{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T15:00:53Z","timestamp":1790434853382,"version":"4.1.0"},"reference-count":8,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["arthroscopyjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Medial open\u2010wedge high tibial osteotomy is an established treatment for medial compartment osteoarthritis in the varus knee. The conventional ascending tibial tubercle technique can lower patellar height and increase the tibial tuberosity\u2010trochlear groove distance, raising concerns for secondary patellofemoral disorders. The descending tibial tubercle technique uses a distal cut to preserve the tubercle's relationship to the trochlea and appears to maintain the Caton\u2010Deschamps index and tibial tuberosity\u2010trochlear groove. However, this comes at the cost of greater technical complexity and additional fixation requirements. Rather than declaring one approach universally superior, the choice between ascending tibial tubercle\u2010 and descending tibial tubercle\u2010open\u2010wedge high tibial osteotomy should be individualized based on preoperative patellar height and tibial tuberosity\u2010trochlear groove distance. The added complexity of the descending technique is best reserved for patients in whom the ascending approach would create aberrant patellofemoral anatomy.<\/jats:p>","DOI":"10.1002\/arj.70417","type":"journal-article","created":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T19:30:26Z","timestamp":1782934226000},"page":"2229-2231","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["<i>Editorial Commentary<\/i>\n                    : Weighing Complexity Against Anatomy\u2014Preoperative Patellofemoral Parameters Should Drive the Choice Between Ascending and Descending Tibial Tubercle Osteotomy in Medial Open\u2010Wedge High Tibial Osteotomy"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-1629-2792","authenticated-orcid":false,"given":"Jay S.","family":"Amin","sequence":"first","affiliation":[{"name":"Rush University Medical Center  Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9601-4217","authenticated-orcid":false,"given":"Adam B.","family":"Yanke","sequence":"additional","affiliation":[{"name":"Rush University Medical Center  Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,1]]},"reference":[{"key":"e_1_2_3_2_1","doi-asserted-by":"crossref","first-page":"2223","DOI":"10.1002\/arj.70384","article-title":"Small but significant effect on patellar height and tibial tuberosity\u2010trochlear groove distance following ascending versus descending tibial tubercle osteotomy in medial open\u2010wedge high tibial osteotomy","volume":"42","author":"Biner M","year":"2026","journal-title":"Arthroscopy."},{"key":"e_1_2_3_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01552649"},{"key":"e_1_2_3_4_1","first-page":"317","article-title":"Patella infera. Apropos of 128 cases","volume":"68","author":"Caton J","year":"1982","journal-title":"Rev Chir Orthop Reparatrice Appar Mot."},{"key":"e_1_2_3_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-014-3349-y"},{"key":"e_1_2_3_6_1","doi-asserted-by":"crossref","first-page":"232596712514141","DOI":"10.1177\/23259671251414156","article-title":"Predicting leg length change after valgus\u2010correcting lateral opening\u2010wedge versus medial closing\u2010wedge distal femoral osteotomy","volume":"14","author":"Elias TJ","year":"2026","journal-title":"Orthop J Sports Med."},{"key":"e_1_2_3_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.20214"},{"key":"e_1_2_3_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-022-05398-3"},{"key":"e_1_2_3_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40634-020-00224-y"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/arj.70417","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/arj.70417","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/arj.70417","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T14:41:56Z","timestamp":1790433716000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1002\/arj.70417"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,1]]},"references-count":8,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1002\/arj.70417"],"URL":"https:\/\/doi.org\/10.1002\/arj.70417","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,1]]},"assertion":[{"value":"2026-07-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}