{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T15:14:49Z","timestamp":1786979689248,"version":"build-2736575974"},"reference-count":27,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,5,30]],"date-time":"2022-05-30T00:00:00Z","timestamp":1653868800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2022,5,30]],"date-time":"2022-05-30T00:00:00Z","timestamp":1653868800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2022,5,30]],"date-time":"2022-05-30T00:00:00Z","timestamp":1653868800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To compare the incidence of correction loss and survival rate between closed\u2010wedge and open\u2010wedge high tibial osteotomies (CWHTO and OWHTO, respectively) in patients with osteopenic and normal bone.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Retrospective review was conducted for 115 CWHTOs and 119 OWHTOs performed in osteopenic patients [\u2212 2.5\u2009&lt;\u2009Bone mineral density (BMD)\n                      <jats:italic>T<\/jats:italic>\n                      scores\u2009\u2264\u2009\u2212 1] and 136 CWHTOs and 138 OWHTOs performed in normal patients (BMD\n                      <jats:italic>T<\/jats:italic>\n                      score\u2009&gt;\u2009\u2212 1) from 2012 to 2019. Demographics were not different between CW\u2010 and OWHTOs in osteopenic and normal patients (n.s., respectively). Radiographically, the mechanical axis (MA), medial proximal tibial angle (MPTA), and posterior tibial slope (PTS) were evaluated pre\u2010 and postoperatively (2 weeks after HTO). The occurrence of hinge fractures was investigated using radiographs taken on the operation day. The correction change was calculated as the last follow\u2010up value minus postoperative MPTA. Correction loss was defined when the correction change was\u2009\u2265\u20093\u00b0. The survival rate (failure: correction loss) was investigated.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There were no significant differences in the pre and postoperative MA, MPTA, PTS, and value changes between CW\u2010 and OWHTOs in osteopenic and normal patients (n.s., respectively); the incidence of unstable hinge fractures also did not differ significantly (CWHTO vs. OWHTO\u2009=\u20097 vs. 7.6% in osteopenic patients; 2.9 vs. 3.6% in normal patients; n.s., respectively). The average correction change (CWHTO\u2009=\u2009\u2212 0.6\u00b0, OWHTO\u2009=\u2009\u2212 1.3\u00b0,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.007), incidence of correction loss (CWHTO\u2009=\u20091.7%, OWHTO\u2009=\u20099.2%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.019), and 5\u2010year survival rates (CWHTO\u2009=\u200998.3%, OWHTO\u2009=\u200990.8%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.013) differed significantly in osteopenic patients; there were no significant differences in these results in normal patients (n.s., respectively).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>CWHTO was more advantageous than OWHTO regarding the correction loss in osteopenic patients. Intra\u2010 and postoperative care that consider poor bone quality will be required when performing OWHTOs in osteopenic patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence<\/jats:title>\n                    <jats:p>III.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00167-022-07006-2","type":"journal-article","created":{"date-parts":[[2022,5,30]],"date-time":"2022-05-30T02:02:32Z","timestamp":1653876152000},"page":"1563-1570","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Closed\u2010wedge high tibial osteotomy is more advantageous to maintain the correction than open\u2010wedge high tibial osteotomy in osteopenic patients"],"prefix":"10.1002","volume":"31","author":[{"given":"Sang Jun","family":"Song","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedic Surgery, College of Medicine Kyung Hee University 23 Kyunghee\u2010daero, Dongdaemun\u2010gu 130\u2010872 Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyoung Ho","family":"Yoon","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedic Surgery, College of Medicine Kyung Hee University 23 Kyunghee\u2010daero, Dongdaemun\u2010gu 130\u2010872 Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kang Il","family":"Kim","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedic Surgery, College of Medicine Kyung Hee University 23 Kyunghee\u2010daero, Dongdaemun\u2010gu 130\u2010872 Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8297-6872","authenticated-orcid":false,"given":"Cheol Hee","family":"Park","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedic Surgery, College of Medicine Kyung Hee University 23 Kyunghee\u2010daero, Dongdaemun\u2010gu 130\u2010872 Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,5,30]]},"reference":[{"key":"e_1_2_9_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2015.12.008"},{"key":"e_1_2_9_3_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40634\u2010019\u20100184\u20106"},{"key":"e_1_2_9_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0020\u20101383(16)47004\u2010X"},{"key":"e_1_2_9_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/hae.13566"},{"key":"e_1_2_9_6_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2019.15781"},{"key":"e_1_2_9_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010019\u201005615\u2010y"},{"key":"e_1_2_9_8_2","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS\u2010D\u201016\u201000142"},{"key":"e_1_2_9_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00264\u2010019\u201004385\u2010z"},{"key":"e_1_2_9_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010019\u201005463\u2010w"},{"key":"e_1_2_9_11_2","doi-asserted-by":"publisher","DOI":"10.1123\/jab.26.1.10"},{"key":"e_1_2_9_12_2","doi-asserted-by":"publisher","DOI":"10.1186\/s43019\u2010021\u201000130\u20102"},{"key":"e_1_2_9_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.afos.2018.04.002"},{"key":"e_1_2_9_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2020.11.031"},{"key":"e_1_2_9_15_2","doi-asserted-by":"publisher","DOI":"10.3803\/EnM.2013.28.3.180"},{"key":"e_1_2_9_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.csm.2019.02.002"},{"key":"e_1_2_9_17_2","doi-asserted-by":"publisher","DOI":"10.1186\/s43019\u2010021\u201000090\u20107"},{"key":"e_1_2_9_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmbbm.2019.07.015"},{"key":"e_1_2_9_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2019.07.016"},{"key":"e_1_2_9_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010012\u20101913\u2010x"},{"key":"e_1_2_9_21_2","doi-asserted-by":"publisher","DOI":"10.1177\/23259671211002289"},{"key":"e_1_2_9_22_2","first-page":"555","article-title":"High 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