{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T15:09:09Z","timestamp":1790262549651,"version":"4.1.0"},"reference-count":25,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2020,3,27]],"date-time":"2020-03-27T00:00:00Z","timestamp":1585267200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2020,3,27]],"date-time":"2020-03-27T00:00:00Z","timestamp":1585267200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Arch Orthop Trauma Surg"],"published-print":{"date-parts":[[2021,1]]},"DOI":"10.1007\/s00402-020-03419-1","type":"journal-article","created":{"date-parts":[[2020,3,27]],"date-time":"2020-03-27T20:02:41Z","timestamp":1585339361000},"page":"23-28","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Intraoperatively accurate limb alignment after opening wedge high tibial osteotomy can be lost by large knee joint line convergence angle during surgery"],"prefix":"10.1007","volume":"141","author":[{"given":"Ken","family":"Kumagai","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shunsuke","family":"Yamada","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomotaka","family":"Akamatsu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuntaro","family":"Nejima","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takehiro","family":"Ogino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masaichi","family":"Sotozawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yutaka","family":"Inaba","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,3,27]]},"reference":[{"issue":"8","key":"3419_CR1","doi-asserted-by":"publisher","first-page":"852","DOI":"10.1016\/j.arthro.2007.05.018","volume":"23","author":"JD Agneskirchner","year":"2007","unstructured":"Agneskirchner JD, Hurschler C, Wrann CD et al (2007) The effects of valgus medial opening wedge high tibial osteotomy on articular cartilage pressure of the knee: a biomechanical study. Arthroscopy 23(8):852\u2013861","journal-title":"Arthroscopy"},{"issue":"7","key":"3419_CR2","doi-asserted-by":"publisher","first-page":"2041","DOI":"10.1007\/s00167-014-2920-x","volume":"23","author":"DW Elson","year":"2015","unstructured":"Elson DW, Petheram TG, Dawson MJ (2015) High reliability in digital planning of medial opening wedge high tibial osteotomy, using Miniaci's method. Knee Surg Sports Traumatol Arthrosc 23(7):2041\u20132048","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"3","key":"3419_CR3","doi-asserted-by":"publisher","first-page":"808","DOI":"10.1007\/s00167-015-3850-y","volume":"25","author":"JH Han","year":"2017","unstructured":"Han JH, Kim HJ, Song JG et al (2017) Locking plate versus non-locking plate in open-wedge high tibial osteotomy: a meta-analysis. Knee Surg Sports Traumatol Arthrosc 25(3):808\u2013816","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"3","key":"3419_CR4","doi-asserted-by":"publisher","first-page":"332","DOI":"10.2106\/00004623-198769030-00005","volume":"69","author":"P Hernigou","year":"1987","unstructured":"Hernigou P, Medevielle D, Debeyre J et al (1987) Proximal tibial osteotomy for osteoarthritis with varus deformity. A ten to thirteen-year follow-up study. J Bone Joint Surg Am 69(3):332\u2013354","journal-title":"J Bone Joint Surg Am"},{"issue":"7","key":"3419_CR5","doi-asserted-by":"publisher","first-page":"911","DOI":"10.1007\/s00402-018-2918-9","volume":"138","author":"YW Jang","year":"2018","unstructured":"Jang YW, Lim D, Seo H et al (2018) Role of an anatomically contoured plate and metal block for balanced stability between the implant and lateral hinge in open-wedge high-tibial osteotomy. Arch Orthop Trauma Surg 138(7):911\u2013920","journal-title":"Arch Orthop Trauma Surg"},{"key":"3419_CR6","doi-asserted-by":"crossref","unstructured":"Jin C, Song EK, Santoso A et al (2019) Survival and risk factor analysis of medial open wedge high tibial osteotomy for unicompartment knee osteoarthritis. Arthroscopy","DOI":"10.1016\/j.arthro.2019.08.040"},{"issue":"6","key":"3419_CR7","doi-asserted-by":"publisher","first-page":"1063","DOI":"10.1016\/j.arthro.2013.02.020","volume":"29","author":"WH Jung","year":"2013","unstructured":"Jung WH, Chun CW, Lee JH et al (2013) Comparative study of medial opening-wedge high tibial osteotomy using 2 different implants. Arthroscopy 29(6):1063\u20131071","journal-title":"Arthroscopy"},{"issue":"6","key":"3419_CR8","doi-asserted-by":"publisher","first-page":"439","DOI":"10.1016\/j.knee.2004.03.005","volume":"11","author":"T Koshino","year":"2004","unstructured":"Koshino T, Yoshida T, Ara Y et al (2004) Fifteen to twenty-eight years' follow-up results of high tibial valgus osteotomy for osteoarthritic knee. Knee 11(6):439\u2013444","journal-title":"Knee"},{"issue":"12","key":"3419_CR9","doi-asserted-by":"publisher","first-page":"1842","DOI":"10.1016\/j.arthro.2012.05.881","volume":"28","author":"DH Lee","year":"2012","unstructured":"Lee DH, Nha KW, Park SJ et al (2012) Preoperative and postoperative comparisons of navigation and radiologic limb alignment measurements after high tibial osteotomy. Arthroscopy 28(12):1842\u20131850","journal-title":"Arthroscopy"},{"issue":"12","key":"3419_CR10","doi-asserted-by":"publisher","first-page":"3704","DOI":"10.1007\/s00167-015-3682-9","volume":"24","author":"DH Lee","year":"2016","unstructured":"Lee DH, Park SC, Park HJ et al (2016) Effect of soft tissue laxity of the knee joint on limb alignment correction in open-wedge high tibial osteotomy. Knee Surg Sports Traumatol Arthrosc 24(12):3704\u20133712","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"3419_CR11","doi-asserted-by":"crossref","unstructured":"Lee DK, Wang JH, Won Y et al (2019) Preoperative latent medial laxity and correction angle are crucial factors for overcorrection in medial open-wedge high tibial osteotomy. Knee Surg Sports Traumatol Arthrosc","DOI":"10.1007\/s00167-019-05502-6"},{"issue":"6","key":"3419_CR12","doi-asserted-by":"publisher","first-page":"927","DOI":"10.1302\/0301-620X.73B6.1955438","volume":"73","author":"K Ogata","year":"1991","unstructured":"Ogata K, Yoshii I, Kawamura H et al (1991) Standing radiographs cannot determine the correction in high tibial osteotomy. J Bone Jt Surg Br 73(6):927\u2013931","journal-title":"J Bone Jt Surg Br"},{"issue":"3","key":"3419_CR13","doi-asserted-by":"publisher","first-page":"299","DOI":"10.1007\/s00402-017-2846-0","volume":"138","author":"H Ogawa","year":"2018","unstructured":"Ogawa H, Matsumoto K, Akiyama H (2018) New angle measurement device to control the posterior tibial slope angle in medial opening wedge high tibial osteotomy. Arch Orthop Trauma Surg 138(3):299\u2013305","journal-title":"Arch Orthop Trauma Surg"},{"issue":"10","key":"3419_CR14","doi-asserted-by":"publisher","first-page":"1337","DOI":"10.1007\/s00402-016-2521-x","volume":"136","author":"H Ogawa","year":"2016","unstructured":"Ogawa H, Matsumoto K, Ogawa T et al (2016) Preoperative varus laxity correlates with overcorrection in medial opening wedge high tibial osteotomy. Arch Orthop Trauma Surg 136(10):1337\u20131342","journal-title":"Arch Orthop Trauma Surg"},{"issue":"4","key":"3419_CR15","doi-asserted-by":"publisher","first-page":"1334","DOI":"10.1007\/s11999-012-2745-1","volume":"471","author":"S Okamoto","year":"2013","unstructured":"Okamoto S, Okazaki K, Mitsuyasu H et al (2013) Lateral soft tissue laxity increases but medial laxity does not contract with varus deformity in total knee arthroplasty. Clin Orthop Relat Res 471(4):1334\u20131342","journal-title":"Clin Orthop Relat Res"},{"key":"3419_CR16","first-page":"19","volume-title":"Principles of deformity correction","author":"D Paley","year":"2003","unstructured":"Paley D (2003) Malalignment and malorientation in the frontal plane. In: Paley D, Herzenberg JE (eds) Principles of deformity correction. Springer, New York, pp 19\u201330"},{"issue":"3","key":"3419_CR17","doi-asserted-by":"publisher","first-page":"243","DOI":"10.1080\/10255842.2018.1549658","volume":"22","author":"T Purevsuren","year":"2019","unstructured":"Purevsuren T, Khuyagbaatar B, Kim K et al (2019) Effects of medial collateral ligament release, limb correction, and soft tissue laxity on knee joint contact force distribution after medial opening wedge high tibial osteotomy: a computational study. Comput Methods Biomech Biomed Engin 22(3):243\u2013250","journal-title":"Comput Methods Biomech Biomed Engin"},{"issue":"2","key":"3419_CR18","doi-asserted-by":"publisher","first-page":"203","DOI":"10.1007\/s00402-019-03300-w","volume":"140","author":"CH Ribeiro","year":"2020","unstructured":"Ribeiro CH, Mod MSB, Isch D et al (2020) A novel device for greater precision and safety in open-wedge high tibial osteotomy: cadaveric study. Arch Orthop Trauma Surg 140(2):203\u2013208","journal-title":"Arch Orthop Trauma Surg"},{"issue":"3","key":"3419_CR19","doi-asserted-by":"publisher","first-page":"339","DOI":"10.1302\/0301-620X.96B3.32525","volume":"96","author":"T Saito","year":"2014","unstructured":"Saito T, Kumagai K, Akamatsu Y et al (2014) Five- to ten-year outcome following medial opening-wedge high tibial osteotomy with rigid plate fixation in combination with an artificial bone substitute. Bone Jt J 96(3):339\u2013344","journal-title":"Bone Jt J"},{"issue":"1","key":"3419_CR20","doi-asserted-by":"publisher","first-page":"26","DOI":"10.1177\/230949901001800106","volume":"18","author":"H Sasanuma","year":"2010","unstructured":"Sasanuma H, Sekiya H, Takatoku K et al (2010) Evaluation of soft-tissue balance during total knee arthroplasty. J Orthop Surg (Hong Kong) 18(1):26\u201330","journal-title":"J Orthop Surg (Hong Kong)"},{"issue":"1","key":"3419_CR21","doi-asserted-by":"publisher","first-page":"481","DOI":"10.1186\/s12891-019-2859-7","volume":"20","author":"D Sato","year":"2019","unstructured":"Sato D, Kondo E, Yabuuchi K et al (2019) Assessment of valgus laxity after release of the medial structure in medial open-wedge high tibial osteotomy: an in vivo biomechanical study using quantitative valgus stress radiography. BMC Musculoskelet Disord 20(1):481","journal-title":"BMC Musculoskelet Disord"},{"issue":"6","key":"3419_CR22","doi-asserted-by":"publisher","first-page":"1582","DOI":"10.1007\/s11999-008-0588-6","volume":"467","author":"H Sekiya","year":"2009","unstructured":"Sekiya H, Takatoku K, Takada H et al (2009) Postoperative lateral ligamentous laxity diminishes with time after TKA in the varus knee. Clin Orthop Relat Res 467(6):1582\u20131586","journal-title":"Clin Orthop Relat Res"},{"issue":"4","key":"3419_CR23","doi-asserted-by":"publisher","first-page":"908","DOI":"10.1177\/0363546515624925","volume":"44","author":"SS Seo","year":"2016","unstructured":"Seo SS, Kim CW, Seo JH et al (2016) Does superficial medial collateral ligament release in open-wedge high tibial osteotomy for varus osteoarthritic knees increase valgus laxity? Am J Sports Med 44(4):908\u2013915","journal-title":"Am J Sports Med"},{"issue":"3","key":"3419_CR24","doi-asserted-by":"publisher","first-page":"407","DOI":"10.1007\/s00402-015-2405-5","volume":"136","author":"T Tsukeoka","year":"2016","unstructured":"Tsukeoka T, Tsuneizumi Y (2016) Varus and valgus stress tests after total knee arthroplasty with and without anesthesia. Arch Orthop Trauma Surg 136(3):407\u2013411","journal-title":"Arch Orthop Trauma Surg"},{"issue":"3","key":"3419_CR25","doi-asserted-by":"publisher","first-page":"692","DOI":"10.1007\/s00167-018-4967-6","volume":"27","author":"T Tsukeoka","year":"2019","unstructured":"Tsukeoka T, Tsuneizumi Y (2019) Residual medial tightness in extension is corrected spontaneously after total knee arthroplasty in varus knees. Knee Surg Sports Traumatol Arthrosc 27(3):692\u2013697","journal-title":"Knee Surg Sports Traumatol Arthrosc"}],"container-title":["Archives of Orthopaedic and Trauma Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00402-020-03419-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00402-020-03419-1\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00402-020-03419-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,3,27]],"date-time":"2021-03-27T00:23:49Z","timestamp":1616804629000},"score":1,"resource":{"primary":{"URL":"http:\/\/link.springer.com\/10.1007\/s00402-020-03419-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,3,27]]},"references-count":25,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,1]]}},"alternative-id":["3419"],"URL":"https:\/\/doi.org\/10.1007\/s00402-020-03419-1","relation":{},"ISSN":["0936-8051","1434-3916"],"issn-type":[{"value":"0936-8051","type":"print"},{"value":"1434-3916","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,3,27]]},"assertion":[{"value":"7 September 2019","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 March 2020","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"The authors declare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The study was approved by the institutional review board.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Informed consent was obtained from all individual participants included in the study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}