{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T05:41:19Z","timestamp":1782884479089,"version":"3.54.5"},"reference-count":19,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"National Research Foundation (NRF) grant funded by the Korea government","award":["RS-2024-00353326"],"award-info":[{"award-number":["RS-2024-00353326"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Orthop Surg (Hong Kong)"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Lateral hinge fracture (LHF) is a known complication of open-wedge high tibial osteotomy (OWHTO), potentially resulting in postoperative instability, displacement, loss of correction, malunion, and non-union. This study tested the hypothesis that patients who develop LHF after OWHTO can achieve clinical outcomes comparable to those without LHF, without requiring additional surgical intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective study included 96 patients who underwent OWHTO with a locking plate between 2019 and 2021. Postoperative radiographs and computed tomography (CT) scans identified LHF in 24 patients (25%). Lower limb alignment was assessed using whole-leg standing radiographs at 6 weeks, 3 months, 6 months, and 12 months postoperatively. Clinical outcomes were evaluated using the Hospital for Special Surgery (HSS) score, Knee Society Knee Score (KS), and Function Score (FS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In patients with LHF, the mechanical axis was 59.0 \u00b1 7.4% at 6 weeks, 57.7 \u00b1 7.8% at 3 months, 55.9 \u00b1 9.5% at 6 months, and 53.9 \u00b1 12.2% at 12 months. In patients without LHF, the corresponding values were 58.5 \u00b1 6.1%, 57.8 \u00b1 6.7%, 56.7 \u00b1 7.0%, and 55.6 \u00b1 7.4%, respectively. Although the mechanical axis decreased by 5.2% in the LHF group and 2.9% in the non-LHF group by 12 months, the difference was not statistically significant (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = .219). Similarly, the longitudinal change in alignment did not differ significantly between groups (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = .743). Postoperative clinical scores improved in all patients, with no significant differences between groups regardless of LHF status.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Patients who experienced LHF following OWHTO demonstrated comparable clinical outcomes and alignment correction to those without LHF, suggesting that LHF does not adversely affect postoperative results.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10225536251350424","type":"journal-article","created":{"date-parts":[[2025,6,25]],"date-time":"2025-06-25T03:04:43Z","timestamp":1750820683000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Postoperative results after open-wedge high tibial osteotomy with lateral hinge fracture"],"prefix":"10.1177","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4368-8541","authenticated-orcid":false,"given":"Hee-June","family":"Kim","sequence":"first","affiliation":[{"name":"Kyungpook National University"},{"name":"Kyungpook National University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ji-Yeon","family":"Shin","sequence":"additional","affiliation":[{"name":"Kyungpook National University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2837-3434","authenticated-orcid":false,"given":"Hyun-Joo","family":"Lee","sequence":"additional","affiliation":[{"name":"Kyungpook National University"},{"name":"Kyungpook National University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dong-Hyun","family":"Kim","sequence":"additional","affiliation":[{"name":"Kyungpook National University"},{"name":"Kyungpook National University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7432-724X","authenticated-orcid":false,"given":"Jong Pil","family":"Yoon","sequence":"additional","affiliation":[{"name":"Kyungpook National University"},{"name":"Kyungpook National University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joon-Woo","family":"Kim","sequence":"additional","affiliation":[{"name":"Kyungpook National University"},{"name":"Kyungpook National University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chang-Wug","family":"Oh","sequence":"additional","affiliation":[{"name":"Kyungpook National University"},{"name":"Kyungpook National University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2613-4811","authenticated-orcid":false,"given":"Hee-Soo","family":"Kyung","sequence":"additional","affiliation":[{"name":"Kyungpook National 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