{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T15:30:43Z","timestamp":1792510243305,"version":"4.5.0"},"reference-count":38,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2000,5,1]],"date-time":"2000-05-01T00:00:00Z","timestamp":957139200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Sports Med"],"published-print":{"date-parts":[[2000,5]]},"abstract":"<jats:p>In a consecutive series, we treated 41 young patients who had anterior cruciate ligament deficiency, lower limb varus angulation, and varying amounts of posterolateral ligament deficiency. Seventy-three percent of the patients (N 30) had lost the medial meniscus and 63% (N 26) had marked articular cartilage damage in the medial compartment. All patients were treated with high tibial osteotomy and, in the majority (N 34), anterior cruciate ligament reconstruction a mean of 8 months later. Posterolateral reconstructions were also required in 18 knees. A 100% follow-up was obtained at a mean of 4.5 years after osteotomy. Gait analysis testing was done in 17 knees before and after osteotomy. At follow-up, a reduction in pain was found in 71% (29 knees); elimination of giving way, in 85% (35 knees); and resumption of light recreational activities without symptoms, in 66% (27 knees). The patient rating of the knee condition was normal or very good in 37% (15 knees) and good in 34% (14 knees). The mean Cincinnati Knee Rating Score significantly improved from 63 to 82 points. The mean adduction moment, 35% higher than controls preoperatively, significantly decreased to below normal values postoperatively. Correction of varus alignment was maintained in 33 knees (80%). We recommend osteotomy in addition to ligament reconstructive procedures in these knees with complex injury patterns.<\/jats:p>","DOI":"10.1177\/03635465000280030201","type":"journal-article","created":{"date-parts":[[2017,7,19]],"date-time":"2017-07-19T00:41:44Z","timestamp":1500424904000},"page":"282-296","source":"Crossref","is-referenced-by-count":357,"title":["High Tibial Osteotomy and Ligament Reconstruction for Varus Angulated Anterior Cruciate Ligament-Deficient Knees"],"prefix":"10.1177","volume":"28","author":[{"given":"Frank R.","family":"Noyes","sequence":"first","affiliation":[{"name":"Cincinnati Sportsmedicine and Orthopaedic Center and the Deaconess Hospital, Cincinnati, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sue D.","family":"Barber-Westin","sequence":"additional","affiliation":[{"name":"Cincinnati Sportsmedicine and Orthopaedic Center and the Deaconess Hospital, Cincinnati, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy E.","family":"Hewett","sequence":"additional","affiliation":[{"name":"Cincinnati Sportsmedicine and Orthopaedic Center and the Deaconess Hospital, Cincinnati, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2000,5,1]]},"reference":[{"key":"bibr1-03635465000280030201","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9290(77)90049-5"},{"key":"bibr2-03635465000280030201","doi-asserted-by":"publisher","DOI":"10.1177\/03635465990270040201"},{"key":"bibr3-03635465000280030201","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1097\/00003086-199402000-00031","volume":"299","author":"Dejour H.","year":"1994","journal-title":"Clin Orthop"},{"key":"bibr4-03635465000280030201","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1097\/00003086-199201000-00025","volume":"274","author":"Dugdale TW","year":"1992","journal-title":"Clin Orthop"},{"key":"bibr5-03635465000280030201","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198870010-00014"},{"key":"bibr6-03635465000280030201","doi-asserted-by":"crossref","first-page":"332","DOI":"10.2106\/00004623-198769030-00005","volume":"69","author":"Hernigou P.","year":"1987","journal-title":"J Bone Joint Surg"},{"key":"bibr7-03635465000280030201","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198870070-00004"},{"key":"bibr8-03635465000280030201","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198567030-00001"},{"key":"bibr9-03635465000280030201","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.72B2.2312563"},{"key":"bibr10-03635465000280030201","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199604000-00011"},{"key":"bibr11-03635465000280030201","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-197501000-00034"},{"key":"bibr12-03635465000280030201","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198163040-00007"},{"key":"bibr13-03635465000280030201","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.71B4.2768296"},{"key":"bibr14-03635465000280030201","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199274070-00002"},{"key":"bibr15-03635465000280030201","doi-asserted-by":"publisher","DOI":"10.1177\/036354659302100102"},{"key":"bibr16-03635465000280030201","doi-asserted-by":"publisher","DOI":"10.1177\/036354659702500408"},{"key":"bibr17-03635465000280030201","first-page":"200","volume":"9","author":"Noyes FR","year":"1996","journal-title":"Am J Knee Surg"},{"key":"bibr18-03635465000280030201","doi-asserted-by":"publisher","DOI":"10.1177\/036354659602400404"},{"key":"bibr19-03635465000280030201","doi-asserted-by":"publisher","DOI":"10.1177\/036354659502300102"},{"key":"bibr20-03635465000280030201","first-page":"379","volume":"47","author":"Noyes FR","year":"1998","journal-title":"Instr Course Lect"},{"key":"bibr21-03635465000280030201","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199407000-00010"},{"key":"bibr22-03635465000280030201","doi-asserted-by":"publisher","DOI":"10.1177\/036354659101900212"},{"key":"bibr23-03635465000280030201","doi-asserted-by":"publisher","DOI":"10.1177\/036354659602400107"},{"key":"bibr24-03635465000280030201","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198365020-00003"},{"key":"bibr25-03635465000280030201","unstructured":"NoyesFR, RobertsCS: High tibial osteotomy in knees with associated chronic ligament deficiencies, inJackson DW (ed): Master Techniques in Orthopaedic Surgery. Reconstructive Knee Surgery. New York, Raven Press, 1995, pp 185\u2013210"},{"key":"bibr26-03635465000280030201","doi-asserted-by":"publisher","DOI":"10.1177\/036354659202000612"},{"key":"bibr27-03635465000280030201","unstructured":"NoyesFR, SimonR.: The role of high tibial osteotomy in the anterior cruciate ligament-deficient knee with varus alignment, in DeLeeJC, DrezD (eds): Orthopaedic Sports Medicine. Principles and Practice. Philadelphia, WB Saunders, 1994, pp 1401\u20131443"},{"key":"bibr28-03635465000280030201","doi-asserted-by":"publisher","DOI":"10.1177\/036354658901700410"},{"key":"bibr29-03635465000280030201","doi-asserted-by":"publisher","DOI":"10.1177\/036354659302100314"},{"key":"bibr30-03635465000280030201","doi-asserted-by":"publisher","DOI":"10.3109\/17453678909150116"},{"key":"bibr31-03635465000280030201","unstructured":"PerryJ (ed): Gait Analysis: Normal and Pathological Function. Thorofare, NJ, Slack, Inc, 1992, pp 49\u2013281"},{"key":"bibr32-03635465000280030201","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198567080-00007"},{"key":"bibr33-03635465000280030201","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198870100-00006"},{"key":"bibr34-03635465000280030201","unstructured":"RubmanMH, NoyesFR: Varus angulation with chronic ligament deficiency: The role of high tibial osteotomy, inCraig EV (ed): Clinical Orthopaedics. Philadelphia, Lippincott Williams & Wilkins, 1999, pp 783\u2013792"},{"key":"bibr35-03635465000280030201","doi-asserted-by":"publisher","DOI":"10.1002\/jor.1100090114"},{"key":"bibr36-03635465000280030201","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199809000-00022"},{"key":"bibr37-03635465000280030201","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199072060-00017"},{"key":"bibr38-03635465000280030201","doi-asserted-by":"publisher","DOI":"10.1177\/036354659001800411"}],"container-title":["The American Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03635465000280030201","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/03635465000280030201","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03635465000280030201","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T09:41:00Z","timestamp":1777369260000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/03635465000280030201"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2000,5]]},"references-count":38,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2000,5]]}},"alternative-id":["10.1177\/03635465000280030201"],"URL":"https:\/\/doi.org\/10.1177\/03635465000280030201","relation":{},"ISSN":["0363-5465","1552-3365"],"issn-type":[{"value":"0363-5465","type":"print"},{"value":"1552-3365","type":"electronic"}],"subject":[],"published":{"date-parts":[[2000,5]]}}}