{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T00:32:37Z","timestamp":1790382757866,"version":"4.1.0"},"reference-count":34,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T00:00:00Z","timestamp":1741737600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T00:00:00Z","timestamp":1741737600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T00:00:00Z","timestamp":1741737600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T00:00:00Z","timestamp":1741737600000},"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":[[2025,10]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To determine whether use of a tibial screw placed across the lateral tibial hinge results in significantly greater failure load compared with no lateral screw after medial opening wedge high tibial osteotomy (MOWHTO).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Twelve Sawbone tibias were used for the study. A MOWHTO was performed in each specimen using a computed tomography\u2010based patient specific correction guide, and 6 specimens received a lateral hinge screw. Cantilever varus bending load was applied to failure, and failure load, displacement at failure, and stiffness of the osteotomy before hinge failure were recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Failure load was statistically higher in the hinge screw group compared to the control group, 437.0 \u00b1 82.0 N vs 336.0 \u00b1 55.9 N,\n                      <jats:italic>P<\/jats:italic>\n                      = .046 (mean \u00b1 standard deviation). This load to failure was 30% greater in MOWHTO using a hinge screw versus the control.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Using a Sawbone model, the current data showed that placement of a lateral hinge screw significantly increased resistance to varus stress following MOWHTO compared with a construct having no tibial screw. Additionally, no significant difference in displacement or stiffness was observed between the hinge screw and the control groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>The current biomechanical findings suggest that the use of a laterally based proximal tibial screw can potentially reduce the risk of lateral hinge fracture and its associated morbidity after MOWHTO.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2025.03.008","type":"journal-article","created":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T04:02:40Z","timestamp":1741752160000},"page":"4053-4059","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":4,"title":["A Single Lateral Hinge Screw Increased Resistance to Varus Stress After Medial Opening\u2010Wedge High Tibial Osteotomy in a Synthetic Bone Model: A Biomechanical Analysis"],"prefix":"10.1002","volume":"41","author":[{"given":"Te\u2010feng Arthur","family":"Chou","sequence":"first","affiliation":[{"name":"MedStar Health Union Memorial Hospital Baltimore Maryland U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Wright","sequence":"additional","affiliation":[{"name":"MedStar Health Union Memorial Hospital Baltimore Maryland U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pooyan","family":"Abbasi","sequence":"additional","affiliation":[{"name":"MedStar Health Union Memorial Hospital Baltimore Maryland U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wiemi A.","family":"Douoguih","sequence":"additional","affiliation":[{"name":"MedStar Lafayette Orthopaedic and Sports Medicine Center MedStar Washington Hospital Center Washington DC U.S.A."},{"name":"Department of Orthopaedic Surgery MedStar Georgetown University Hospital Washington DC U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,3,12]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jjoisr.2024.06.006"},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.1530\/EOR-22-0103"},{"key":"e_1_2_4_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514525929"},{"key":"e_1_2_4_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2011.06.034"},{"key":"e_1_2_4_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/2325967120922535"},{"key":"e_1_2_4_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-019-05404-7"},{"key":"e_1_2_4_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40634-017-0098-0"},{"key":"e_1_2_4_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2015.08.016"},{"key":"e_1_2_4_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-016-4302-z"},{"key":"e_1_2_4_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jot.2019.06.004"},{"key":"e_1_2_4_12_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0244557"},{"key":"e_1_2_4_13_1","doi-asserted-by":"publisher","DOI":"10.1243\/09544119JEIM409"},{"key":"e_1_2_4_14_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.90B12.21198"},{"key":"e_1_2_4_15_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.99B10.BJJ-2017-0103.R1"},{"key":"e_1_2_4_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-009-0889-8"},{"key":"e_1_2_4_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/23259671211046964"},{"key":"e_1_2_4_18_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198567070-00025"},{"key":"e_1_2_4_19_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0181328"},{"key":"e_1_2_4_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-015-3807-1"},{"key":"e_1_2_4_21_1","first-page":"e21.00141","article-title":"High tibial osteotomy for varus deformity of the knee","volume":"5","author":"Murray R.","year":"2021","journal-title":"J Am Acad Orthop Surg Glob Res Rev"},{"key":"e_1_2_4_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40634-023-00654-4"},{"key":"e_1_2_4_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcot.2021.101618"},{"key":"e_1_2_4_24_1","first-page":"464","article-title":"Factors affecting the union of opening wedge high tibial osteotomy using a titanium wedge plate","volume":"16","author":"Nawas H.T.","year":"2016","journal-title":"Ochsner J"},{"key":"e_1_2_4_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2014.08.028"},{"key":"e_1_2_4_26_1","doi-asserted-by":"crossref","unstructured":"NaudieD. 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