ArticleOrthopaedic journal of sports medicine2021
Incidence and Factors Affecting the Occurrence of Lateral Hinge Fracture After Medial Opening-Wedge High Tibial Osteotomy.
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. It is linked to trial NCT05448742 (Novel, Biplanar, Medial Opening Wedge, Posterior Tibial Slope-reducing High Tibial Osteotomy Aided by Patient-specific Instruments, With Tibial Tuberosity Serving as Hinge Axis), which is not on this map. Cited by 14 papers.
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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.
Novel, Biplanar, Medial Opening Wedge, Posterior Tibial Slope-reducing High Tibial Osteotomy Aided by Patient-specific Instruments, With Tibial Tuberosity Serving as Hinge Axis: Cadaveric Study Assessing Accuracy of Biplanar Correction With Various Coronal and Sagittal Amounts of Correction
Who cites it
14 citing papers in PubMed, 29 citations in OpenAlex.
- Complication Rates and Clinical Outcomes of Larger Alignment Corrections Using Inverted V-shaped High Tibial Osteotomy in Severe Varus Knee Osteoarthritis: A Comparison with Smaller Corrections.Orthopaedic journal of sports medicine · 2026Article
- Article
- Auxiliary medial small locking plate fixation enhances bone healing and minimizes delayed union in inverted V-shaped high tibial osteotomy: A comparative study of 154 knees.Journal of experimental orthopaedics · 2026Article
- MRI-based classification of lateral hinge fractures in medial opening wedge high tibial osteotomy.Knee surgery & related research · 2026Article
- Mid-term survival and physiological joint angles after double level osteotomy of severe varus osteoarthritis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- The Influence of Varus Deformity Correction on Clinical Outcomes: a Comparative Study of Proximal Fibular Osteotomy and High Tibial Osteotomy in Knee Osteoarthritis.Indian journal of orthopaedics · 2025Article
- Appropriate hinge position to prevent hinge fracture in open wedge distal tuberosity tibial osteotomy.Journal of experimental orthopaedics · 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
- Article
- Evaluating the Effectiveness of a Structural Allograft in Medial Open Wedge High Tibial Osteotomy in Patients With and Without a Lateral Hinge Fracture.Orthopaedic journal of sports medicine · 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
- Higher fibular head is a risk for lateral hinge fracture in medial open wedge high tibial osteotomy.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Development of a machine learning model to predict lateral hinge fractures by analyzing patient factors before open wedge high tibial osteotomy.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Lateral hinge fracture in medial opening wedge high tibial osteotomy: a narrative review.EFORT open reviews · 2023Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFew clinical studies have reported the predictors of lateral hinge fracture (LHF) after medial opening-wedge high tibial osteotomy (MOWHTO). PURPOSE/HYPOTHESIS: The purpose was to compare the incidence of LHF on plain radiographs versus computed tomography (CT) scans and to investigate the factors related to the development of LHF after MOWHTO. We hypothesized that (1) a higher LHF detection rate would be seen on CT scans versus plain radiographs and (2) LHF incidence would be related to opening gap width and hinge position. STUDY
designCohort study (diagnosis); Level of evidence, 3.
methodsA total of 97 MOWHTO cases were included. The presence and types of LHF were determined from plain radiographs and CT scans. Radiographic parameters were measured on plain radiographs taken 6 weeks postoperatively. Anterior and posterior opening gap widths, coronal and sagittal osteotomy slopes, and fibular height were calculated from CT scans. The wedge-hinge relationship and the zone of hinge position were assessed, and the patient and radiographic factors related to LHF occurrence were evaluated.
resultsSeventeen LHF cases (20.5%) were detected on plain radiographs, while significantly more (37 cases; 44.6%) were found on CT scans (
conclusionThe incidence of LHF after MOWHTO can be underestimated on plain radiographs compared with CT scans. Only large opening gap width, especially posterior gap width, was found to have a statistically significant relationship with occurrence of LHF. Therefore, special caution for possible LHF may be needed if a large correction is planned.
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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.