ArticleOrthopaedic journal of sports medicine2021
Changes in the Contact Stress Distribution Pattern of the Patellofemoral Joint After Medial Open-Wedge High Tibial Osteotomy: An Evaluation Using Computed Tomography Osteoabsorptiometry.
Article in Orthopaedic journal of sports medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 14 citations in OpenAlex.
- Three-dimensional computed tomography-based comparison reveals divergent patellar and tibial tubercle behaviour between lateral closed-wedge and medial open-wedge high tibial osteotomy.Journal of experimental orthopaedics · 2026Article
- No significant side-to-side differences in retropatellar load distribution using more than 7.5 years after isolated MPFL reconstruction: A CT-osteoabsorptiometry pilot study in nine patients.Journal of experimental orthopaedics · 2026Article
- 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
- The Magnitude of Varus Correction and Its Influence on Postoperative Patellar Height and Posterior Tibial Slope in Medial Open-Wedge High Tibial Osteotomy.Journal of clinical medicine · 2026Article
- Characterization of time-dependent changes in the subchondral bone density distribution of the proximal tibia following high tibial osteotomy.Journal of experimental orthopaedics · 2025Article
- Does Periacetabular Osteotomy Affect the Load Distribution on the Knee?Clinical orthopaedics and related research · 2025Article
- Patellofemoral mechanics after uniplane open wedge high tibial osteotomy is superior to those after biplane open wedge high tibial osteotomy.BMC musculoskeletal disorders · 2025Article
- Computed tomography Osteoabsorptiometry: Review of bone density, mechanical strength of material and clinical application.Frontiers in bioengineering and biotechnology · 2023Review
- Patellofemoral Joint after Opening Wedge High Tibial Osteotomy: A Comparative Study of Uniplane versus Biplane Osteotomies.Orthopaedic surgery · 2022Article
- Stress on the posteromedial region of the proximal tibia increased over time after anterior cruciate ligament injury.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMedial open-wedge high tibial osteotomy (OWHTO) theoretically causes distalization and lateralization of the tibial tuberosity and the patella. PURPOSE/HYPOTHESIS: The purpose of the study was to identify any changes in the stress distribution of subchondral bone density across the patellofemoral (PF) joint before and after OWHTO through the use of computed tomography (CT) osteoabsorptiometry. We hypothesized that OWHTO would alter the distribution of contact stress in the PF joint. STUDY
designCase series; Level of evidence, 4.
methodsA total of 17 patients (17 knees) who underwent OWHTO were enrolled in this study between September 2013 and September 2015. All patients underwent radiologic examination preoperatively and at 1 year postoperatively, and the distribution patterns of subchondral bone density through the articular surface of the femoral trochlea and patella were assessed preoperatively and >1 year postoperatively using CT osteoabsorptiometry. The quantitative analysis of the obtained mapping data focused on location of the high-density area (HDA) through the articular surface of the PF joint. The percentage of HDA at each divided region of the articular surface of the femoral trochlea and the patella was calculated.
resultsIn the radiologic evaluation, the Blackburne-Peel ratio was significantly reduced (
conclusionOWHTO significantly increased the stress distribution pattern of the lateral trochlea of the femur and the medial portion of the lateral facet of the patella. The procedure significantly lowered the patellar height and significantly decreased the patellar tilting angle after surgery.
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