{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T13:08:03Z","timestamp":1784898483299,"version":"3.55.0"},"reference-count":31,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2024,3,30]],"date-time":"2024-03-30T00:00:00Z","timestamp":1711756800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,3,30]],"date-time":"2024-03-30T00:00:00Z","timestamp":1711756800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100006447","name":"University of Zurich","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100006447","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Arch Orthop Trauma Surg"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>The use of 3D planning to guide corrective osteotomies of the lower extremity is increasing in clinical practice. The use of computer-tomography (CT) data acquired in supine position neglects the weight-bearing (WB) state and the gold standard in 3D planning involves the manual adaption of the surgical plan after considering the WB state in long-leg radiographs (LLR). However, this process is subjective and dependent on the surgeons experience. A more standardized and automated method could reduce variability and decrease costs.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>The aim of the study was (1) to compare three different three-dimensional (3D) planning modalities for medial open-wedge high tibial osteotomy (MOWHTO) and (2) to describe the current practice of adapting NWB CT data after considering the WB state in LLR. The purpose of this study is to validate a new, standardized approach to include the WB state into the 3D planning and to compare this method against the current gold standard of 3D planning. Our hypothesis is that the correction is comparable to the gold standard, but shows less variability due compared to the more subjective hybrid approach.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Three surgical planning modalities were retrospectively analyzed in 43 legs scheduled for MOWHTO between 2015 and 2019. The planning modalities included: (1) 3D hybrid (3D non-weight-bearing (NWB) CT models after manual adaption of the opening angle considering the WB state in LLR, (2) 3D NWB (3D NWB CT models) and (3) 3D WB (2D\/3D registration of 3D NWB CT models onto LLR to simulate the WB state). The pre- and postoperative hip-knee-ankle angle (HKA) and the planned opening angle (\u00b0) were assessed and differences among modalities reported. The relationship between the reported differences and BMI, preoperative HKA (LLR), medial meniscus extrusion, Outerbridge osteoarthritis grade and joint line convergence angle (JLCA) was analyzed.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The mean (std) planned opening angle of 3D hybrid did not differ between 3D hybrid and 3D WB (0.4\u2009\u00b1\u20092.1\u00b0) (n.s.) but was higher in 3D hybrid compared to 3D NWB (1.1\u00b0 \u00b1 1.1\u00b0) (<jats:italic>p<\/jats:italic>\u2009=\u20090.039). 3D WB demonstrated increased preoperative varus deformity compared to 3D NWB: 6.7\u2009\u00b1\u20093.8\u00b0 vs. 5.6\u2009\u00b1\u20092.7\u00b0 (<jats:italic>p<\/jats:italic>\u2009=\u20090.029). Patients with an increased varus deformity in 3D WB compared to 3D NWB (&gt;\u20092 \u00b0) demonstrated more extensive varus alignment in LLR (<jats:italic>p<\/jats:italic>\u2009=\u20090.009) and a higher JLCA (<jats:italic>p<\/jats:italic>\u2009=\u20090.013).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Small intermodal differences between the current practice of the reported 3D hybrid planning modality and a 3D WB approach using a 2D\/3D registration algorithm were reported. In contrast, neglecting the WB state underestimates preoperative varus deformity and results in a smaller planned opening angle. This leads to potential under correction in MOWHTO, especially in patients with extensive varus deformities or JLCA.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Clinical Relevance<\/jats:title>\n                <jats:p>Incorporating the WB state in 3D planning modalities has the potential to increase accuracy and lead to a more consistent and reliable planning in MOWHTO. The inclusion of the WB state in automatized surgical planning algorithms has the potential to reduce costs and time in the future.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00402-024-05289-3","type":"journal-article","created":{"date-parts":[[2024,3,30]],"date-time":"2024-03-30T06:01:52Z","timestamp":1711778512000},"page":"1989-1996","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["The influence of the weight-bearing state on three-dimensional (3D) planning in lower extremity realignment \u2013 analysis of novel vs. state-of-the-art planning approaches"],"prefix":"10.1007","volume":"144","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1521-2527","authenticated-orcid":false,"given":"Sandro","family":"Hodel","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tabitha","family":"Arn-Roth","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florian","family":"Haug","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabio","family":"Carillo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lazaros","family":"Vlachopoulos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandro F.","family":"Fucentese","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philipp","family":"F\u00fcrnstahl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,3,30]]},"reference":[{"issue":"2","key":"5289_CR1","doi-asserted-by":"publisher","first-page":"122","DOI":"10.1007\/s00132-003-0585-0","volume":"33","author":"D Pape","year":"2004","unstructured":"Pape D, Seil R, Adam F, Rupp S, Kohn D, Lobenhoffer P (2004) [Imaging and preoperative planning of osteotomy of tibial head osteotomy]. Orthopade 33(2):122\u2013134. https:\/\/doi.org\/10.1007\/s00132-003-0585-0","journal-title":"Orthopade"},{"issue":"1","key":"5289_CR2","doi-asserted-by":"publisher","first-page":"7","DOI":"10.1186\/s40634-020-00224-y","volume":"7","author":"SF Fucentese","year":"2020","unstructured":"Fucentese SF, Meier P, Jud L, K\u00f6chli GL, Aichmair A, Vlachopoulos L et al (2020) Accuracy of 3D-planned patient specific instrumentation in high tibial open wedge valgisation osteotomy. J Exp Orthop 7(1):7. https:\/\/doi.org\/10.1186\/s40634-020-00224-y","journal-title":"J Exp Orthop"},{"issue":"5","key":"5289_CR3","doi-asserted-by":"publisher","first-page":"264","DOI":"10.1002\/(SICI)1097-0150(1999)4:5<264::AID-IGS4>3.0.CO;2-E","volume":"4","author":"RE Ellis","year":"1999","unstructured":"Ellis RE, Tso CY, Rudan JF, Harrison MM (1999) A surgical planning and guidance system for high tibial osteotomy. Comput Aided Surg 4(5):264\u2013274. https:\/\/doi.org\/10.1002\/(SICI)1097-0150(1999)4:5<264::AID-IGS4>3.0.CO;2-E","journal-title":"Comput Aided Surg"},{"key":"5289_CR4","first-page":"123","volume-title":"S urgical treatment of long-bone deformities: 3D preoperative planning and patient-specific instrumentation","author":"PSA F\u00fcrnstahl","year":"2016","unstructured":"F\u00fcrnstahl PSA, Graf M, Vlachopoulos L, Fucentese S, Wirth S (2016) S urgical treatment of long-bone deformities: 3D preoperative planning and patient-specific instrumentation. Computational radiology for orthopaedic interventions. Springer, New York, pp 123\u2013149"},{"key":"5289_CR5","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-021-06574-z","author":"S Hodel","year":"2021","unstructured":"Hodel S, Zindel C, Jud L, Vlachopoulos L, F\u00fcrnstahl P, Fucentese SF (2021) Influence of medial open wedge high tibial osteotomy on tibial tuberosity-trochlear groove distance. Knee Surg Sports Traumatol Arthrosc. https:\/\/doi.org\/10.1007\/s00167-021-06574-z","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"1","key":"5289_CR6","doi-asserted-by":"publisher","first-page":"50","DOI":"10.1186\/s12891-020-3075-1","volume":"21","author":"L Jud","year":"2020","unstructured":"Jud L, Vlachopoulos L, H\u00e4ller TV, Fucentese SF, Rahm S, Zingg PO (2020) The impact of mal-angulated femoral rotational osteotomies on mechanical leg axis: a computer simulation model. BMC Musculoskelet Disord 21(1):50. https:\/\/doi.org\/10.1186\/s12891-020-3075-1","journal-title":"BMC Musculoskelet Disord"},{"key":"5289_CR7","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-021-06843-x","author":"A Flury","year":"2022","unstructured":"Flury A, Hoch A, Hodel S, Imhoff FB, Fucentese SF, Zingg PO (2022) No relevant mechanical leg axis deviation in the frontal and sagittal planes is to be expected after subtrochanteric or supracondylar femoral rotational or derotational osteotomy. Knee Surg Sports Traumatol Arthrosc. https:\/\/doi.org\/10.1007\/s00167-021-06843-x","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"1","key":"5289_CR8","doi-asserted-by":"publisher","first-page":"418","DOI":"10.1186\/s12891-020-03449-1","volume":"21","author":"L Jud","year":"2020","unstructured":"Jud L, Roth T, F\u00fcrnstahl P, Vlachopoulos L, Sutter R, Fucentese SF (2020) The impact of limb loading and the measurement modality (2D versus 3D) on the measurement of the limb loading dependent lower extremity parameters. BMC Musculoskelet Disord 21(1):418. https:\/\/doi.org\/10.1186\/s12891-020-03449-1","journal-title":"BMC Musculoskelet Disord"},{"issue":"2","key":"5289_CR9","doi-asserted-by":"publisher","first-page":"543","DOI":"10.1016\/j.knee.2019.11.017","volume":"27","author":"VJ Le\u00f3n-Mu\u00f1oz","year":"2020","unstructured":"Le\u00f3n-Mu\u00f1oz VJ, L\u00f3pez-L\u00f3pez M, Mart\u00ednez-Mart\u00ednez F, Santonja-Medina F (2020) Comparison of weight-bearing full-length radiographs and computed-tomography-scan-based three-dimensional models in the assessment of knee joint coronal alignment. Knee 27(2):543\u2013551. https:\/\/doi.org\/10.1016\/j.knee.2019.11.017","journal-title":"Knee"},{"key":"5289_CR10","doi-asserted-by":"publisher","first-page":"716007","DOI":"10.3389\/frobt.2021.716007","volume":"8","author":"M Unberath","year":"2021","unstructured":"Unberath M, Gao C, Hu Y, Judish M, Taylor RH, Armand M et al (2021) The impact of machine learning on 2D\/3D Registration for Image-guided interventions: a systematic review and perspective. Front Robot AI 8:716007. https:\/\/doi.org\/10.3389\/frobt.2021.716007","journal-title":"Front Robot AI"},{"issue":"1","key":"5289_CR11","doi-asserted-by":"publisher","first-page":"44","DOI":"10.1186\/s13244-021-00994-8","volume":"12","author":"T Roth","year":"2021","unstructured":"Roth T, Carrillo F, Wieczorek M, Ceschi G, Esfandiari H, Sutter R et al (2021) Three-dimensional preoperative planning in the weight-bearing state: validation and clinical evaluation. Insights Imaging 12(1):44. https:\/\/doi.org\/10.1186\/s13244-021-00994-8","journal-title":"Insights Imaging"},{"issue":"3","key":"5289_CR12","doi-asserted-by":"publisher","first-page":"425","DOI":"10.1016\/S0030-5898(20)31927-1","volume":"25","author":"D Paley","year":"1994","unstructured":"Paley D, Herzenberg JE, Tetsworth K, McKie J, Bhave A (1994) Deformity planning for frontal and sagittal plane corrective osteotomies. Orthop Clin North Am 25(3):425\u2013465","journal-title":"Orthop Clin North Am"},{"issue":"1","key":"5289_CR13","doi-asserted-by":"publisher","first-page":"17","DOI":"10.2214\/ajr.183.1.1830017","volume":"183","author":"CR Costa","year":"2004","unstructured":"Costa CR, Morrison WB, Carrino JA (2004) Medial meniscus extrusion on knee MRI: is extent associated with severity of degeneration or type of tear? AJR Am J Roentgenol 183(1):17\u201323. https:\/\/doi.org\/10.2214\/ajr.183.1.1830017","journal-title":"AJR Am J Roentgenol"},{"key":"5289_CR14","doi-asserted-by":"publisher","unstructured":"OUTERBRIDGE RE (1961) The etiology of chondromalacia patellae. J Bone Joint Surg Br 43. https:\/\/doi.org\/10.1302\/0301-620X.43B4.752. -B:752-7","DOI":"10.1302\/0301-620X.43B4.752"},{"issue":"4","key":"5289_CR15","doi-asserted-by":"publisher","first-page":"543","DOI":"10.1016\/s0021-9290(01)00222-6","volume":"35","author":"G Wu","year":"2002","unstructured":"Wu G, Siegler S, Allard P, Kirtley C, Leardini A, Rosenbaum D et al (2002) ISB recommendation on definitions of joint coordinate system of various joints for the reporting of human joint motion\u2013part I: ankle, hip, and spine. Int Soc Biomech J Biomech 35(4):543\u2013548. https:\/\/doi.org\/10.1016\/s0021-9290(01)00222-6","journal-title":"Int Soc Biomech J Biomech"},{"issue":"11","key":"5289_CR16","doi-asserted-by":"publisher","first-page":"2273","DOI":"10.1007\/s00264-014-2442-7","volume":"38","author":"MJ Feucht","year":"2014","unstructured":"Feucht MJ, Minzlaff P, Saier T, Cotic M, S\u00fcdkamp NP, Niemeyer P et al (2014) Degree of axis correction in valgus high tibial osteotomy: proposal of an individualised approach. Int Orthop 38(11):2273\u20132280. https:\/\/doi.org\/10.1007\/s00264-014-2442-7","journal-title":"Int Orthop"},{"key":"5289_CR17","doi-asserted-by":"crossref","unstructured":"F\u00fcrnstahl PSA, Graf M, Vlachopoulos L, Fucentese S, Wirth S Surgical treatment of long-bone deformities: 3D preoperative planning and patient-specific instrumentation. Comput Radiol Orthop Interventions 2016:p. 123\u2013149","DOI":"10.1007\/978-3-319-23482-3_7"},{"issue":"6","key":"5289_CR18","doi-asserted-by":"publisher","first-page":"789","DOI":"10.1016\/0360-3016(83)90003-2","volume":"9","author":"M Goitein","year":"1983","unstructured":"Goitein M, Abrams M, Rowell D, Pollari H, Wiles J (1983) Multi-dimensional treatment planning: II. Beam\u2019s eye-view, back projection, and projection through CT sections. Int J Radiat Oncol Biol Phys 9(6):789\u2013797. https:\/\/doi.org\/10.1016\/0360-3016(83)90003-2","journal-title":"Int J Radiat Oncol Biol Phys"},{"issue":"1","key":"5289_CR19","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1186\/s43019-021-00090-7","volume":"33","author":"T Matsushita","year":"2021","unstructured":"Matsushita T, Watanabe S, Araki D, Nagai K, Hoshino Y, Kanzaki N et al (2021) Differences in preoperative planning for high-tibial osteotomy between the standing and supine positions. Knee Surg Relat Res 33(1):8. https:\/\/doi.org\/10.1186\/s43019-021-00090-7","journal-title":"Knee Surg Relat Res"},{"issue":"10","key":"5289_CR20","doi-asserted-by":"publisher","first-page":"3299","DOI":"10.1007\/s00167-020-06166-3","volume":"29","author":"MJ Feucht","year":"2021","unstructured":"Feucht MJ, Winkler PW, Mehl J, Bode G, Forkel P, Imhoff AB et al (2021) Isolated high tibial osteotomy is appropriate in less than two-thirds of varus knees if excessive overcorrection of the medial proximal tibial angle should be avoided. Knee Surg Sports Traumatol Arthrosc 29(10):3299\u20133309. https:\/\/doi.org\/10.1007\/s00167-020-06166-3","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"10","key":"5289_CR21","doi-asserted-by":"publisher","first-page":"e622","DOI":"10.3928\/01477447-20110826-02","volume":"34","author":"HM El-Azab","year":"2011","unstructured":"El-Azab HM, Morgenstern M, Ahrens P, Schuster T, Imhoff AB, Lorenz SG (2011) Limb alignment after open-wedge high tibial osteotomy and its effect on the clinical outcome. Orthopedics 34(10):e622\u2013e628. https:\/\/doi.org\/10.3928\/01477447-20110826-02","journal-title":"Orthopedics"},{"issue":"1","key":"5289_CR22","doi-asserted-by":"publisher","first-page":"72","DOI":"10.1016\/j.arthro.2013.10.008","volume":"30","author":"WH Jung","year":"2014","unstructured":"Jung WH, Takeuchi R, Chun CW, Lee JS, Ha JH, Kim JH et al (2014) Second-look arthroscopic assessment of cartilage regeneration after medial opening-wedge high tibial osteotomy. Arthroscopy 30(1):72\u201379. https:\/\/doi.org\/10.1016\/j.arthro.2013.10.008","journal-title":"Arthroscopy"},{"key":"5289_CR23","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2019.04.030","author":"K Goshima","year":"2019","unstructured":"Goshima K, Sawaguchi T, Shigemoto K, Iwai S, Fujita K, Yamamuro Y (2019) Osteotomy Arthrosc 35(10):2898\u2013908e. https:\/\/doi.org\/10.1016\/j.arthro.2019.04.030. Comparison of Clinical and Radiologic Outcomes Between Normal and Overcorrected Medial Proximal Tibial Angle Groups After Open-Wedge High Tibial"},{"issue":"6","key":"5289_CR24","doi-asserted-by":"publisher","first-page":"1873","DOI":"10.1007\/s00167-017-4680-x","volume":"26","author":"H Nakayama","year":"2018","unstructured":"Nakayama H, Schr\u00f6ter S, Yamamoto C, Iseki T, Kanto R, Kurosaka K et al (2018) Large correction in opening wedge high tibial osteotomy with resultant joint-line obliquity induces excessive shear stress on the articular cartilage. Knee Surg Sports Traumatol Arthrosc 26(6):1873\u20131878. https:\/\/doi.org\/10.1007\/s00167-017-4680-x","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"5289_CR25","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-023-05151-y","author":"JA Mitterer","year":"2023","unstructured":"Mitterer JA, Huber S, Schwarz GM, Simon S, Pallamar M, Kissler F et al (2023) Fully automated assessment of the knee alignment on long leg radiographs following corrective knee osteotomies in patients with valgus or varus deformities. Arch Orthop Trauma Surg. https:\/\/doi.org\/10.1007\/s00402-023-05151-y","journal-title":"Arch Orthop Trauma Surg"},{"issue":"8","key":"5289_CR26","doi-asserted-by":"publisher","first-page":"2617","DOI":"10.1007\/s00167-018-5286-7","volume":"27","author":"N Goto","year":"2019","unstructured":"Goto N, Okazaki K, Akiyama T, Akasaki Y, Mizu-Uchi H, Hamai S et al (2019) Alignment factors affecting the medial meniscus extrusion increases the risk of osteoarthritis development. Knee Surg Sports Traumatol Arthrosc 27(8):2617\u20132623. https:\/\/doi.org\/10.1007\/s00167-018-5286-7","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"9","key":"5289_CR27","doi-asserted-by":"publisher","first-page":"2759","DOI":"10.1016\/j.arthro.2022.05.008","volume":"38","author":"YS Lee","year":"2022","unstructured":"Lee YS (2022) Editorial Commentary: patient-specific instrumentation for knee high tibial osteotomy addresses the Bony but not the soft-tissue aspect of deformity correction. Arthroscopy 38(9):2759\u20132760. https:\/\/doi.org\/10.1016\/j.arthro.2022.05.008","journal-title":"Arthroscopy"},{"issue":"4","key":"5289_CR28","doi-asserted-by":"publisher","first-page":"1035","DOI":"10.1007\/s00167-020-06076-4","volume":"29","author":"JE Kim","year":"2021","unstructured":"Kim JE, Kim DH, Lee JI, Choi HG, Jung YS, Lee SH et al (2021) Difference of preoperative varus-valgus stress radiograph is effective for the correction accuracy in the preoperative planning during open-wedge high tibial osteotomy. Knee Surg Sports Traumatol Arthrosc 29(4):1035\u20131044. https:\/\/doi.org\/10.1007\/s00167-020-06076-4","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"8","key":"5289_CR29","doi-asserted-by":"publisher","first-page":"4879","DOI":"10.1007\/s00402-023-04818-w","volume":"143","author":"HW Jeong","year":"2023","unstructured":"Jeong HW, Shim SJ, Park SY, Lee YS (2023) Analysis of the determinant factor of the medial joint space width after medial opening wedge high tibial osteotomy. Arch Orthop Trauma Surg 143(8):4879\u20134888. https:\/\/doi.org\/10.1007\/s00402-023-04818-w","journal-title":"Arch Orthop Trauma Surg"},{"key":"5289_CR30","doi-asserted-by":"crossref","unstructured":"a HCNabWPGaNvEaHWaCHSbRJBSaRJHC. The need for a standardized whole leg radiograph guideline: the effects of knee flexion, leg rotation, and X-ray beam height. 1. Journal of Cartilage & Joint Preservation; (2021)","DOI":"10.1016\/j.jcjp.2021.100022"},{"issue":"3","key":"5289_CR31","doi-asserted-by":"publisher","first-page":"263","DOI":"10.1007\/s00132-008-1390-6","volume":"38","author":"W Strecker","year":"2009","unstructured":"Strecker W, Dickschas J, Harrer J, M\u00fcller M (2009) [Arthroscopy prior to osteotomy in cases of unicondylar osteoarthritis]. Orthopade 38(3):263\u2013268. https:\/\/doi.org\/10.1007\/s00132-008-1390-6","journal-title":"Orthopade"}],"container-title":["Archives of Orthopaedic and Trauma Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00402-024-05289-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00402-024-05289-3\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00402-024-05289-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,15]],"date-time":"2024-05-15T03:58:27Z","timestamp":1715745507000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00402-024-05289-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,30]]},"references-count":31,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2024,5]]}},"alternative-id":["5289"],"URL":"https:\/\/doi.org\/10.1007\/s00402-024-05289-3","relation":{"references":[{"id-type":"uri","id":"","asserted-by":"subject"}]},"ISSN":["1434-3916"],"issn-type":[{"value":"1434-3916","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3,30]]},"assertion":[{"value":"18 September 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 March 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"30 March 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was partially funded by the Swiss National Science Foundation (Grant Nr. 320030_182352\/1).Sandro Fucentese is a consultant for Medacta SA (Switzerland), Zimmer Biomet (USA), Smith & Nephew (United Kingdom) and Karl Storz SE & Co. KG (Germany). Sandro Fucentese is a board member of the EKA-ESSKA osteotomy expert group.The remaining offers have nothing to disclose.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest or funding"}},{"value":"Written informed consent was obtained from all patients and ethics protocol was approved by the Cantonal Ethics Committee Zurich (ID 2017\u2009\u2212\u200901616).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics"}}]}}