{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T09:31:57Z","timestamp":1792315917017,"version":"4.4.0"},"reference-count":32,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2013,4,29]],"date-time":"2013-04-29T00:00:00Z","timestamp":1367193600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2013,4,29]],"date-time":"2013-04-29T00:00:00Z","timestamp":1367193600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2013,4,29]],"date-time":"2013-04-29T00:00:00Z","timestamp":1367193600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2013,4,29]],"date-time":"2013-04-29T00:00:00Z","timestamp":1367193600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2013,6]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The purpose of this study was to perform a retrospective clinical and radiographic evaluation after opening\u2010wedge high tibial osteotomy (HTO) using a short spacer plate (Aescula; B. Braun Korea, Seoul, South Korea) and rigid long plate (TomoFix plate; Mathys, Bettlach, Switzerland) at follow\u2010up 2 years postoperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed 94\u00a0opening\u2010wedge HTOs with the Aescula plate (group I) and 92 HTOs with the TomoFix plate (group II). Patients underwent clinical and radiographic evaluations preoperatively and at 2 years postoperatively. Clinical evaluations were performed with Knee Society scores. Radiographic analysis included the mechanical tibiofemoral angle (mTFA) and the slope of the tibia angle with preoperative and postoperative full weight\u2013bearing anteroposterior whole\u2010leg views, as well as anteroposterior, lateral, and Merchant views of the knee. We measured the mTFA. In addition, we evaluated the complications in each group. The follow\u2010up period was 2 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      At follow\u2010up 2 years postoperatively, we observed an overall complication rate of 38% in group I and 26% in group II (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .083). We found plate\u2010related complication rates of 20% in group I and 9% in group II (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .039). Plate\u2010related complications included loss of correction, fracture of the tibial plateau, screw failure, malunion, and fracture of the lateral cortical bone. The mean mTFA was\u00a0\u22126.0\u00b0 \u00b1 3.2\u00b0 in group I and\u00a0\u22124.6\u00b0 \u00b1 2.8\u00b0 in group II preoperatively (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .262). The mean mTFA was 1.0\u00b0 \u00b1 3.1\u00b0 in group I and 1.5\u00b0 \u00b1 2.3\u00b0 in group II at the latest follow\u2010up (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .034). In group I, the mean Knee Society knee score and function score were 60.0 \u00b1 12.9 and 57.9 \u00b1 26.8, respectively, preoperatively. They improved to 92.1 \u00b1 8.1 and 89.0 \u00b1 15.1, respectively, at follow\u2010up (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .001 and\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .001, respectively). In group II, the mean Knee Society knee score and function score were 57.5 \u00b1 14.8 and 57.4 \u00b1 22.1, respectively, preoperatively. They improved to 95.5 \u00b1 5.4 and 95.0 \u00b1 7.6, respectively, at follow\u2010up (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .001 and\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a0.001, respectively). In addition, the mean postoperative knee score and function score in group II were higher than those in group I (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .001 and\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .001, respectively).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>We have shown a high plate\u2010related complication rate and a significant loss of correction during a short\u2010term follow\u2010up period (2 years) after opening\u2010wedge HTO using the new\u00a0short spacer HTO plate compared with the rigid long plate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, therapeutic case series.<\/jats:p>\n                  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