ArticleJournal of experimental orthopaedics2026
Distal cortical notching significantly decreases tibial stability following tibial tubercle osteotomy: An in vitro porcine biomechanical study.
Article in Journal of experimental orthopaedics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Purpose: Distalizing tibial tubercle osteotomy (dTTO) is an effective treatment for patella alta, yet complications can be severe. This study evaluates the biomechanical effects of distal cut orientation on tibial fracture risk. It was hypothesised that orthogonal cutting and cortical notching reduce tibial stability. Methods: A total of 61 porcine tibiae were tested in three setups. Four distal cut orientations were compared in a load-to-failure analysis ( Results: Obl showed the highest failure load (784.5 N ± 118.3), although the difference compared to Orth (538.8 N ± 229.5, Conclusion: In this porcine model, cortical notching significantly reduced tibial stability and should be avoided during TTO. Oblique distal cuts demonstrated greater resistance to cyclic loading, while no significant difference was observed in static load-to-failure. Osteosynthesis technique did not affect load-to-failure. Level of Evidence: NA, cadaveric biomechanical study.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.