ArticleOrthopaedic journal of sports medicine2023
Maintaining Posterior Tibial Slope and Patellar Height During Medial Opening Wedge High Tibial Osteotomy.
Article in Orthopaedic journal of sports medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 19 citations in OpenAlex.
- Lateral and Anterior Closing Wedge "9/9" Degree Osteotomy to Correct Both Tibia Vara and Excessive Tibial Slope.Arthroscopy techniques · 2026Article
- The Outrigger Technique for Medial Opening Wedge High Tibial Osteotomy Using a Hintermann Distractor to Control the Osteotomy Gap Opening and the Posterior Tibial Slope.Arthroscopy techniques · 2026Article
- The Magnitude of Varus Correction and Its Influence on Postoperative Patellar Height and Posterior Tibial Slope in Medial Open-Wedge High Tibial Osteotomy.Journal of clinical medicine · 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
- Sagittal biplanar 'L'-shaped tibial osteotomy associated with osteochondral allograft for symptomatic varus knee and low patella.International journal of surgery case reports · 2025Article
- Steeper medial posterior tibial slope is associated with bilateral ACL injuries: A radiographic comparison with unilateral cases.Journal of experimental orthopaedics · 2025Article
- Double-level knee valgization osteotomy has high survivorship and a low complication rate in a single-center series of 58 cases with a mean clinical follow-up of 10 years.Knee surgery & related research · 2025Article
- Targeted adjustment of the posterior tibial slope in unicompartmental knee arthroplasty is feasible without altering the medial proximal tibial angle.Journal of experimental orthopaedics · 2025Article
- Alignment rod and gap measurement methods achieve comparable alignment correction in opening wedge high tibial osteotomy for varus osteoarthritic knees.Journal of experimental orthopaedics · 2024Article
- Maintaining Posterior Tibial Slope and Patellar Height During Medial Opening Wedge High Tibial Osteotomy: Response.Orthopaedic journal of sports medicine · 2024Article
- Infratubercle Anterior Closing Wedge Osteotomy Corrects Sagittal Alignment without Affecting Coronal Alignment or Patellar Height.Journal of clinical medicine · 2024Article
- Three-Dimensional Hinge Axis Orientation Contributes to Simultaneous Alignment Correction in All Three Anatomical Planes in Opening-Wedge High Tibial Osteotomy.Arthroscopy, sports medicine, and rehabilitation · 2024Article
- Article
- Simultaneous High Tibial Osteotomy and Anterior Cruciate Ligament Reconstruction in knees with Bony Frontal and/or Sagittal Deformities: Review of the Current Literature.The archives of bone and joint surgery · 2024Article
Corrections and comments
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Authors and funding
6 authors at 5 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Increased posterior tibial slope (PTS) and decreased patellar height (PH) after medial opening wedge high tibial osteotomy (MOWHTO) have been repeatedly reported in the literature. However, this has been disputed in more recent biomechanical studies. Hypothesis: No change in PTS or PH would result after MOWHTO with the freehand technique, regardless of the degree of the coronal plane correction. Study Design: Case series. Methods: A total of 62 patients who underwent MOWHTO between 2018 and 2020 were included. Surgery was performed using a dedicated step-by-step protocol to reduce the risk of unintentional slope changes. All patients were evaluated preoperatively and at a 2-year follow-up with the Knee injury and Osteoarthritis Outcome Score and the University of California, Los Angeles physical activity scale. Pre- and postoperative radiographic lower limb alignment parameters-including hip-knee-ankle angle (HKA), medial proximal tibial angle (MPTA), mechanical lateral distal femoral angle, proximal posterior tibial angle (PPTA), joint line convergence angle, and joint line obliquity-were measured on full-length lower limb radiographs. PH measurements assessed on lateral and anteroposterior knee radiographs included the Caton-Deschamps, Insall-Salvati, and Schröter indices. Results: A significant change was observed in the coronal plane alignment, with an increase in the MPTA from 84.38° to 90.39° ( Conclusion: In this study, MOWHTO did not result in significant changes in the PTS or PH when accurate preoperative planning and precise intraoperative freehand technique were adopted..
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