{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T15:09:15Z","timestamp":1790262555477,"version":"4.1.0"},"reference-count":30,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2010,3,27]],"date-time":"2010-03-27T00:00:00Z","timestamp":1269648000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2010,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Open wedge high tibial osteotomy has become the trend for correction of varus knee deformities. The drawbacks were the need of autogenous bone graft with its associated morbidity, and later the use of bone substitutes with their cost and delayed healing. In this study, a total of 58 consecutive patients underwent high tibial osteotomy with internal fixation by wedge (toothed) plate and screws without bone graft, from 2004 to 2008. Age of the patients ranged from 24 to 65 years. There were 37 women and 21\u00a0men. The osteotomy opening size ranged from 8 to 14\u00a0mm. The mean follow\u2010up was 38\u00a0months. The osteotomy united in all patients. Average time to union was 12.4 weeks (range 8\u201316 weeks). Partial loss of correction occurred in one osteotomy. There was significant difference between the healing time and the size of the osteotomy opening. The results at the final follow\u2010up using the HSS score were excellent in 51\u00a0knees (88%) and good in seven knees (12%). Despite the routine addition of bone graft as a part of the high tibial osteotomy procedure, this study supports medial opening\u2010wedge high tibial osteotomy up to 14\u00a0mm without bone graft or bone substitutes, which shortens the operative time and avoids unnecessary morbidity.<\/jats:p>","DOI":"10.1007\/s00167-010-1104-6","type":"journal-article","created":{"date-parts":[[2010,3,26]],"date-time":"2010-03-26T05:13:55Z","timestamp":1269580435000},"page":"961-966","source":"Crossref","is-referenced-by-count":65,"title":["Opening\u2010wedge high tibial osteotomy without bone graft"],"prefix":"10.1002","volume":"18","author":[{"given":"Maher A.","family":"El\u2010Assal","sequence":"first","affiliation":[{"name":"Department of Orthopaedics Assiut University Hospital 71526 Assiut Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yaser E.","family":"Khalifa","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Assiut University Hospital 71526 Assiut Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed M.","family":"Abdel\u2010Hamid","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Assiut University Hospital 71526 Assiut Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hatem G.","family":"Said","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Assiut University Hospital 71526 Assiut Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hatem M. 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