{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T16:57:22Z","timestamp":1791565042203,"version":"4.3.4"},"reference-count":19,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Orthop Surg (Hong Kong)"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To compare three medial open-wedge high tibial osteotomy (MOWHTO) techniques with respect to posterior tibial slope (PTS) preservation, coronal alignment correction, patellar height, and clinical outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective comparative study included 62 patients who underwent MOWHTO for medial compartment knee osteoarthritis with varus malalignment. Patients were grouped by osteotomy technique: monoplane anterior to the medial collateral ligament (MCL) (Group A, n=22), biplane anterior to the MCL (Group B, n=18), and monoplane posterior to the MCL (Group C, n=22). Radiographic outcomes included mechanical axis, PTS, Caton-Deschamps index, Insall-Salvati index, and Kellgren-Lawrence grade. Clinical outcomes included Lysholm and visual analog scale scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>All groups achieved significant mechanical-axis correction (all p&lt;0.001). Mean PTS increased in Groups A and B (+2.12\u00b0\u00b13.22\u00b0 and +3.39\u00b0\u00b12.76\u00b0, respectively) but decreased in Group C (-0.88\u00b0\u00b13.78\u00b0; between-group p&lt;0.001). Group C showed significantly lower PTS change than Group A (p=0.011) and Group B (p&lt;0.001). This effect remained significant after adjustment for age, sex, follow-up duration, preoperative PTS, correction magnitude, and preoperative Kellgren-Lawrence grade.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Anteromedial monoplane and biplane MOWHTO were associated with greater postoperative PTS increases than the posterior monoplane technique, despite comparable coronal alignment correction among the groups.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10225536261496570","type":"journal-article","created":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T18:02:57Z","timestamp":1791396177000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Anteromedial osteotomy and distraction are associated with greater posterior tibial slope increase after medial open-wedge high tibial osteotomy: A retrospective comparison of three techniques"],"prefix":"10.1177","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1451-9896","authenticated-orcid":false,"given":"Recep Selcuk","family":"Eyceyurt","sequence":"first","affiliation":[{"name":"Izmir City Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6751-0705","authenticated-orcid":false,"given":"Onur","family":"Suer","sequence":"additional","affiliation":[{"name":"Izmir City Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meliksah","family":"Uzakgider","sequence":"additional","affiliation":[{"name":"Izmir City Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fener","family":"Celebi","sequence":"additional","affiliation":[{"name":"Bati Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sertac Cavit","family":"Saruhan","sequence":"additional","affiliation":[{"name":"Izmir City Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mesut","family":"Tahta","sequence":"additional","affiliation":[{"name":"Izmir City Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cemil","family":"Kayali","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Medicana International \u0130zmir Hospital, \u0130zmir, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,7]]},"reference":[{"key":"e_1_3_8_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-009-0889-8"},{"key":"e_1_3_8_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-002-0334-7"},{"key":"e_1_3_8_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2019.08.040"},{"key":"e_1_3_8_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-011-1706-7"},{"key":"e_1_3_8_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515626172"},{"key":"e_1_3_8_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546503258880"},{"key":"e_1_3_8_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2020.06.024"},{"key":"e_1_3_8_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2015.07.018"},{"key":"e_1_3_8_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546509341174"},{"key":"e_1_3_8_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546504269034"},{"key":"e_1_3_8_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2007.11.001"},{"key":"e_1_3_8_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546506287297"},{"key":"e_1_3_8_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465231195841"},{"key":"e_1_3_8_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546519889628"},{"key":"e_1_3_8_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-023-07313-2"},{"key":"e_1_3_8_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2016.06.012"},{"key":"e_1_3_8_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-012-2084-5"},{"key":"e_1_3_8_19_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00132-019-03724-7"},{"key":"e_1_3_8_20_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967116630748"}],"container-title":["Journal 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