{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,9]],"date-time":"2026-11-09T12:25:20Z","timestamp":1794227120048,"version":"4.9.0"},"reference-count":27,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2018,9,10]],"date-time":"2018-09-10T00:00:00Z","timestamp":1536537600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2018,9,10]],"date-time":"2018-09-10T00:00:00Z","timestamp":1536537600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2018,9,10]],"date-time":"2018-09-10T00:00:00Z","timestamp":1536537600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2018,7,3]],"date-time":"2018-07-03T00:00:00Z","timestamp":1530576000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100009026","name":"Smith and Nephew","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009026","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["arthroscopytechniques.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["arthrosc. tech."],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:label\/>\n                    <jats:p>A hemi\u2013closing\u2010wedge and hemi\u2013opening\u2010wedge, inverted V\u2013shaped high tibial osteotomy with local bone graft has been reported to be an effective surgical procedure for medial osteoarthritis of the knee. In this procedure, an inverted V\u2013shaped osteotomy is made and a thin wedged bone block is resected from the lateral side and implanted in the medial opening space created after valgus correction. This procedure can provide sufficient valgus correction of the knee with severe varus deformity more easily than can closing\u2010wedge high tibial osteotomy. The inverted V\u2013shaped osteotomy does not change the posterior tibial slope, the patellar height, or the length of the lower limb at all because the center of tibial alignment correction by the inverted V\u2013shaped osteotomy is located near the center of rotation of angulation of the lower\u2010limb deformity. We recently modified this procedure by performing biplanar osteotomy, developing useful cutting guides, and fixing the tibia with a lateral locking compression plate. The surgical technique is described to enable the reproducible creation of the hemi\u2013closing\u2010wedge and hemi\u2013opening\u2010wedge, inverted V\u2013shaped osteotomy with the locking plate for medial osteoarthritic knees with moderate or severe varus deformity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Technique Video<\/jats:title>\n                    <jats:p>\n                      <jats:boxed-text content-type=\"video\" position=\"anchor\">\n                        <jats:graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" position=\"anchor\" xlink:href=\"urn:x-wiley:22126287:media:atn2bf02011:atn2bf02011-vimg-mmc1\">\n                          <jats:alt-text>video<\/jats:alt-text>\n                        <\/jats:graphic>\n                      <\/jats:boxed-text>\n                    <\/jats:p>\n                    <jats:p>\n                      <jats:bold>See video under supplementary data.<\/jats:bold>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.eats.2018.06.005","type":"journal-article","created":{"date-parts":[[2018,9,10]],"date-time":"2018-09-10T04:37:55Z","timestamp":1536554275000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":32,"title":["Inverted V\u2013Shaped High Tibial Osteotomy for Medial Osteoarthritic Knees With Severe Varus Deformity"],"prefix":"10.1002","volume":"7","author":[{"given":"Eiji","family":"Kondo","sequence":"first","affiliation":[{"name":"Department of Advanced Therapeutic Research for Sports Medicine Faculty of Medicine Graduate School of Medicine Hokkaido University Sapporo Japan"},{"name":"Department of Orthopaedic Surgery Faculty of Medicine Graduate School of Medicine Hokkaido University Sapporo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazunori","family":"Yasuda","sequence":"additional","affiliation":[{"name":"Knee Research Center Yagi Orthopaedic Hospital Sapporo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koji","family":"Yabuuchi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Faculty of Medicine Graduate School of Medicine Hokkaido University Sapporo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshimitsu","family":"Aoki","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Hokushin Orthopaedic Hospital Sapporo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masayuki","family":"Inoue","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery NTT East Japan Sapporo Hospital Sapporo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norimasa","family":"Iwasaki","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Faculty of Medicine Graduate School of Medicine Hokkaido University Sapporo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomonori","family":"Yagi","sequence":"additional","affiliation":[{"name":"Knee Research Center Yagi Orthopaedic Hospital Sapporo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,9,10]]},"reference":[{"key":"e_1_2_2_2_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.43B4.746"},{"key":"e_1_2_2_3_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-196547050-00008"},{"key":"e_1_2_2_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-5898(20)30753-7"},{"key":"e_1_2_2_5_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198466070-00010"},{"issue":"282","key":"e_1_2_2_6_1","first-page":"186","article-title":"A\u00a0ten\u2010 to 15\u2010year follow\u2010up observation of high tibial osteotomy in medial compartment osteoarthrosis","author":"Yasuda K.","year":"1992","journal-title":"Clin Orthop Relat Res"},{"key":"e_1_2_2_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199808000-00021"},{"issue":"367","key":"e_1_2_2_8_1","first-page":"18","article-title":"The Insall Award. 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