ArticleBMC musculoskeletal disorders2021
The effect of the sagittal plane osteotomy inclination on the posterior tibial slope in medial open wedge HTO: experimental study with a square column model.
Article in BMC musculoskeletal disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- 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
- Medial Open-Wedge High Tibial Osteotomy for Double Varus Deformity and an Increased Tibial Slope.Arthroscopy techniques · 2025Article
- [Modified medial wedge osteotomy for correction of double varus deformity and increased tibial slope].Operative Orthopadie und Traumatologie · 2025Review
- Plate-Controlled Correction of Sagittal Plane Knee Deformities: The Entire-Segment Rotation Technique for Correcting Varus and Posterior Tibial Slope.Arthroscopy techniques · 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
- Hinge Position Dominance Over Osteotomy Inclination in Medial Open-Wedge High Tibial Osteotomy: A Key Factor in Posterior Tibial Slope Changes.Cartilage · 2025Article
- The use of four K-wires does not lead to a reduction of the MPTA in the context of a one-dimensional tibial deflection correction of patients with ACL re-rupture and pathologically increased tibial slope.Journal of experimental orthopaedics · 2025Article
- Factors influencing the posterior tibial slope after medial opening-wedge high tibial osteotomy.Frontiers in bioengineering and biotechnology · 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
- Preoperative joint line convergence angle correction is a key factor in optimising accuracy in varus knee correction osteotomy.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Effect of the sagittal osteotomy inclination angle on the posterior tibial slope change in high tibial osteotomy: three-dimensional simulation study.Scientific reports · 2022Article
- Risk Factors for Increase in Posterior Slope After Medial Open-Wedge High Tibial Osteotomy.Orthopaedic journal of sports medicine · 2022Article
- Correction to: The effect of the sagittal plane osteotomy inclination on the posterior tibial slope in medial open wedge HTO: experimental study with a square column model.BMC musculoskeletal disorders · 2021Article
Corrections and comments
- Erratum issued
Authors and funding
6 authors.
Funding
Abstract
backgroundMedial open-wedge high tibial osteotomy (HTO) is an effective and safe treatment method for medial osteoarthritis of the knee. However, unintended changes in the posterior tibial slope (PTS) may occur. Several factors cause PTS alterations after medial open-wedge HTO; however, research on sagittal-plane osteotomy inclination (SPOI) in relation to the PTS is sparse. The purpose of this study was to evaluate whether the SPOI affects changes in the PTS after medial open-wedge HTO. The hypothesis was that an SPOI parallel to the PTS causes no change in the PTS after medial open-wedge HTO.
methodsA square column model with a 10° posterior slope was produced using two three-dimensional (3D) programs and a 3D printer. Then, a series of medial open-wedge HTO procedures was performed on the square column model through virtual simulation using the two 3D programs, and an actual simulation was conducted using a 3D printer, a testing machine and a measurement system. The SPOI was divided into four types: ① SPOI 20° (posterior-inclined 10° osteotomy), ② SPOI 10° (osteotomy parallel to posterior slope), ③ SPOI 0° (anterior-inclined 10° osteotomy), and ④ SPOI - 10° (anterior-inclined 20° osteotomy). The correction angle was increased at intervals of 5° from 0° to 30°. The change in posterior slope was measured in the sagittal plane.
resultsThe posterior slope was increased in SPOI 20° (posterior-inclined 10° osteotomy), maintained in SPOI 10° (osteotomy parallel to posterior slope), and decreased in SPOI 0° (anterior-inclined 10° osteotomy) and SPOI - 10° (anterior-inclined 20° osteotomy) based on the correction angle.
conclusionsIn this study using a square column model, the SPOI affected the change in the PTS, and an SPOI parallel to the PTS caused no change in the PTS after medial open-wedge HTO.
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