ArticleOrthopaedic journal of sports medicine2025
Early Completion of Radiographic Bone Union With Rare Complications After Inverted V-Shaped High Tibial Osteotomy Fixed With a Locking Compression Plate.
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. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- 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
- 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
- Postoperative Joint Line Convergence Angle (JLCA) following high tibial osteotomy is affected not only by preoperative JLCA but also by postoperative hip-knee-ankle angle.Journal of experimental orthopaedics · 2026Article
- Low complication and high bone union rates following acute oblique fibular osteotomy with suture ligation prior to closing wedge high tibial osteotomy: A multicenter study of 231 cases.Journal of experimental orthopaedics · 2026Article
- Return to sport outcomes after inverted V-shaped (IV) high tibial osteotomy were comparable to those after medial opening-wedge high tibial osteotomy, even though the IV cohort had more severe preoperative disease.Journal of experimental orthopaedics · 2026Article
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8 authors.
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Abstract
Background: Recently, the inverted V-shaped high tibial osteotomy (iVHTO) procedure fixed with a locking compression plate (LCP) has attracted notice as a useful surgical option for medial osteoarthritic knees with severe varus deformity. However, no studies have clarified how bone healing at the osteotomy site progresses after this surgery or when bone union is completed. Purpose: To clarify how bone healing at the osteotomy site progresses after the iVHTO procedure fixed with an LCP and when bone union is completed. Study Design: Case series; Level of evidence, 4. Methods: A total of 109 knees in 96 patients who underwent this procedure were followed up for a minimum of 24 months after surgery. Radiographs were obtained at 5, 8, 12, 16, 20, 24, 36, 52, and 104 weeks after surgery. In addition, computed tomography (CT) imaging was performed at 5, 12, and 24 weeks. Three experienced surgeons independently observed the radiographs and CT images. The radiographic union score for tibial fractures was used to quantitatively determine the bone union time. The relationship between bone healing and clinical outcome measures was analyzed. Results: The progression of bone healing at the osteotomy site after this iVHTO procedure could be classified into 3 types: type 1 (direct bone healing), type 2 (indirect bone healing), and type 3 (delayed bone healing). The incidences of types 1, 2, and 3 were 75.2%, 18.3%, and 6.4%, respectively. The mean time required to complete bone union was 10.6 weeks in type 1 knees, 16.8 weeks in type 2 knees, and 22.3 weeks in type 3 knees, showing significant differences among the 3 types ( Conclusion: The fact that type 1 bone healing occurred in 75.2% of knees is a unique feature of iVHTO fixed with an LCP. Early completion of bone union with rare complications is one of the clinical advantages of this iVHTO procedure.
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