ReviewEFORT open reviews2023
Lateral hinge fracture in medial opening wedge high tibial osteotomy: a narrative review.
Review in EFORT open reviews, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
What it found
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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.
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Who cites it
22 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
- Biomechanical evaluation of a medial-only fixation strategy for Takeuchi type 2 lateral hinge fractures in medial open wedge high tibial osteotomy.BMC musculoskeletal disorders · 2026Article
- 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
- Surgical treatment of varus unicompartmental knee osteoarthritis: indications, trends, and outcomes-a narrative review.Archives of orthopaedic and trauma surgery · 2026Review
- Complications of osteotomies around the knee.Bulletin of the Hospital for Joint Disease (2013) · 2026Review
- Five-year outcomes of medial open-wedge high tibial osteotomy with lateral supplemental lag screw in patients with obesity.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2026Article
- Impact of intraoperative lateral hinge fracture on early clinical and radiological outcomes following open wedge high-tibial osteotomy.Journal of orthopaedic surgery and research · 2026Article
- Comparative biomechanical analysis of hinge fracture risk between medial open-wedge high tibial osteotomy and distal tuberosity osteotomy: a porcine tibia study.Journal of orthopaedic surgery and research · 2026Article
- MRI-based classification of lateral hinge fractures in medial opening wedge high tibial osteotomy.Knee surgery & related research · 2026Article
- Medial hinge fracture after closing wedge high tibial osteotomy: Proposing a new classification and risk factor analysis of a neglected complication.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Reduced lateral hinge stress and fracture risk in double-hinge medial open-wedge high tibial osteotomy: A finite element study.Joint diseases and related surgery · 2026Article
- 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
- The Type of Lateral Hinge Fracture in Medial Open-Wedge High Tibial Osteotomy Determines Its Stability: A Biomechanical Study.The American journal of sports medicine · 2025Article
- Fixation of Takeuchi Type II/III lateral hinge fractures provides favourable stability of a medial open wedge high tibial osteotomy-A biomechanical study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Comparative impact of high tibial osteotomy and supramalleolar osteotomy on limb alignment and ankle function: a retrospective 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
- Finite element analysis confirms the optimal apex position in medial opening wedge high tibial osteotomy to avoid lateral hinge fracture.Journal of experimental orthopaedics · 2024Article
- Simultaneous bilateral open wedge high tibial osteotomy versus simultaneous bilateral unicompartmental knee arthroplasty in the treatment of bilateral medial knee osteoarthritis: a retrospective study of an average three-year follow-up.Journal of orthopaedic surgery and research · 2024Article
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Lateral hinge fractures (LHF) are one of the most common complications of medial opening wedge high tibial osteotomy (MOWHTO), and are the leading cause of construct instability displacement, non-union, and varus recurrence after this procedure. To date, Takeuchi's classification is the most popular classification to describe this complication, and it can help surgeons to make intra and postoperative decisions. Opening medial gap width is the most recognized factor related to LHF occurrence. Recognizing the implications of LHF in patients' clinical and radiographic results has led many authors to propose surgical tips and the use of osteosynthesis materials such as K-wires and screws for its prevention, which should be considered when identifying risk factors for LHF during preoperative planning. The evidence for determining the optimal management of LHF is scarce and mostly supported by experts' opinions and recommendations; therefore, studies are still needed to identify the most appropriate behavior when dealing with such a complication.
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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.