Evidence map›Paper›PMID 39944774›Full record

ArticleOrthopaedic journal of sports medicine2025

Developing Presurgical Conversion Formulas to Predict Miniaci Angle for Personalized Realignment Targets in Opening-Wedge High Tibial Osteotomies.

Hongyu Chen, Liang Chen, Yuan Zhang, Qiang Wu, Mengning Yan, Xu Jiang, Liao Wang

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Article in Orthopaedic journal of sports medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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7 authors.

Hongyu ChenDepartment of Orthopedic Surgery, Shanghai Jiao Tong University of Medicine affiliated Ninth People's Hospital, Shanghai, China.
Liang ChenDepartment of Orthopedic Surgery, Shanghai Jiao Tong University of Medicine affiliated Ninth People's Hospital, Shanghai, China.
Yuan ZhangDepartment of General Medicine, Shanghai Xuhui District Xujiahui Community Health Service Center, Shanghai, China.
Qiang WuDepartment of Orthopedic Surgery, Shanghai Jiao Tong University of Medicine affiliated Ninth People's Hospital, Shanghai, China.
Mengning YanDepartment of Orthopedic Surgery, Shanghai Jiao Tong University of Medicine affiliated Ninth People's Hospital, Shanghai, China.
Xu JiangDepartment of Orthopedic Surgery, Shanghai Jiao Tong University of Medicine affiliated Ninth People's Hospital, Shanghai, China.
Liao WangDepartment of Orthopedic Surgery, Shanghai Jiao Tong University of Medicine affiliated Ninth People's Hospital, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The correlation between the Miniaci angle and presurgical hip-knee-ankle (HKA) angle, weightbearing line (WBL) percentage, and changes in the HKA angle (ΔHKA angle) and WBL percentage (ΔWBL percentage) is significant in opening-wedge high tibial osteotomy (OWHTO). The conversion formulas that interrelate the Miniaci angle with pre-HKA angle (formula 1), pre-WBL percentage (formula 2), ΔHKA angle (formula 3), and ΔWBL percentage (formula 4) have been derived through the linear regression analysis. However, the accuracy of conversion formulas has not been validated. Purpose: To validate the precision of conversion formulas targeting various surgical objectives for OWHTO planning in the varus knee patient population. Study design: Cross-sectional study; Level of evidence, 3. Methods: A retrospective study of 155 lower limbs of 112 patients with medial unicompartmental knee osteoarthritis was conducted. A computer simulation of OWHTO was performed to calculate the Miniaci angle by delivering the WBL to the Fujisawa point (group 1), at 65% WBL percentage (group 2), and 4.5° of valgus (group 3). Spearman correlation and Bland-Altman analyses were conducted between the computer simulation and formula calculation. Results: Upon evaluating the widely accepted Fujisawa point as a postoperative target, all formula results demonstrated a strong correlation with computer simulation outcomes ( Conclusion: Formulas based on the presurgical HKA angle and WBL percentage showed perfect accuracy for measuring the Miniaci angle targeting the Fujisawa point. The formula based on ΔHKA angle achieved the best accuracy and may be a valuable tool for measuring the Miniaci angle in broader surgical targets.

Indexed as

computer simulationkneelower limb alignmentopening-wedge high tibial osteotomyosteotomypresurgical parametersstanding whole-leg radiograph

Identifiers

PMID39944774
PMCPMC11815945

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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.