{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T18:54:44Z","timestamp":1792176884634,"version":"4.4.0"},"reference-count":38,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2010,12,11]],"date-time":"2010-12-11T00:00:00Z","timestamp":1292025600000},"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":[[2011,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>The purpose of this retrospective study was to investigate the rate of non\u2010union after medial open\u2010wedge high tibial osteotomy (HTO) with the Tomofix<jats:sup>\u00ae<\/jats:sup> plate. In addition, risk factors with a possible influence on the development of a non\u2010union were analysed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between 2006 and 2008, a total of 186\u00a0medial open\u2010wedge HTOs were performed in 182 patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Ten cases of non\u2010union (5.4%) were recorded. Risk factors with a statistically significant influence on the development of a non\u2010union included smoking, body mass index and fracture of the lateral cortical hinge. No influence was detected for the factors age, degree of correction, concomitant diseases, postoperative complications, drug use, additionally performed procedures and use of a temporary lag screw.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Within this study, it could be demonstrated that the rate of non\u2010union in medial open\u2010wedge HTO is not higher than in the lateral closed\u2010wedge technique. Concerning the detected risk factors, the importance of the preservation of the lateral cortex is emphasised. In addition, it is necessary to discuss the risk of non\u2010union with smokers and overweight patients when planning the therapy. Finally, it should be considered to perform iliac crest bone grafting in these high\u2010risk patients a priori.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>IV.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-010-1335-6","type":"journal-article","created":{"date-parts":[[2010,12,10]],"date-time":"2010-12-10T14:20:57Z","timestamp":1291990857000},"page":"333-339","source":"Crossref","is-referenced-by-count":136,"title":["May smokers and overweight patients be treated with a medial open\u2010wedge HTO? Risk factors for non\u2010union"],"prefix":"10.1002","volume":"19","author":[{"given":"Gebhart","family":"Meidinger","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedic Sports Medicine Klinikum rechts der Isar, Technical University of Munich Connollystra\u00dfe 32 80809 Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas B.","family":"Imhoff","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedic Sports Medicine Klinikum rechts der Isar, Technical University of Munich Connollystra\u00dfe 32 80809 Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jochen","family":"Paul","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Department of Trauma Surgery Klinikum rechts der Isar, Technical University of Munich Ismaninger Stra\u00dfe 22 81675 Munich 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