{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T12:59:33Z","timestamp":1790773173290,"version":"4.1.0"},"reference-count":41,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","thekneejournal.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Knee"],"published-print":{"date-parts":[[2026,12]]},"DOI":"10.1016\/j.knee.2026.104644","type":"journal-article","created":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T11:49:14Z","timestamp":1790768954000},"page":"104644","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Outcomes of supramalleolar tibial derotational osteotomy in paediatric patients with recurrent patellar dislocation or anterior knee pain and associated torsional malalignment"],"prefix":"10.1016","volume":"63","author":[{"given":"N.","family":"Dalal","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Denton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Stanier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4872-7180","authenticated-orcid":false,"given":"N.","family":"Nicolaou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"3","key":"10.1016\/j.knee.2026.104644_b0005","doi-asserted-by":"crossref","first-page":"396","DOI":"10.1302\/0301-620X.63B3.7263753","article-title":"The effect of tibial torsion on the pathology of the knee","volume":"63-B","author":"Turner","year":"1981","journal-title":"J Bone Joint Surg Br"},{"key":"10.1016\/j.knee.2026.104644_b0010","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1097\/00003086-199405000-00009","article-title":"The association between tibial torsion and knee joint pathology","volume":"302","author":"Turner","year":"1994","journal-title":"Clin Orthop Relat Res"},{"issue":"1","key":"10.1016\/j.knee.2026.104644_b0015","doi-asserted-by":"crossref","first-page":"39","DOI":"10.2106\/00004623-198567010-00006","article-title":"Lower-extremity rotational problems in children. Normal values to guide management","volume":"67","author":"Staheli","year":"1985","journal-title":"J Bone Joint Surg Am"},{"issue":"3","key":"10.1016\/j.knee.2026.104644_b0020","doi-asserted-by":"crossref","first-page":"386","DOI":"10.1016\/j.jisako.2024.02.002","article-title":"Femoral internal torsion greater than twenty-five degrees and\/or external tibial torsion greater than thirty degrees as measured by computed tomography are threshold values for axial alignment correction in patellofemoral instability","volume":"9","author":"Barton","year":"2024","journal-title":"J ISAKOS"},{"issue":"5","key":"10.1016\/j.knee.2026.104644_b0025","article-title":"Clinical significance of the static and dynamic Q-angle","volume":"14","author":"Skouras","year":"2022","journal-title":"Cureus"},{"key":"10.1016\/j.knee.2026.104644_b0030","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1016\/j.gaitpost.2020.01.011","article-title":"Compensatory gait deviations in patients with increased outward tibial torsion pre and post tibial derotation osteotomy","volume":"77","author":"Alexander","year":"2020","journal-title":"Gait Posture"},{"issue":"1","key":"10.1016\/j.knee.2026.104644_b0035","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1007\/s12178-020-09688-y","article-title":"Tibial torsion and patellofemoral pain and instability in the adult population: current concept review","volume":"14","author":"Snow","year":"2021","journal-title":"Curr Rev Musculoskelet Med"},{"issue":"3","key":"10.1016\/j.knee.2026.104644_b0040","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1016\/j.jisako.2023.02.003","article-title":"Medial patellofemoral ligament reconstruction in skeletally immature patients without correction of bony risk factors leads to acceptable outcomes but higher failure rates","volume":"8","author":"Leite","year":"2023","journal-title":"J ISAKOS"},{"key":"10.1016\/j.knee.2026.104644_b0045","doi-asserted-by":"crossref","DOI":"10.1155\/2022\/8672113","article-title":"Tibial derotational osteotomy for patellofemoral instability: a systematic review","volume":"2022","author":"Wyatt","year":"2022","journal-title":"Adv Orthop"},{"issue":"13","key":"10.1016\/j.knee.2026.104644_b0050","doi-asserted-by":"crossref","first-page":"1179","DOI":"10.2106\/JBJS.21.00957","article-title":"Internal torsion of the knee: an embodiment of lower-extremity malrotation in patients with patellar instability","volume":"104","author":"Qiao","year":"2022","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.knee.2026.104644_b0055","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1097\/00003086-199405000-00013","article-title":"The influence of fixed rotational deformities of the femur on the patellofemoral contact pressures in human cadaver knees","volume":"302","author":"Lee","year":"1994","journal-title":"Clin Orthop Relat Res"},{"issue":"2","key":"10.1016\/j.knee.2026.104644_b0060","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1177\/19476035241311548","article-title":"Associated anatomic abnormalities in patients undergoing rotational tibial osteotomies for patellofemoral pathology and implications for the level of correction","volume":"17","author":"Haikal","year":"2026","journal-title":"Cartilage"},{"issue":"5","key":"10.1016\/j.knee.2026.104644_b0065","doi-asserted-by":"crossref","first-page":"933","DOI":"10.1177\/0363546510383002","article-title":"Reliability, validity, and responsiveness of a modified International Knee Documentation Committee Subjective Knee Form (Pedi-IKDC) in children with knee disorders","volume":"39","author":"Kocher","year":"2011","journal-title":"Am J Sports Med"},{"issue":"6","key":"10.1016\/j.knee.2026.104644_b0070","doi-asserted-by":"crossref","first-page":"1841","DOI":"10.1007\/s00167-020-06237-5","article-title":"Greek KOOS-Child: a valid, disease-specific, diagnostically accurate and responsive PROM in children with knee-related pathology","volume":"29","author":"Moutzouri","year":"2021","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"10","key":"10.1016\/j.knee.2026.104644_b0075","doi-asserted-by":"crossref","first-page":"1586","DOI":"10.1302\/0301-620X.103B10.BJJ-2020-1984.R1","article-title":"Clinical validation of the Oswestry-Bristol Classification as part of a decision algorithm for trochlear dysplasia surgery","volume":"103-B","author":"Sharma","year":"2021","journal-title":"Bone Joint J"},{"issue":"1","key":"10.1016\/j.knee.2026.104644_b0080","doi-asserted-by":"crossref","first-page":"7","DOI":"10.4103\/jajs.jajs_42_23","article-title":"The Oswestry-Bristol Classification of trochlear dysplasia: displays reliability only for normal or severe dysplasia in the skeletally immature","volume":"11","author":"Kanwat","year":"2024","journal-title":"J Arthrosc Joint Surg"},{"issue":"1","key":"10.1016\/j.knee.2026.104644_b0085","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1016\/j.knee.2005.06.003","article-title":"The tibial tuberosity-trochlear groove distance: a comparative study between CT and MRI scanning","volume":"13","author":"Schoettle","year":"2006","journal-title":"Knee"},{"key":"10.1016\/j.knee.2026.104644_b0090","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1097\/00003086-199706000-00020","article-title":"Knee version associated with anterior knee pain","volume":"339","author":"Eckhoff","year":"1997","journal-title":"Clin Orthop Relat Res"},{"issue":"8","key":"10.1016\/j.knee.2026.104644_b0095","doi-asserted-by":"crossref","first-page":"1169","DOI":"10.2106\/00004623-198769080-00010","article-title":"Femoral anteversion","volume":"69","author":"Murphy","year":"1987","journal-title":"J Bone Joint Surg Am"},{"issue":"3A","key":"10.1016\/j.knee.2026.104644_b0100","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1177\/028418518102203A10","article-title":"Measurement of tibial torsion by computer tomography","volume":"22","author":"Jend","year":"1981","journal-title":"Acta Radiol Diagn (Stockh)"},{"key":"10.1016\/j.knee.2026.104644_b0105","doi-asserted-by":"crossref","DOI":"10.1016\/j.jisako.2026.101177","article-title":"Magnetic resonance imaging enables precise quantification of patellar height and engagement in patients undergoing tibial tubercle distalization osteotomy for objective patellar instability","author":"Pintore","year":"2026","journal-title":"J ISAKOS"},{"issue":"6","key":"10.1016\/j.knee.2026.104644_b0110","doi-asserted-by":"crossref","first-page":"1983","DOI":"10.1007\/s00167-020-06284-y","article-title":"Good outcomes of modified Grammont and Langenski\u00f6ld technique in children with habitual patellar dislocation","volume":"29","author":"Musielak","year":"2021","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"1","key":"10.1016\/j.knee.2026.104644_b0115","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1002\/ksa.12021","volume":"32","author":"Wang","year":"2024","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"2","key":"10.1016\/j.knee.2026.104644_b0120","doi-asserted-by":"crossref","first-page":"652","DOI":"10.1007\/s00167-018-5212-z","article-title":"Derotational osteotomy at the distal femur is effective to treat patients with patellar instability","volume":"27","author":"Imhoff","year":"2019","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"8","key":"10.1016\/j.knee.2026.104644_b0125","doi-asserted-by":"crossref","first-page":"3091","DOI":"10.1007\/s00167-022-07150-9","article-title":"Derotational distal femoral osteotomy for patients with recurrent patellar instability and increased femoral antetorsion improves knee function and adequately treats both torsional and valgus malalignment","volume":"31","author":"Hinz","year":"2023","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"9","key":"10.1016\/j.knee.2026.104644_b0130","doi-asserted-by":"crossref","first-page":"2248","DOI":"10.1002\/ksa.12246","article-title":"Surgical treatment for recurrent patellar dislocation with severe torsional deformities: double-level derotational osteotomy may not have a clear advantage over single-level derotational osteotomy in improving clinical and radiological outcomes","volume":"32","author":"Zhang","year":"2024","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"3","key":"10.1016\/j.knee.2026.104644_b0135","doi-asserted-by":"crossref","first-page":"389","DOI":"10.2106\/00004623-198163030-00011","article-title":"Supracondylar derotational osteotomy of the femur for internal rotation of the thigh in the cerebral palsied child","volume":"63","author":"Hoffer","year":"1981","journal-title":"J Bone Joint Surg Am"},{"issue":"7","key":"10.1016\/j.knee.2026.104644_b0140","doi-asserted-by":"crossref","first-page":"2328","DOI":"10.1007\/s00167-018-5165-2","article-title":"Distal femoral torsional osteotomy increases the contact pressure of the medial patellofemoral joint in biomechanical analysis","volume":"27","author":"Liska","year":"2019","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"1","key":"10.1016\/j.knee.2026.104644_b0145","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1177\/0363546519884669","article-title":"A high-grade J sign is more likely to yield higher postoperative patellar laxity and residual maltracking in patients with recurrent patellar dislocation treated with derotational distal femoral osteotomy","volume":"48","author":"Zhang","year":"2020","journal-title":"Am J Sports Med"},{"key":"10.1016\/j.knee.2026.104644_b0150","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1097\/00003086-199210000-00042","article-title":"Tibial rotational osteotomy for idiopathic torsion: a comparison of the proximal and distal osteotomy levels","volume":"283","author":"Krengel","year":"1992","journal-title":"Clin Orthop Relat Res"},{"issue":"11","key":"10.1016\/j.knee.2026.104644_b0155","doi-asserted-by":"crossref","first-page":"2682","DOI":"10.1007\/s00167-013-2561-5","article-title":"Tibial rotational osteotomy and distal tuberosity transfer for patella subluxation secondary to excessive external tibial torsion: surgical technique and clinical outcome","volume":"22","author":"Drexler","year":"2014","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"7","key":"10.1016\/j.knee.2026.104644_b0160","doi-asserted-by":"crossref","first-page":"785","DOI":"10.1016\/j.otsr.2010.04.008","article-title":"Proximal tibial derotation osteotomy for torsional tibial deformities generating patellofemoral disorders","volume":"96","author":"Fouilleron","year":"2010","journal-title":"Orthop Traumatol Surg Res"},{"issue":"8","key":"10.1016\/j.knee.2026.104644_b0165","doi-asserted-by":"crossref","first-page":"1629","DOI":"10.2106\/00004623-197153080-00018","article-title":"Complications of tibial osteotomy in children for genu varum or valgum: evidence that neurological changes are due to ischemia","volume":"53","author":"Steel","year":"1971","journal-title":"J Bone Joint Surg Am"},{"issue":"2","key":"10.1016\/j.knee.2026.104644_b0170","doi-asserted-by":"crossref","first-page":"236","DOI":"10.1302\/0301-620X.56B2.236","article-title":"The technique and complications of upper tibial osteotomy: a review of 226 operations","volume":"56","author":"Jackson","year":"1974","journal-title":"J Bone Joint Surg Br"},{"issue":"5","key":"10.1016\/j.knee.2026.104644_b0175","doi-asserted-by":"crossref","first-page":"1678","DOI":"10.1007\/s00167-020-06291-z","article-title":"Increased external tibial torsion is an infratuberositary deformity and is not correlated with a lateralized position of the tibial tuberosity","volume":"29","author":"Winkler","year":"2021","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"3","key":"10.1016\/j.knee.2026.104644_b0180","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1007\/s11751-009-0076-x","article-title":"Tibial rotational osteotomy with intramedullary nail fixation","volume":"4","author":"Stotts","year":"2009","journal-title":"Strateg Trauma Limb Reconstr"},{"issue":"1","key":"10.1016\/j.knee.2026.104644_b0185","doi-asserted-by":"crossref","first-page":"768","DOI":"10.1186\/s13018-023-04252-z","article-title":"Miserable malalignment syndrome-associated knee pain: a case for infratubercle tibial derotation osteotomy using an external fixator","volume":"18","author":"Elsheikh","year":"2023","journal-title":"J Orthop Surg Res"},{"issue":"4","key":"10.1016\/j.knee.2026.104644_b0190","doi-asserted-by":"crossref","first-page":"484","DOI":"10.1097\/01241398-199607000-00012","article-title":"Treatment of severe torsional malalignment syndrome","volume":"16","author":"Delgado","year":"1996","journal-title":"J Pediatr Orthop"},{"issue":"4","key":"10.1016\/j.knee.2026.104644_b0195","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1097\/01241398-200407000-00009","article-title":"Surgical correction of miserable malalignment syndrome","volume":"24","author":"Bruce","year":"2004","journal-title":"J Pediatr Orthop"},{"issue":"12","key":"10.1016\/j.knee.2026.104644_b0200","doi-asserted-by":"crossref","first-page":"5950","DOI":"10.1007\/s00167-023-07661-z","article-title":"Quadriceps tendon malalignment is an independent anatomical deformity which is the primary abnormality associated with lateral facet patellofemoral joint osteoarthritis","volume":"31","author":"Talbot","year":"2023","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"2","key":"10.1016\/j.knee.2026.104644_b0205","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1097\/BPB.0000000000000308","article-title":"Distal tibial derotational osteotomy with external fixation to treat torsional deformities: a review of 71 cases","volume":"26","author":"Erschbamer","year":"2017","journal-title":"J Pediatr Orthop B"}],"container-title":["The Knee"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0968016026003261?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0968016026003261?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T12:19:22Z","timestamp":1790770762000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0968016026003261"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,12]]},"references-count":41,"alternative-id":["S0968016026003261"],"URL":"https:\/\/doi.org\/10.1016\/j.knee.2026.104644","relation":{},"ISSN":["0968-0160"],"issn-type":[{"value":"0968-0160","type":"print"}],"subject":[],"published":{"date-parts":[[2026,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Outcomes of supramalleolar tibial derotational osteotomy in paediatric patients with recurrent patellar dislocation or anterior knee pain and associated torsional malalignment","name":"articletitle","label":"Article Title"},{"value":"The Knee","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.knee.2026.104644","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Crown Copyright \u00a9 2026 Published by Elsevier B.V. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"104644"}}