ArticleThe American journal of sports medicine2021
Knee Joint Line Obliquity Causes Tibiofemoral Subluxation That Alters Contact Areas and Meniscal Loading.
Article in The American 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 27 papers, 2 of them syntheses that pooled it.
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Who cites it
27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 53 citations in OpenAlex.
- Simultaneous anterior cruciate ligament reconstruction with valgus high tibial osteotomy improves mid- to long-term clinical outcomes without increasing the complication rates in young anterior cruciate ligament deficient patients with varus malalignment: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2025Pooled it
- Clinical relevance of joint line obliquity after high tibial osteotomy for medial knee osteoarthritis remains controversial: a systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Pooled it
- Surgical treatment of varus unicompartmental knee osteoarthritis: indications, trends, and outcomes-a narrative review.Archives of orthopaedic and trauma surgery · 2026Review
- The Effect of Axial Tibiofemoral Rotation on Primary ACL Injury in Professional Soccer Players: A Matched-Cohort Analysis.Orthopaedic journal of sports medicine · 2026Article
- Steeper medial posterior tibial slope is associated with medial meniscal extrusion and early-onset knee osteoarthritis in middle-aged Japanese women: A longitudinal cohort study.Journal of experimental orthopaedics · 2026Article
- Identification and prediction of isolated lateral meniscal lesions in the Chinese population using MRI-based anatomical parameters.Journal of orthopaedic surgery and research · 2025Article
- Medial joint line obliquity and medial meniscus tear were associated with medial meniscal extrusion: A case-control study.Journal of experimental orthopaedics · 2025Article
- Assessing joint line obliquity in valgus-producing high tibial osteotomy: A scoping review of the literature.Journal of orthopaedics · 2025Review
- Decrease in Global Offset Leads to Complaints of Worsening of Valgus Knee Deformity After Total Hip Arthroplasty in Patients With Crowe Type IV Developmental Dysplasia of the Hip.Orthopaedic surgery · 2025Article
- Lateral patellar tilting can also result in cartilage lesions of tibial plateau - the characteristic features of excessive lateral pressure syndrome: a retrospective study of 141 cases.BMC musculoskeletal disorders · 2025Article
- An increased medial proximal tibial angle of greater than 95 degrees after opening wedge high tibial osteotomy is not associated with deterioration of minimum 10-year clinical outcomes.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
- Influence of Increased Joint Line Obliquity on Survivorship After Lateral Closing-Wedge High Tibial Osteotomy.The American journal of sports medicine · 2024Article
- Superior accuracy in knee double level osteotomy using a novel hybrid fixation technique compared to conventional double plating.Journal of experimental orthopaedics · 2024Article
- Joint line and knee osteotomy.EFORT open reviews · 2024Review
- Relationship between increased knee joint line obliquity after medial open-wedge high tibial osteotomy and patient-reported outcome measures.Archives of orthopaedic and trauma surgery · 2024Article
- Effect of Varus-Producing Distal Femoral Osteotomy and High Tibial Osteotomy on Compartment Pressures and Contact Area at Varying Degrees of Knee Flexion.Orthopaedic journal of sports medicine · 2024Article
- Tibiofemoral Subluxation on Radiograph as a Predictor of Location and Size of Osteochondritis Dissecans Lesions of the Knee.Orthopaedic journal of sports medicine · 2024Article
- Joint line obliquity after lateral closing-wedge high tibial osteotomy does not adversely affect clinical and radiological outcome: a 5-year follow-up study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Side-to-Side Flipping Wedge Osteotomy: Virtual Surgical Planning Suggested an Innovative One-Stage Procedure for Aligning Both Knees in "Windswept Deformity".Journal of personalized medicine · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLittle scientific evidence is available regarding the effect of knee joint line obliquity (JLO) before and after coronal realignment osteotomy. HYPOTHESES: Higher JLO would lead to abnormal relative position of the femur on the tibia, a shift of the joint contact areas, and elevated joint contact pressures. STUDY
designDescriptive laboratory study.
methods10 fresh-frozen human cadaveric knees (age, 59 ± 5 years) were axially loaded to 1500 N in a materials testing machine with the joint line tilted 0°, 4°, 8°, and 12° varus ("downhill" medially) and valgus, at 0° and 20° of knee flexion. The mechanical compression axis was aligned to the center of the tibial plateau. Contact pressure and contact area were recorded by pressure sensors inserted between the tibia and femur below the menisci. Changes in relative femoral and tibial position in the coronal plane were obtained by an optical tracking system.
resultsBoth medial and lateral JLO caused significant tibiofemoral subluxation and pressure distribution changes. Medial (varus) JLO caused the femur to subluxate medially down the coronal slope of the tibial plateau, and vice versa for lateral (valgus) downslopes (
conclusionA 4° change of JLO during load bearing caused significant mediolateral tibiofemoral subluxation. The femur slid down the slope of the tibial plateau to abut the tibial eminence and also to rest on the downhill meniscus. This caused large movements of the tibiofemoral contact pressures across each compartment. CLINICAL RELEVANCE: These results provide important information for understanding the consequences of creating coronal JLO and for clinical practice in terms of osteotomy planning regarding the effect on JLO. This information provides guidance regarding the choice of single- or double-level osteotomy. Excessive JLO alteration may cause abnormal tibiofemoral joint articulation and chondral or meniscal loading.
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