{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,10]],"date-time":"2026-11-10T23:38:51Z","timestamp":1794353931223,"version":"4.9.0"},"reference-count":33,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,12,15]],"date-time":"2024-12-15T00:00:00Z","timestamp":1734220800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["esskajournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Different techniques of slope\u2010decreasing anterior closed\u2010wedge proximal tibial osteotomy (ACW\u2010PTO) have been described. To determine the peri\u2010 and post\u2010operative complication rate and obtain data on bone healing in ACW\u2010PTO with an infratuberositary approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A total of 170 consecutive ACW\u2010PTO of two sports\u2010orthopaedic centres were retrospectively evaluated (97 and 73, respectively). Routine follow\u2010up was performed after 6 weeks and was available in 166 cases (97.7%). Medical charts and x\u2010rays of these cases were reviewed with regard to technique\u2010specific complications. Lateral x\u2010rays (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009155) at 6 weeks post\u2010operatively were evaluated with regard to bone healing (completely healed, partially healed or with no or delayed signs of bone healing). A multivariate binary logistic regression was performed to detect factors that influence bone healing.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There was one case with haematoma and superficial wound\u2010healing problems after 5 weeks with progression to a deep wound infection and revision surgery (plate exchange) at 11 weeks after the index surgery. One case with delayed bone healing was treated with plate exchange combined with revision anterior cruciate ligament reconstruction after 4 months. The further course of both cases was uneventful. No other complications were observed. Therefore, the overall complication rate was 1.2% (2 out of 166). Radiologic evaluation at 6 weeks showed complete healing in 104 cases (67.1%), partial healing in 50 cases (32.3%) and delayed healing only in the aforementioned case (0.6%), respectively. All cases of partial healing showed complete healing at 12 weeks. In regression analysis, a completely closed osteotomy (odds ratio [OR]\u2009=\u20093.5,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.003) and compression of the osteotomy (OR\u2009=\u20092.5,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.026) were significantly associated with complete bone healing at 6 weeks.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>ACW\u2010PTO using an infratuberositary approach is very safe with regard to complication rate and shows rapid bone healing. The osteotomy should be completely closed and compression should be applied for optimal bone healing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Case series with pooled data of two centres.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level 4.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ksa.12559","type":"journal-article","created":{"date-parts":[[2024,12,15]],"date-time":"2024-12-15T14:12:23Z","timestamp":1734271943000},"page":"1033-1043","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Infratuberositary slope\u2010decreasing anterior closed wedge proximal tibial osteotomy is safe and shows rapid bone healing"],"prefix":"10.1002","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2418-6642","authenticated-orcid":false,"given":"Philipp","family":"Schuster","sequence":"first","affiliation":[{"name":"Orthopedic Hospital Markgroeningen, Centre of Sports Orthopedics and Special Joint Surgery Markgroeningen Germany"},{"name":"Department of Orthopedics and Traumatology, Klinikum Nuremberg Paracelsus Medical University Nuremberg Germany"},{"name":"Osteotomy Committee of the German Knee Society (Deutsche Kniegesellschaft e.V.) Schwarzenbek Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philipp","family":"Mayer","sequence":"additional","affiliation":[{"name":"Orthopedic Hospital Markgroeningen, Centre of Sports Orthopedics and Special Joint Surgery Markgroeningen Germany"},{"name":"Osteotomy Committee of the German Knee Society (Deutsche Kniegesellschaft e.V.) Schwarzenbek Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilona","family":"Schubert","sequence":"additional","affiliation":[{"name":"Osteotomy Committee of the German Knee Society (Deutsche Kniegesellschaft e.V.) Schwarzenbek Germany"},{"name":"Department of Orthopedics and Traumatology Klinikum Bamberg Bamberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janina","family":"Leiprecht","sequence":"additional","affiliation":[{"name":"Orthopedic Hospital Markgroeningen, Centre of Sports Orthopedics and Special Joint Surgery Markgroeningen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregoire","family":"Micicoi","sequence":"additional","affiliation":[{"name":"Orthopedic Hospital Markgroeningen, Centre of Sports Orthopedics and Special Joint Surgery Markgroeningen Germany"},{"name":"iULS\u2010University Institute for Locomotion and Sports, Pasteur 2 Hospital University C\u00f4te d'Azur Nice France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benoit","family":"Reuter","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology Klinikum Bamberg Bamberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00f6rg","family":"Richter","sequence":"additional","affiliation":[{"name":"Orthopedic Hospital Markgroeningen, Centre of Sports Orthopedics and Special Joint Surgery Markgroeningen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00f6rg","family":"Dickschas","sequence":"additional","affiliation":[{"name":"Osteotomy Committee of the German Knee Society (Deutsche Kniegesellschaft e.V.) Schwarzenbek Germany"},{"name":"Department of Orthopedics and Traumatology Klinikum Bamberg Bamberg Germany"},{"name":"Department of Trauma and Orthopedic Surgery University Hospital Erlangen, Friedrich\u2010Alexander University Erlangen\u2010N\u00fcrnberg (FAU) Erlangen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,12,15]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-004-0728-8"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546520966327"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-023-07313-2"},{"key":"e_1_2_11_5_1","first-page":"28","article-title":"Osteotomie tibiale de d\u00e9flexion et laxit\u00e9 chronique ant\u00e9rieure \u00e0 propos de 22 cas","volume":"84","author":"Dejour D.","year":"1998","journal-title":"Revue de Chirurgie Orthopedique et Reparatrice de l Appareil Moteur"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-023-07493-x"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-015-3758-6"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.76B5.8083263"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1530\/EOR-23-0085"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-012-1941-6"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465211061150"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2023.08.029"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2022.05.006"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465241228264"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465211049234"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2018.07.003"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-022-04507-0"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-019-05360-2"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/JSA.0000000000000151"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-022-06888-6"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465231203016"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465231181553"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1530\/EOR-23-0037"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2019.05.026"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.22038\/ABJS.2022.60187.2970"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-021-06750-1"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517741497"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOSGlobal-D-22-00044"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546520963083"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514534938"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1177\/23259671221144786"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00142-014-0819-7"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465231178292"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-022-06861-3"}],"container-title":["Knee Surgery, Sports Traumatology, Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ksa.12559","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T11:36:05Z","timestamp":1760873765000},"score":1,"resource":{"primary":{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/10.1002\/ksa.12559"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,15]]},"references-count":33,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,3]]}},"alternative-id":["10.1002\/ksa.12559"],"URL":"https:\/\/doi.org\/10.1002\/ksa.12559","archive":["Portico"],"relation":{},"ISSN":["0942-2056","1433-7347"],"issn-type":[{"value":"0942-2056","type":"print"},{"value":"1433-7347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12,15]]},"assertion":[{"value":"2024-10-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-11-26","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-12-15","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}