{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T15:14:50Z","timestamp":1786979690592,"version":"build-2736575974"},"reference-count":39,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2023,6,16]],"date-time":"2023-06-16T00:00:00Z","timestamp":1686873600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2023,6,16]],"date-time":"2023-06-16T00:00:00Z","timestamp":1686873600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2023,6,16]],"date-time":"2023-06-16T00:00:00Z","timestamp":1686873600000},"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":[[2023,10]]},"abstract":"Abstract<\/jats:title>\n \n Purpose<\/jats:title>\n The objectives of this study were to evaluate functional results, revision\u2010free survival, and the influence of postoperative alignment on outcomes after MCWHTO.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n This retrospective study included 27\u00a0MCWHTO operated on from 2009 to 2021. Radiographic measurements were performed pre\u2010 and postoperatively.<\/jats:p>\n The HKA (Hip\u2010Knee\u2010Ankle angle), MPTA (Medial Proximal Tibial angle), LDFA (Lateral Distal Femoral Angle), JLO (Joint Line Obliquity), and JLCA (Joint Line Convergence Angle) were evaluated. The Knee injury and Osteoarthritis Outcome Score (KOOS), the International Knee Society (IKS) Function and Knee Score, and the Subjective Knee Value (SKV) as well as revision\u2010free survival were evaluated. Postoperative alignment and its influence on clinical outcomes were also analysed.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The mean follow\u2010up was 61.9\u00a0months\u2009\u00b1\u200931.4 (13\u2013124). The HKA, MPTA, and JLCA angles were decreased post\u2010operatively (respectively,\n \u0394<\/jats:italic>\n \u2009=\u20095.9\u00b0\u2009\u00b1\u20092.6,\n p<\/jats:italic>\n \u2009<\u20090.001;\n \u0394<\/jats:italic>\n \u2009=\u20096.1\u00b0\u2009\u00b1\u20093.2,\n p<\/jats:italic>\n \u2009<\u20090.001 and\n \u0394<\/jats:italic>\n \u2009=\u20092.5\u00b0\u2009\u00b1\u20091.9,\n p<\/jats:italic>\n \u2009<\u20090.001). LDFA and JLO were unchanged, post\u2010operatively (respectively,\n \u0394<\/jats:italic>\n \u2009=\u20090.1\u00b0\u2009\u00b1\u20092.2,\n p<\/jats:italic>\n \u2009=\u20090.93 and\n \u0394<\/jats:italic>\n \u2009=\u20091.2\u00b0\u2009\u00b1\u20093.3,\n p<\/jats:italic>\n \u2009=\u20090.23). Postoperative HKA correlated with knee IKS\n (R<\/jats:italic>\n \u2009=\u2009\u2212 0.15,\n p<\/jats:italic>\n \u2009=\u20090.04) and function IKS\n (R<\/jats:italic>\n \u2009=\u2009\u2212 0.44,\n p<\/jats:italic>\n \u2009=\u20090.03). Postoperative LDFA correlated with knee IKS\n (R<\/jats:italic>\n \u2009=\u20090.8,\n p<\/jats:italic>\n \u2009<\u20090.01). Patients with postoperative HKA\u2009\u2264\u2009180\u00b0 had better KOOS (\n \u0394<\/jats:italic>\n \u2009=\u200912.3,\n p<\/jats:italic>\n \u2009=\u20090.04) and IKS function (\n \u0394<\/jats:italic>\n \u2009=\u200928.1,\n p<\/jats:italic>\n \u2009<\u20090.01) than those with HKA\u2009>\u2009180\u00b0.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Functional results and revision\u2010free survival after MCWHTO are satisfactory when the deformity is located in the proximal tibia. The joint line obliquity is not significantly altered with small tibial correction and, obtaining an overall neutral or slightly varus alignment under the conditions of this study allowed an improvement in the postoperative clinical scores. The literature is still inconclusive on the ideal alignment for valgus deformities and larger series are needed to draw definitive conclusions.<\/jats:p>\n <\/jats:sec>\n \n Level of evidence<\/jats:title>\n IV, case series.<\/jats:p>\n <\/jats:sec>","DOI":"10.1007\/s00167-023-07465-1","type":"journal-article","created":{"date-parts":[[2023,6,16]],"date-time":"2023-06-16T05:02:46Z","timestamp":1686891766000},"page":"4276-4284","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Normo\u2010or slightly overcorrection show better results after medial closing wedge high tibial osteotomy"],"prefix":"10.1002","volume":"31","author":[{"given":"Axel","family":"Machado","sequence":"first","affiliation":[{"name":" University Institute of Locomotor and Sports (iULS), Pasteur II Hospital 30, voie Romaine 06000 Nice France"},{"name":" Unit\u00e9 de Recherche Clinique C\u00f4te d\u2019Azur (UR2CA) Universit\u00e9 C\u00f4te d\u2019Azur Nice France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lolita","family":"Micicoi","sequence":"additional","affiliation":[{"name":" University Institute of Locomotor and Sports (iULS), Pasteur II Hospital 30, voie Romaine 06000 Nice France"},{"name":" Unit\u00e9 de Recherche Clinique C\u00f4te d\u2019Azur (UR2CA) Universit\u00e9 C\u00f4te d\u2019Azur Nice France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin","family":"Ernat","sequence":"additional","affiliation":[{"name":" University of Utah Health Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philipp","family":"Schippers","sequence":"additional","affiliation":[{"name":" Department of Orthopedics and Traumatology University Medical Center of the Johannes Gutenberg University Mainz Langenbeckstrasse 1 55131 Mainz Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R\u00e9gis","family":"Bernard de Dompsure","sequence":"additional","affiliation":[{"name":" University Institute of Locomotor and Sports (iULS), Pasteur II Hospital 30, voie Romaine 06000 Nice France"},{"name":" Unit\u00e9 de Recherche Clinique C\u00f4te d\u2019Azur (UR2CA) Universit\u00e9 C\u00f4te d\u2019Azur Nice France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Bronsard","sequence":"additional","affiliation":[{"name":" University Institute of Locomotor and Sports (iULS), Pasteur II Hospital 30, voie Romaine 06000 Nice France"},{"name":" Unit\u00e9 de Recherche Clinique C\u00f4te d\u2019Azur (UR2CA) Universit\u00e9 C\u00f4te d\u2019Azur Nice France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean\u2010Fran\u00e7ois","family":"Gonzalez","sequence":"additional","affiliation":[{"name":" University Institute of Locomotor and Sports (iULS), Pasteur II Hospital 30, voie Romaine 06000 Nice France"},{"name":" Unit\u00e9 de Recherche Clinique C\u00f4te 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He is a committee member for the Arthroscopy Association of North American and the American Orthopedic Society for Sports Medicine. He is an editorial board member for Arthroscopy Journal<\/i>. Pr Gonzalez is a paid consultant for Amplitude. The other authors have no conflicts of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The advisory ethic committee (Ethics Committee of the C\u00f4te d'Azur University) approved this study under the number IRB 2023\u2013032.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Not required.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}