HTO. Sixteen patients (20%, group II) showed a greater JLCA decrease ≥ 2°, while 64 (80%, group I) patients remained in a narrow range of JLCA change < 2°. Group II showed more varus deformity (varus 8.1° vs. varus 4.7° in the mechanical femorotibial angle, P < 0.001), greater JLCA on standing (4.9° vs. 2.1°, P < 0.001), and the difference of JLCA in the standing and supine positions (2.8° vs. 0.7°, P < 0.001) preoperatively compared to group I. The risk of a greater JLCA decrease ≥ 2° was associated with greater preoperative JLCA in the standing position and the difference between the JLCA in the standing and supine positions. Postoperative JLCA correlated better with preoperative JLCA in the supine position than those in the standing position. A preoperative JLCA ≥ 4° or the difference of preoperative JLCA in the standing and supine positions ≥ 1.7° was the cut-off value to predict a large JLCA decrease ≥ 2° after HTO in the receiver operating characteristic (ROC) curve analysis.
conclusionsSurgeons should consider the effect of the JLCA change during the preoperative planning and intraoperative procedure to avoid unintended overcorrection.
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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.