{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T06:28:59Z","timestamp":1781764139442,"version":"3.54.5"},"reference-count":34,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"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: The Journal of Arthroscopic &amp; Related Surgery"],"published-print":{"date-parts":[[2025,12]]},"DOI":"10.1016\/j.arthro.2025.06.005","type":"journal-article","created":{"date-parts":[[2025,6,19]],"date-time":"2025-06-19T19:08:27Z","timestamp":1750360107000},"page":"5193-5201","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":3,"title":["Knee Joint Line Obliquity Continues to Regress Beyond 1 Year and Stabilizes at 3 Years After Open Wedge High Tibial Osteotomy Without Correlation to Clinical Outcome"],"prefix":"10.1002","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3246-8030","authenticated-orcid":false,"given":"Ju-Ho","family":"Song","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7269-0915","authenticated-orcid":false,"given":"Bum-Sik","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jong-Min","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seong-Il","family":"Bin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"key":"10.1016\/j.arthro.2025.06.005_bib1","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1186\/s43019-021-00130-2","article-title":"How to achieve an optimal alignment in medial opening wedge high tibial osteotomy?","volume":"34","author":"Kang","year":"2022","journal-title":"Knee Surg Relat Res"},{"key":"10.1016\/j.arthro.2025.06.005_bib2","doi-asserted-by":"crossref","DOI":"10.1016\/j.jisako.2024.06.001","article-title":"Should I add orthobiologics to my knee osteotomy practice? A systematic review","volume":"9","author":"Meena","year":"2024","journal-title":"J ISAKOS"},{"key":"10.1016\/j.arthro.2025.06.005_bib3","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1007\/s00264-015-2733-7","article-title":"Functional joint line obliquity after kinematic total knee arthroplasty","volume":"40","author":"Hutt","year":"2016","journal-title":"Int Orthop"},{"key":"10.1016\/j.arthro.2025.06.005_bib4","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1530\/EOR-24-0037","article-title":"Joint line and knee osteotomy","volume":"9","author":"Pratobevera","year":"2024","journal-title":"EFORT Open Rev"},{"key":"10.1016\/j.arthro.2025.06.005_bib5","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1016\/j.jor.2024.02.022","article-title":"Compensatory mechanisms for proximal & distal joint alignment & gait in varus knee osteoarthritis treated with high tibial osteotomy: A systematic review","volume":"54","author":"Harvey","year":"2024","journal-title":"J Orthop"},{"key":"10.1016\/j.arthro.2025.06.005_bib6","doi-asserted-by":"crossref","first-page":"1383","DOI":"10.1016\/j.knee.2017.08.003","article-title":"The failing medial compartment in the varus knee and its association with CAM deformity of the hip","volume":"24","author":"Palmer","year":"2017","journal-title":"Knee"},{"key":"10.1016\/j.arthro.2025.06.005_bib7","article-title":"Using the lower limb adduction angle to predict postoperative knee joint-line obliquity after open-wedge high tibial osteotomy","volume":"9","author":"Park","year":"2021","journal-title":"Orthop J Sports Med"},{"key":"10.1016\/j.arthro.2025.06.005_bib8","doi-asserted-by":"crossref","first-page":"1159","DOI":"10.1007\/s00590-022-03269-0","article-title":"Changes in coronal alignment of the hip joint after medial opening wedge high tibial osteotomy","volume":"33","author":"Patel","year":"2023","journal-title":"Eur J Orthop Surg Traumatol"},{"key":"10.1016\/j.arthro.2025.06.005_bib9","doi-asserted-by":"crossref","first-page":"818","DOI":"10.1530\/EOR-23-0104","article-title":"Osteotomies around the knee alter alignment of the ankle and hindfoot: A systematic review of biomechanical and clinical studies","volume":"8","author":"Van Oevelen","year":"2023","journal-title":"EFORT Open Rev"},{"key":"10.1016\/j.arthro.2025.06.005_bib10","doi-asserted-by":"crossref","first-page":"4078","DOI":"10.1007\/s00167-022-06915-6","article-title":"Consistent indications, targets and techniques for double-level osteotomy of the knee: A systematic review","volume":"30","author":"Alves","year":"2022","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"10.1016\/j.arthro.2025.06.005_bib11","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1186\/s43019-023-00198-y","article-title":"Radiologic simulation of leg length change after double level osteotomy in preoperative surgical planning","volume":"35","author":"Nejima","year":"2023","journal-title":"Knee Surg Relat Res"},{"key":"10.1016\/j.arthro.2025.06.005_bib12","doi-asserted-by":"crossref","first-page":"3028","DOI":"10.1177\/0363546520949552","article-title":"What is an acceptable limit of joint-line obliquity after medial open wedge high tibial osteotomy? Analysis based on midterm results","volume":"48","author":"Song","year":"2020","journal-title":"Am J Sports Med"},{"key":"10.1016\/j.arthro.2025.06.005_bib13","doi-asserted-by":"crossref","first-page":"2158","DOI":"10.1016\/j.arthro.2018.01.055","article-title":"Effect of increased coronal inclination of the tibial plateau after opening-wedge high tibial osteotomy","volume":"34","author":"Akamatsu","year":"2018","journal-title":"Arthroscopy"},{"key":"10.1016\/j.arthro.2025.06.005_bib14","doi-asserted-by":"crossref","first-page":"1265","DOI":"10.1177\/03635465241230068","article-title":"Knee joint line obliquity with adaptational hip and ankle joint orientation after medial open wedge high tibial osteotomy","volume":"52","author":"Jun","year":"2024","journal-title":"Am J Sports Med"},{"key":"10.1016\/j.arthro.2025.06.005_bib15","doi-asserted-by":"crossref","first-page":"232","DOI":"10.1016\/j.joca.2014.11.001","article-title":"Changes of knee joint and ankle joint orientations after high tibial osteotomy","volume":"23","author":"Lee","year":"2015","journal-title":"Osteoarthr Cartil"},{"key":"10.1016\/j.arthro.2025.06.005_bib16","doi-asserted-by":"crossref","first-page":"1873","DOI":"10.1007\/s00167-017-4680-x","article-title":"Large correction in opening wedge high tibial osteotomy with resultant joint-line obliquity induces excessive shear stress on the articular cartilage","volume":"26","author":"Nakayama","year":"2018","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"10.1016\/j.arthro.2025.06.005_bib17","doi-asserted-by":"crossref","first-page":"3551","DOI":"10.1177\/03635465211044146","article-title":"Association of preoperative tibial varus deformity with joint line orientation and clinical outcome after open-wedge high tibial osteotomy for medial compartment osteoarthritis: A propensity score-matched analysis","volume":"49","author":"Park","year":"2021","journal-title":"Am J Sports Med"},{"key":"10.1016\/j.arthro.2025.06.005_bib18","doi-asserted-by":"crossref","first-page":"1362","DOI":"10.1177\/0363546518758016","article-title":"Ten-year results of medial open-wedge high tibial osteotomy and chondral resurfacing in severe medial osteoarthritis and varus malalignment","volume":"46","author":"Schuster","year":"2018","journal-title":"Am J Sports Med"},{"key":"10.1016\/j.arthro.2025.06.005_bib19","first-page":"S89","article-title":"Pressure and shear differentially alter human articular chondrocyte metabolism: a review","volume":"427","author":"Smith","year":"2004","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.arthro.2025.06.005_bib20","doi-asserted-by":"crossref","first-page":"2898","DOI":"10.1016\/j.arthro.2019.04.030","article-title":"Comparison of clinical and radiologic outcomes between normal and overcorrected medial proximal tibial angle groups after open-wedge high tibial osteotomy","volume":"35","author":"Goshima","year":"2019","journal-title":"Arthroscopy"},{"key":"10.1016\/j.arthro.2025.06.005_bib21","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1016\/S0030-5898(20)30753-7","article-title":"The effect of high tibial osteotomy on osteoarthritis of the knee. An arthroscopic study of 54 knee joints","volume":"10","author":"Fujisawa","year":"1979","journal-title":"Orthop Clin North Am"},{"key":"10.1016\/j.arthro.2025.06.005_bib22","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1186\/s43019-020-00076-x","article-title":"Change of joint-line convergence angle should be considered for accurate alignment correction in high tibial osteotomy","volume":"33","author":"Na","year":"2021","journal-title":"Knee Surg Relat Res"},{"key":"10.1016\/j.arthro.2025.06.005_bib23","doi-asserted-by":"crossref","first-page":"777","DOI":"10.1016\/j.knee.2020.04.018","article-title":"Changes in knee joint line orientation after high tibial osteotomy are the result of adaptation of the lower limb to the new alignment","volume":"27","author":"Bartholomeeusen","year":"2020","journal-title":"Knee"},{"key":"10.1016\/j.arthro.2025.06.005_bib24","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1007\/s11999-014-3801-9","article-title":"Correlation of knee and hindfoot deformities in advanced knee OA: Compensatory hindfoot alignment and where it occurs","volume":"473","author":"Norton","year":"2015","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.arthro.2025.06.005_bib25","doi-asserted-by":"crossref","first-page":"7047","DOI":"10.1038\/s41598-023-33481-9","article-title":"Hip abduction angle after open-wedge high tibial osteotomy is associated with the timed up & go test and recurrence of varus alignment","volume":"13","author":"Kim","year":"2023","journal-title":"Sci Rep"},{"issue":"suppl 2","key":"10.1016\/j.arthro.2025.06.005_bib26","doi-asserted-by":"crossref","first-page":"S162","DOI":"10.1016\/j.arth.2023.04.049","article-title":"Do patient-reported outcomes reflect objective measures of function? Implications for total knee arthroplasty","volume":"38","author":"Hill","year":"2023","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arthro.2025.06.005_bib27","doi-asserted-by":"crossref","first-page":"456","DOI":"10.3389\/fpsyg.2017.00456","article-title":"Repeated measures correlation","volume":"8","author":"Bakdash","year":"2017","journal-title":"Front Psychol"},{"key":"10.1016\/j.arthro.2025.06.005_bib28","doi-asserted-by":"crossref","first-page":"311","DOI":"10.5792\/ksrr.18.035","article-title":"Does coronal knee and ankle alignment affect recurrence of the varus deformity after high tibial osteotomy?","volume":"30","author":"Lee","year":"2018","journal-title":"Knee Surg Relat Res"},{"key":"10.1016\/j.arthro.2025.06.005_bib29","doi-asserted-by":"crossref","first-page":"1838","DOI":"10.1007\/s00167-017-4421-1","article-title":"Gait analysis following medial opening-wedge high tibial osteotomy","volume":"26","author":"Morin","year":"2018","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"10.1016\/j.arthro.2025.06.005_bib30","doi-asserted-by":"crossref","first-page":"1097","DOI":"10.1177\/1071100718773767","article-title":"Changes in hindfoot alignment after high or low tibial osteotomy","volume":"39","author":"Choi","year":"2018","journal-title":"Foot Ankle Int"},{"key":"10.1016\/j.arthro.2025.06.005_bib31","doi-asserted-by":"crossref","first-page":"494","DOI":"10.1177\/03635465221143999","article-title":"Ankle pain after medial opening-wedge high tibial osteotomy in patients with knee osteoarthritis and concurrent ankle osteoarthritis","volume":"51","author":"Kim","year":"2023","journal-title":"Am J Sports Med"},{"key":"10.1016\/j.arthro.2025.06.005_bib32","doi-asserted-by":"crossref","first-page":"3694","DOI":"10.1016\/j.arth.2018.08.015","article-title":"Association between knee malalignment and ankle degeneration in patients with end-stage knee osteoarthritis","volume":"33","author":"Xie","year":"2018","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arthro.2025.06.005_bib33","doi-asserted-by":"crossref","first-page":"896","DOI":"10.2106\/JBJS.23.00720","article-title":"Preoperative hindfoot alignment and outcomes after high tibial osteotomy for varus knee osteoarthritis: We walk on our heel, not our ankle","volume":"106","author":"Yang","year":"2024","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.arthro.2025.06.005_bib34","doi-asserted-by":"crossref","first-page":"1232","DOI":"10.1302\/0301-620X.93B9.25759","article-title":"The role of the fibula in varus and valgus deformity of the tibia: A biomechanical study","volume":"93","author":"Stufkens","year":"2011","journal-title":"J Bone Joint Surg Br"}],"container-title":["Arthroscopy: The Journal of Arthroscopic &amp; Related Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806325004281?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806325004281?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T10:22:56Z","timestamp":1773310976000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0749806325004281"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12]]},"references-count":34,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["S0749806325004281"],"URL":"https:\/\/doi.org\/10.1016\/j.arthro.2025.06.005","relation":{},"ISSN":["0749-8063"],"issn-type":[{"value":"0749-8063","type":"print"}],"subject":[],"published":{"date-parts":[[2025,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Knee Joint Line Obliquity Continues to Regress Beyond 1 Year and Stabilizes at 3 Years After Open Wedge High Tibial Osteotomy Without Correlation to Clinical Outcome","name":"articletitle","label":"Article Title"},{"value":"Arthroscopy: The Journal of Arthroscopic & Related Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arthro.2025.06.005","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 by the Arthroscopy Association of North America","name":"copyright","label":"Copyright"}]}}