ArticleFrontiers in surgery2025
Novel anatomically contoured locking plate shows improved anatomic conformity vs. a conventional T-shaped plate in anterior popliteus transtibial-tuberosity high tibial osteotomy: a radiologic comparison.
Article in Frontiers in surgery, 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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Abstract
Background: High tibial osteotomy (HTO) corrects varus malalignment and unloads the medial knee compartment, yet the conventional T-shaped locking plate may cause discomfort due to suboptimal anatomic conformity. We developed a novel locking plate to improve anatomic fit and fixation stability and compared it with the T-shaped plate in Anterior Popliteus Transtibial-tuberosity high tibial osteotomy (APTT-HTO). Methods: This retrospective comparative study included 14 consecutive patients who underwent APTT-HTO between August 2024 and June 2025. Patients were grouped by implant type (novel plate: Results: The novel plate showed more posteromedial placement and superior anatomic conformity. The plate angle relative to the posterior tibial condylar reference line was larger with the novel plate (74.49° ± 8.76°) than with the T-shaped plate (62.62° ± 7.05°, Conclusions: In this CT-based cohort, the novel anatomically contoured locking plate achieved superior anatomic conformity in APTT-HTO-characterized by more posteromedial positioning, a more favorable screw trajectory, and improved plate-bone apposition-compared with a conventional T-shaped plate. These findings warrant confirmation in larger, prospective studies.
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