ReviewKnee surgery & related research2022
How to achieve an optimal alignment in medial opening wedge high tibial osteotomy?
Review in Knee surgery & related research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers.
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Who cites it
50 citing papers in PubMed.
- Using multivariate nonlinear mixed-effects model to investigate factors influencing symptom improvement after high tibial osteotomy in combination with bone marrow concentrate injection for medial compartment knee osteoarthritis: a prospective, open-label study.BMC musculoskeletal disorders · 2023Trial
- Article
- Complementary roles of standing, supine, and valgus-stress whole-leg radiographs in medial open-wedge high tibial osteotomy planning: supine minimizes bias, whereas standing and valgus-stress reduce outliers.Knee surgery & related research · 2026Article
- Comparison of Patellofemoral Degeneration After Three Types of High Tibial Osteotomy: Retrotuberosity Biplane Open-Wedge, Supratuberosity Biplane Open-Wedge, and Closed-Wedge Techniques.Orthopaedic journal of sports medicine · 2026Article
- Reinforcement K-wires reduce the risk of tibial plateau and lateral cortex fractures during open wedge high tibial osteotomy: a prospective comparative cohort study.BMC musculoskeletal disorders · 2026Article
- Modification of the coronal plane alignment of the knee classification considering the joint line convergence angle in high tibial osteotomy: a geometric approach.Journal of orthopaedic surgery and research · 2026Article
- Postoperative Joint Line Convergence Angle (JLCA) following high tibial osteotomy is affected not only by preoperative JLCA but also by postoperative hip-knee-ankle angle.Journal of experimental orthopaedics · 2026Article
- Clinical outcomes after medial open-wedge high tibial osteotomy are not affected by joint space in extension and flexion on standing radiographs.Archives of orthopaedic and trauma surgery · 2026Article
- Improved Coronal Alignment Using the Preemptive Joint Line Convergence Angle Compensation Method in Medial Open Wedge High Tibial Osteotomy: A Retrospective Propensity Score-Matched Analysis.Orthopaedic journal of sports medicine · 2026Article
- Rationale for preoperative planning in the supine position based on variability in the joint line convergence angle before and after open-wedge high tibial osteotomy.Bone & joint open · 2025Article
- Radiological and clinical outcomes of open-wedge high tibial osteotomy with and without grafting.The Journal of international medical research · 2025Article
- Comparative Analysis of Bone Resection Volume and Lateral Overhang in Four Closed-Wedge High Tibial Osteotomy Techniques-A 3D-CT Computational Simulation Study of Eleven Knees.Journal of clinical medicine · 2025Article
- Comparison of a patient-specific instrument and conventional high tibial Osteotomy: Accuracy of correction target and prevention of posterior tibial slope change.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2025Article
- Clinical Benefits of Cartilage Repair in High Tibial Osteotomy Can Only Be Expected in Patients with Successfully Regenerated Cartilage.Clinics in orthopedic surgery · 2025Article
- High tibial osteotomy in geriatric patients with gonarthrosis.BMC geriatrics · 2025Article
- The effect of lateral hinge fracture with hinge hole and protective K-wire for medial opening-wedge high tibial osteotomy by compression testing and finite element analysis.Journal of orthopaedic surgery and research · 2025Article
- Circumferential Meniscal Reconstruction Using the Semitendinosus Tendon for a Medial Meniscal Posterior Root Tear.Arthroscopy techniques · 2025Article
- Achieving Sufficient Valgus Alignment is Essential to Ensure Low Residual Pain in Short- to Midterm Follow-up After High Tibial Osteotomy in KL Grade 4 Osteoarthritis Patients.Orthopaedic journal of sports medicine · 2025Article
- Correction to at least neutral alignment during high tibial osteotomy is sufficient in reducing the knee adduction moment.Scientific reports · 2025Article
- Long-Term Outcomes and Prognostic Factors of Medial Open Wedge High Tibial Osteotomy for Medial Compartment Knee Osteoarthritis or Osteonecrosis.Journal of clinical medicine · 2025Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Medial opening wedge high tibial osteotomy (MOWHTO) is a widely used surgical treatment option for medial compartmental osteoarthritis with varus deformity. It is important that proper lower limb alignment is achieved. However, there has been no consensus about an optimal alignment in MOWHTO. Most studies suggest that achieving valgus alignment is necessary, and recent studies support slight valgus mechanical alignment of less than 3° of mechanical femorotibial angle. Overcorrection and undercorrection is not recommended for achieving good surgical outcomes. To prevent undercorrection and overcorrection in MOWHTO, the method of placing the weight-bearing line in the target range must be precise. There are several ways to place a weight-bearing line within the target range. While the most important factor for a successful MOWHTO is achieving an ideal mechanical axis correction, there are a few other factors to consider, including joint line obliquity, posterior tibial slope, ligament balancing, and patellar height. Several factors exist that lead to undercorrection and overcorrection. Preoperative amount of varus deformity, lateral hinge fracture, and fixation failure can result in undercorrection, while medial soft tissue laxity and the amount of correction angle and target point beyond hypomochlion can result in overcorrection. This study aimed to review the literature on optimal alignment in MOWHTO and report on the factors to be considered to prevent correction errors and how to achieve an optimal alignment.
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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.