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Knee kinematics are variously influenced by different correction angles in high tibial osteotomy (HTO)

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A Correction to this article was published on 21 March 2023

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Abstract

Purpose

Literature reveals good to excellent data concerning patient satisfaction, as well as long-term outcomes after high tibial osteotomy (HTO). These results might be influenced by changes of knee kinematics through the procedure. However, exact influence of HTO on tibiofemoral kinematics remains unknown so far.

Methods

We conducted this study on 10 knees of Thiel embalmed whole cadavers. Knee kinematics were assessed by a navigation device before HTO, after medial open-wedge HTO of 5°, respectively after medial open-wedge HTO of 10°.

Results

Results revealed a significant femoral rollback/tibial internal rotation at increasing knee flexion from 80° after medial open-wedge HTO of 5° and 10°. Lesser femoral rollback/tibial internal rotation was seen after 5° HTO compared to 10° HTO until knee flexion of 70°.

Conclusion

Results reveal a significant change of tibiofemoral kinematics only after knee flexion of 80° and more, independently from the degree of tibial osteotomy. Adjacent structures, especially the ACL, seem thus more strained by sagittal slope changes rather than changes in coronal leg axis.

HTO leads to changes in knee kinematics at flexion degrees of 80 and more. To what extent this influences adjacent structures like the ACL or meniscus should be further investigated.

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Data availability

All the data supporting the findings of the current study is contained within the manuscript.

Change history

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Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, University Hospital of Regensburg, Kaiser-Karl V.-Allee 3, 93077, Bad Abbach, Germany

    Baier Clemens, Keshmiri Armin, Greimel Felix, Krieg Bernd, Parik Lukas, Grifka Joachim, Maderbacher Guenther & Maderbacher Guenther

Authors
  1. Baier Clemens
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  2. Keshmiri Armin
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  3. Greimel Felix
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  4. Krieg Bernd
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  5. Parik Lukas
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  6. Grifka Joachim
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  7. Maderbacher Guenther
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Contributions

All authors contributed to the study conception and design. Material preparation, data collection, and analysis were performed by all authors. The first draft of the manuscript was written by CB, and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

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Correspondence to Baier Clemens.

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This is an observational study. The Research Ethics Committee has confirmed that no ethical approval is required.

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Clemens, B., Armin, K., Felix, G. et al. Knee kinematics are variously influenced by different correction angles in high tibial osteotomy (HTO). International Orthopaedics (SICOT) 46, 2245–2250 (2022). https://doi.org/10.1007/s00264-022-05459-1

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