{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T06:30:26Z","timestamp":1764052226132,"version":"3.45.0"},"reference-count":23,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T00:00:00Z","timestamp":1764028800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>High tibial osteotomy (HTO) corrects varus malalignment and unloads the medial knee compartment, yet the conventional T-shaped locking plate may cause discomfort due to suboptimal anatomic conformity. We developed a novel locking plate to improve anatomic fit and fixation stability and compared it with the T-shaped plate in Anterior Popliteus Transtibial-tuberosity high tibial osteotomy (APTT-HTO).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This retrospective comparative study included 14 consecutive patients who underwent APTT-HTO between August 2024 and June 2025. Patients were grouped by implant type (novel plate:\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20097; T-shaped plate:\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20097). Postoperative CT quantified plate orientation\/position, plate\u2013bone conformity (gap and position mismatch), screw alignment, and standard alignment parameters [hip\u2013knee\u2013ankle angle [HKA], posterior tibial slope [PTS]].\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The novel plate showed more posteromedial placement and superior anatomic conformity. The plate angle relative to the posterior tibial condylar reference line was larger with the novel plate (74.49\u00b0\u2009\u00b1\u20098.76\u00b0) than with the T-shaped plate (62.62\u00b0\u2009\u00b1\u20097.05\u00b0,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.05). The proximal central screw\u2013plate angle was smaller (5.70\u00b0\u2009\u00b1\u20094.80\u00b0 vs. 27.48\u00b0\u2009\u00b1\u20096.05\u00b0,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.05), the plate\u2013bone gap was reduced (1.47 (1.35\u20132.28) vs. 3.12 (2.70\u20133.26) mm,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.05), and plate position mismatch was lower (18.86 (14.32\u201323.87) vs. 34.31 (30.57\u201342.08) %,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.05). Proximal and distal offsets considered separately were not significantly different (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;gt;\u20090.05). Both groups achieved the planned coronal correction (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.05), and the sagittal PTS remained unchanged (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In this CT-based cohort, the novel anatomically contoured locking plate achieved superior anatomic conformity in APTT-HTO\u2014characterized by more posteromedial positioning, a more favorable screw trajectory, and improved plate\u2013bone apposition\u2014compared with a conventional T-shaped plate. These findings warrant confirmation in larger, prospective studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fsurg.2025.1722297","type":"journal-article","created":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T06:26:46Z","timestamp":1764052006000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Novel anatomically contoured locking plate shows improved anatomic conformity vs. a conventional T-shaped plate in anterior popliteus transtibial-tuberosity high tibial osteotomy: a radiologic comparison"],"prefix":"10.3389","volume":"12","author":[{"given":"Zhonghui","family":"Yao","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jialin","family":"He","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qiuhan","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zihao","family":"Zou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Da","family":"Lei","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhanyu","family":"Wu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chuan","family":"Ye","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,11,25]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"701","DOI":"10.2214\/AJR.21.26659","article-title":"High tibial osteotomy: an update for radiologists","volume":"218","author":"Li","year":"2022","journal-title":"Am J Roentgenol"},{"key":"B2","doi-asserted-by":"publisher","first-page":"1655","DOI":"10.1007\/s00264-025-06525-0","article-title":"Lateral closing wedge high tibial osteotomy for medial knee osteoarthritis: an eleven-year mean follow-up analysis","volume":"49","author":"Dal Fabbro","year":"2025","journal-title":"Int Orthop"},{"key":"B3","doi-asserted-by":"publisher","first-page":"131","DOI":"10.1186\/s40634-023-00708-7","article-title":"A systematic approach to managing complications after proximal tibial osteotomies of the knee","volume":"10","author":"Valcarenghi","year":"2023","journal-title":"J Exp Orthop"},{"key":"B4","doi-asserted-by":"publisher","first-page":"546","DOI":"10.52312\/jdrs.2024.1636","article-title":"Risk factors for delayed bone union in opening-wedge high tibial osteotomy","volume":"35","author":"Araya","year":"2024","journal-title":"Jt Dis Relat Surg"},{"key":"B5","doi-asserted-by":"publisher","first-page":"472","DOI":"10.3390\/jpm13030472","article-title":"Clinical outcome after medial open-wedge high tibial osteotomy: comparison of two angular-stable locking plates\u2014TomoFix versus LOQTEQ HTO plate","volume":"13","author":"Park","year":"2023","journal-title":"J Pers Med"},{"key":"B6","doi-asserted-by":"publisher","first-page":"14","DOI":"10.1186\/s12891-022-06080-4","article-title":"Does the anteromedial plate position affect proximal screw length and worsen clinical outcomes in medial open-wedge high tibial osteotomy?","volume":"24","author":"Ryu","year":"2023","journal-title":"BMC Musculoskelet Disord"},{"key":"B7","doi-asserted-by":"publisher","first-page":"23259671221098421","DOI":"10.1177\/23259671221098421","article-title":"Reducing the risk of neurovascular injury with posteromedial plating and laterally directed screw insertion during opening-wedge high tibial osteotomy","volume":"10","author":"Shim","year":"2022","journal-title":"Orthop J Sports Med"},{"key":"B8","doi-asserted-by":"publisher","first-page":"712","DOI":"10.22038\/ABJS.2022.60928.3003","article-title":"Is a complete anatomical fit of the TomoFix plate biomechanically favourable? 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