ArticleArchives of orthopaedic and trauma surgery2023
Influence of lateral hinge fractures on biplanar medial closing-wedge distal femoral osteotomy for valgus knee: a new classification of lateral hinge fracture.
Article in Archives of orthopaedic and trauma surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 25 citations in OpenAlex.
- Bioplating demonstrates increasing micromovement during cyclic loading after anterior closed wedge high tibial osteotomy despite no significant difference in failure load compared to angle-stable plate fixation.Journal of experimental orthopaedics · 2026Article
- Percutaneous compression screw fixation for hinge fractures in distal femoral osteotomy does not compromise radiographic or clinical outcomes: A retrospective case-control study.Journal of experimental orthopaedics · 2026Article
- The Closing Wedge Distal Femoral Osteotomy: A Series of 19 Cases for the Management of Genu Valgum and Genu Varum.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026Article
- [Application progress of customized steel plates in osteotomy and orthopedic treatment of knee osteoarthritis].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025Review
- A single lateral hinge screw increased resistance to varus stress after medial closing wedge distal femoral osteotomy in a Sawbones model: A biomechanical analysis.Journal of experimental orthopaedics · 2025Article
- Effects of K-wire diameter and insertion angle on femoral bone medial closing-wedge osteotomies: a finite element study.Scientific reports · 2025Article
- Article
- Morphological analysis of the distal femur as a surgical reference in biplane distal femoral osteotomy.Scientific reports · 2024Article
- Setting hinge position distal to the proximal margin of the distal lateral femur reduces the maximum principal strains of the hinge area and risk of hinge fractures.Journal of experimental orthopaedics · 2024Article
- Comparison of double chevron-cut and biplanar distal femoral osteotomy techniques: A biomechanical study.PloS one · 2024Article
- Additional Plate Fixation of Hinge Fractures After Varisation Distal Femoral Osteotomies Provides Favorable Torsional Stability: A Biomechanical Study.The American journal of sports medicine · 2023Article
- A novel geometrical planning method to restore knee joint obliquity in double-level osteotomies.Archives of orthopaedic and trauma surgery · 2023Article
- Distal femoral osteotomy for the valgus knee: indications, complications, clinical and radiological outcome.Archives of orthopaedic and trauma surgery · 2023Observational
- Optimal additional support screw position for prevention of hinge fracture in biplanar closed wedge distal femoral osteotomy.Journal of orthopaedics · 2023Article
- Distalization of hinge site with use of hinge wire reduces hinge fracture rates in closing wedge distal femoral osteotomy.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- New Distal femoral osteotomy technique for adult patients with major epiphyseal valgus dysplasia.Journal of clinical orthopaedics and trauma · 2023Article
- Finite element analysis of medial closing and lateral opening wedge osteotomies of the distal femur in relation to hinge fractures.Journal of experimental orthopaedics · 2023Article
- Analysis of bone union after medial closing wedge distal femoral osteotomy using a new radiographic scoring system.Archives of orthopaedic and trauma surgery · 2022Article
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 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe purpose of this study was to examine the influence of lateral hinge fractures in medial closing-wedge distal femoral osteotomy (MCWDFO) on bone union.
methodsTwenty-one patients were followed-up for more than 1 year after MCWDFO. The incidence and type of hinge fracture, as well as the course of bone healing, were investigated. Slow healing was defined as bone union was not obtained until 3 months after surgery.
resultsHinge fractures were observed in 12 cases (57%). There were three types of hinge fractures. Type 1: the lateral cortex was completely cut through (4 cases), type 2: the osteotomy line was too proximal (6 cases), and type 3: the hinge point was significantly medial (2 cases). There was a significant difference in the mean correction angles between hinge fracture and no-fracture cases, with the mean angles being 13.8 ± 4.0° and 9.6 ± 3.1°, respectively. Sixty-seven percent (8/12) of cases with hinge fractures developed slow healing. Among the hinge fracture cases, when there was no displacement of the hinge fracture and good contact with the anterior flange, 40% (2/5) of cases developed slow healing. If there was displacement of the hinge or no contact of the anterior flange, 86% (6/7) of cases developed slow healing. In contrast, only 11% (1/9) of subjects who did not have a hinge fracture, developed slow healing. In 67% (6/9) of cases with slow healing, a correction loss of 2° or greater (average: 4.3 degrees valgus) was observed. There were no cases of non-union. Clinical outcomes at 1 year showed no significant difference between the groups with and without hinge fractures.
conclusionsThere is a very high risk of hinge fracture in patients undergoing MCWDFO. Hinge fractures often lead to slow healing and a loss of correction. We recommend the endpoint of the distal lateral cortex of the femur as the ideal hinge point for the prevention of hinge fractures. Bone union is obtained slowly in even all hinge fracture cases without revision surgery. Consequently, surgical results are not affected by the occurrence of hinge fracture at 1 year.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.