Evidence map›Paper›PMID 35639172›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2023

The influence of different hinge position on PTS during HTO: comparison between open-wedge and closed-wedge HTO.

Dong-Kyu Moon, Min-Seok Seo, Chang-Won Kim, Seong-Hee Cho, Dae-Cheol Nam, June-Ho Byun, Sun-Chul Hwang

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In one paragraph

Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 32% of its field
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Dong-Kyu MoonDepartment of Orthopaedic Surgery, Institute of Health Science, Research Institute of Life Science, and Collage of Medicine, Gyeongsang National University, Jinju, Republic of Korea.
Min-Seok SeoDepartment of Orthopaedic Surgery, Institute of Health Science, Research Institute of Life Science, and Collage of Medicine, Gyeongsang National University, Jinju, Republic of Korea.
Chang-Won KimDepartment of Orthopaedic Surgery, Institute of Health Science, Research Institute of Life Science, and Collage of Medicine, Gyeongsang National University, Jinju, Republic of Korea.
Seong-Hee ChoDepartment of Orthopaedic Surgery, Institute of Health Science, Research Institute of Life Science, and Collage of Medicine, Gyeongsang National University, Jinju, Republic of Korea.
Dae-Cheol NamDepartment of Orthopaedic Surgery, Institute of Health Science, Research Institute of Life Science, and Collage of Medicine, Gyeongsang National University, Jinju, Republic of Korea.
June-Ho ByunDepartment of Oral and Maxillofacial Surgery, Institute of Health Science, Research Institute of Life Science, and Collage of Medicine, Gyeongsang National University, Jinju, Republic of Korea.
Sun-Chul HwangDepartment of Orthopaedic Surgery, Institute of Health Science, Research Institute of Life Science, and Collage of Medicine, Gyeongsang National University, Jinju, Republic of Korea. hscspine@hanmail.net.ORCID http://orcid.org/0000-0003-3591-6097
Gyeongsang National University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this study was to determine the significance of hinge position through comparison between open-wedge and closed-wedge high tibial osteotomy (HTO) and to determine the ideal hinge position to minimize the effect of HTO on the posterior tibial slope (PTS) and medial proximal tibial angle (MPTA).

methodsProcedures were performed on 32 cadaveric knees using open-wedge HTO with the standard hinge position or a low hinge position or closed-wedge HTO with the standard hinge position or a low hinge position. To define the standard hinge position in open wedge HTO, we drew a line 3-cm inferior to the medial tibial plateau toward the fibular head and located the intersection of this line with a longitudinal line 1-cm medial to fibular shaft. The low hinge position was then defined as the point 1-cm inferior to the standard position. For the standard hinge position for closed-wedge HTO, we drew a line parallel with joint line from 2-cm inferior to the lateral tibial plateau. The low hinge position was then defined as the point 1-cm inferior to the standard position.

resultsFor the open-wedge procedure, osteotomy through the low hinge position resulted in a significantly greater PTS compared to osteotomy through the standard hinge position. MPTA was also significantly greater for the low hinge position compared to standard hinge position. In the closed-wedge HTO, neither the PTS nor MPTA was significantly different for the low and standard hinge positions.

conclusionsHinge position significantly affects changes in the PTS and MPTA following open-wedge but not closed-wedge HTO. Understanding how to hinge position affects the PTS and MPTA is critical for surgeons performing open-wedge HTO procedures. Adopting an accurate hinge position is crucial for preventing complications, especially in open-wedge osteotomy, due to postoperative changes in the PTS and MPTA.

Indexed as

Knee JointOsteoarthritis, KneeFibulaHumansOsteotomyProstheses and ImplantsTibiaClosed-wedge high tibial osteotomyHinge positionMedial proximal tibial angleOpen-wedge high tibial osteotomyPosterior tibial slope

Identifiers

PMID35639172
PMCPMC10126045
OpenAlexW4281782987

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.