ArticleInternational orthopaedics2022
Knee kinematics are variously influenced by different correction angles in high tibial osteotomy (HTO).
Article in International orthopaedics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Comparison of Two-Dimensional and Three-Dimensional Preoperative Planning Measurements for High Tibial Osteotomy.Orthopaedic surgery · 2025Article
- High tibial osteotomy effectively restores motor function during daily activities in patients with knee osteoarthritis and varus deformity.Journal of experimental orthopaedics · 2025Article
- Comparison of the plantar pressure distribution and mechanical alignment in patients with varus knee osteoarthritis following high tibial osteotomy.BMC musculoskeletal disorders · 2023Article
Corrections and comments
- Erratum issued
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeLiterature reveals good to excellent data concerning patient satisfaction, as well as long-term outcomes after high tibial osteotomy (HTO). These results might be influenced by changes of knee kinematics through the procedure. However, exact influence of HTO on tibiofemoral kinematics remains unknown so far.
methodsWe conducted this study on 10 knees of Thiel embalmed whole cadavers. Knee kinematics were assessed by a navigation device before HTO, after medial open-wedge HTO of 5°, respectively after medial open-wedge HTO of 10°.
resultsResults revealed a significant femoral rollback/tibial internal rotation at increasing knee flexion from 80° after medial open-wedge HTO of 5° and 10°. Lesser femoral rollback/tibial internal rotation was seen after 5° HTO compared to 10° HTO until knee flexion of 70°.
conclusionResults reveal a significant change of tibiofemoral kinematics only after knee flexion of 80° and more, independently from the degree of tibial osteotomy. Adjacent structures, especially the ACL, seem thus more strained by sagittal slope changes rather than changes in coronal leg axis. HTO leads to changes in knee kinematics at flexion degrees of 80 and more. To what extent this influences adjacent structures like the ACL or meniscus should be further investigated.
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