Evidence map›Paper›PMID 41981428›Full record

ArticleZhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery2026

[Short-term effectiveness study and finite element analysis of high tibial osteotomy for knee varus with medial meniscus posterior root tear in middle aged and older populations].

Yelong Tao, Wei Liu, Youhua Wang, Jianbo Fan

Abstract readEnglish Abstract
In one paragraph

Article in Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery, 2026. 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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4 · The record

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5 · Who and what money

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4 authors.

Yelong TaoDepartment of Orthopedics, Affiliated Hospital of Nantong University, Nantong Jiangsu, 226000, P. R. China.
Wei LiuDepartment of Orthopedics, Affiliated Nantong Clinical College of Nantong University, Nantong First People's Hospital, Nantong Jiangsu, 226014, P. R. China.
Youhua WangDepartment of Orthopedics, Affiliated Hospital of Nantong University, Nantong Jiangsu, 226000, P. R. China.
Jianbo FanDepartment of Orthopedics, Affiliated Hospital of Nantong University, Nantong Jiangsu, 226000, P. R. China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To investigate the short-term effectiveness of high tibial osteotomy (HTO) for treatment of middle aged and older populations with varus knee combined with medial meniscus posterior root tear (MMPRT), and to evaluate the biomechanical changes in the knee joint after operation based on finite element analysis. Methods: A retrospective analysis of clinical data was conducted on 35 patients (35 knees) admitted between June 2021 and October 2023, who met the inclusion criteria for varus knee combined with MMPRT. There were 17 males and 18 females with a mean age of 59.2 years (range, 48-65 years). Open wedge HTO was performed to correct the alignment in all patients. X-ray films and MRI were conducted before operation and at 3, 6, and 12 months after operation to assess changes in lower limb alignment and joint structure. And the femorotibial angle, medial proximal tibial angle (MPTA), posterior tibial slope angle (PTSA), weight-bearing line ratio (WBLR), as well as the Lysholm score, Hospital for Special Surgery (HSS) score, and visual analogue scale (VAS) score for pain were compared between pre- and post-operation. Finite element models were reconstructed based on knee CT data from a healthy volunteer to simulate changes in stress distribution at the knee joint before and after HTO, and to analyze postoperative mechanical improvement characteristics. Results: All 35 patients underwent successful operations. Postoperatively, 3 cases of incisional fat liquefaction and 2 cases of mild superficial wound infection occurred; no complication such as deep vein thrombosis of the lower extremities, severe infection, or neurovascular injury was observed. All patients were followed up 12-14 months (mean, 13.0 months). Imaging reexamination revealed that all osteotomies had achieved radiographic union, with no complication such as osteotomy loss, significant collapse, or plate fracture. At 12 months after operation, the femorotibial angle, MPTA, WBLR, and PTSA were all significantly higher than preoperative levels ( Conclusion: HTO can significantly alleviate knee pain in middle aged and older populations with varus knee combined with MMPRT, improve the distribution of knee joint forces, and promote the recovery of joint function.

Indexed as

Genu VarumKnee JointOsteotomyTibiaTibial Meniscus InjuriesAgedBiomechanical PhenomenaFemaleFinite Element AnalysisHumansMagnetic Resonance ImagingMaleMenisci, TibialMiddle AgedRetrospective StudiesTreatment Outcomefinite element analysisHigh tibial osteotomyknee varusmedial meniscus posterior root tearmiddle aged and older populations

Identifiers

PMID41981428
PMCPMC13096824

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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.