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ORIGINAL RESEARCH article
Front. Surg.
Sec. Orthopedic Surgery
Volume 11 - 2024 |
doi: 10.3389/fsurg.2024.1441777
Effects of different hinge positions on tibial rotation in uniplanar medial opening wedge high tibial osteotomy with three-dimensional tibial models
Provisionally accepted- 1 Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, China
- 2 Shandong Provincial Hospital, Jinan, Shandong Province, China
Background: To investigate the effects of different hinge positions in the sagittal and axial planes on distal tibial rotation (DTR) during medial opening wedge high tibial osteotomy (MOWHTO) with three-dimensional tibial models.Preoperative CT data from 30 knee joints in 30 patients who underwent surgery for varus malalignment of knee were included. 1 standard hinge position (0°), 6 axial planes (±5°, ±10°, ±15°), and 6 sagittal planes (±5°, ±10°, ±15°) hinge positions were defined and virtual uniplanar osteotomy was performed. The correction angle of each model was generated using Fujisawa's point. Participants' baseline characteristics, radiologic parameters and DTR were measured.One-Way Repeated Measures ANOVA and single factor linear regression analysis were used to analyze the association between tibial rotation and hinge position in the sagittal and axial planes.We found a clear linear correlation between changes in hinge position in the sagittal plane and DTR. The changes in DTR were the smallest when the hinge position was at 5°, where internal or external rotation of the DTR may occur. When the front aspect of hinge axis rotated distally, DTR tended towards internal. Meanwhile, when the front aspect of hinge axis rotated proximally, DTR tended towards external. There were no correlations with every hinge axis position in the axial plane.It is sagittal but not axial hinge axis affects DTR in uniplanar MOWHTO with three-dimensional tibial models. In the sagittal plane, every change in hinge position was significantly linearly correlated with DTR. However, no linear correlations were observed between every hinge position change in the axial plane.
Keywords: High tibial osteotomy, Varus deformity, Hinge axis, 3D model, Distal tibial rotation
Received: 31 May 2024; Accepted: 07 Oct 2024.
Copyright: © 2024 Jing, Ren, Wang, Yang and Wang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Yulian Ren, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, China
Shaoshan Wang, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, China
Jiushan Yang, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, China
Jian Wang, Shandong Provincial Hospital, Jinan, 250021, Shandong Province, China
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