{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T00:57:19Z","timestamp":1775523439403,"version":"3.50.1"},"reference-count":20,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2024,5,29]],"date-time":"2024-05-29T00:00:00Z","timestamp":1716940800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>Hybrid lateral closed-wedge high tibial osteotomy (HBHTO) carries certain advantages over medial open-wedge high tibial osteotomy (OWHTO). We investigated the potential difference in the required correction angle between HBHTO and OWHTO to achieve an equal amount of whole lower-extremity alignment correction, retrospectively analyzing the preoperative plain radiographic images of 100 patients. The medial proximal tibial angle (MPTA), joint line convergence angle (JLCA), mechanical lateral distal femoral angle (mLDFA), hip\u2013knee\u2013ankle axis (HKA), length of the tibia, width of the tibial plateau, length of the lower limb (leg length), and location of the center of deformity (CD) were measured. Differences in the required correction angle at the hinge point between the two techniques (CAD) were compared, and correlation analysis was performed to reveal the influential factors. The mean difference in CAD between HBHTO and OWHTO was 0.78 \u00b1 0.22 (0.4~1.5)\u00b0, and mean WBL position change per correction angle was 3.9 \u00b1 0.3 (3.0~4.6)% in HBHTO and 4.1 \u00b1 0.3 (3.1~4.7)% in OWHTO. Correlation analysis revealed a strong positive correlation between CAD and HKA. mLDFA, JLCA, MPTA, leg length, OWCD, HBCD, and HCD were also significantly correlated with CAD. HBHTO required a 5.6% larger correction angle at the hinge point to achieve the same amount of alignment correction as OWHTO.<\/jats:p>","DOI":"10.3390\/diagnostics14111137","type":"journal-article","created":{"date-parts":[[2024,5,30]],"date-time":"2024-05-30T03:45:08Z","timestamp":1717040708000},"page":"1137","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Difference in Correction Power between Hybrid Lateral Closed-Wedge High Tibial Osteotomy and Medial Open-Wedge High Tibial Osteotomy was Associated with Severity of Varus Deformity and Different Hinge Distance from Center of Deformity"],"prefix":"10.3390","volume":"14","author":[{"given":"Seok Jin","family":"Jung","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Biomedical Research Institute, Pusan National University Hospital, Busan 49241, Republic of Korea"},{"name":"College of Medicine, Pusan National University, Busan 46241, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jun Ho","family":"Kang","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Biomedical Research Institute, Pusan National University Hospital, Busan 49241, Republic of Korea"},{"name":"College of Medicine, Pusan National University, Busan 46241, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6330-0532","authenticated-orcid":false,"given":"Seung Joon","family":"Rhee","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Biomedical Research Institute, Pusan National University Hospital, Busan 49241, Republic of Korea"},{"name":"College of Medicine, Pusan National University, Busan 46241, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5840-3852","authenticated-orcid":false,"given":"Sang Won","family":"Moon","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Inje University Haeundae Paik Hospital, Busan 48108, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9360-8637","authenticated-orcid":false,"given":"Lih","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, College of Medicine, Dong-A University, Busan 49201, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Darryl D","family":"D\u2019Lima","sequence":"additional","affiliation":[{"name":"Department of Molecular Medicine, Scripps Research, La Jolla, CA 92037, USA"},{"name":"Shiley Center for Orthopaedic Research and Education at Scripps Clinic, Scripps Health, La Jolla, CA 92121, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,5,29]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"332","DOI":"10.2106\/00004623-198769030-00005","article-title":"Proximal tibial osteotomy for osteoarthritis with varus deformity. A ten to thirteen-year follow-up study","volume":"69","author":"Hernigou","year":"1987","journal-title":"J. Bone Jt. Surg. Am."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"3221","DOI":"10.1007\/s00167-020-06128-9","article-title":"Long-term survival rate of closing wedge high tibial osteotomy with high valgus correction: A 15-year follow-up study","volume":"29","author":"Sasaki","year":"2021","journal-title":"Knee Surg. Sports Traumatol. Arthrosc."},{"key":"ref_3","first-page":"421","article-title":"Closing-Wedge and Opening-Wedge High Tibial Osteotomy as Successful Treatments of Symptomatic Medial Osteoarthritis of the Knee: A Randomized Controlled Trial","volume":"11","author":"Safdari","year":"2023","journal-title":"Arch. Bone Jt. Surg."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"592","DOI":"10.1302\/0301-620X.90B5.20386","article-title":"The long-term outcome of high tibial osteotomy: A ten- to 20-year follow-up","volume":"90","author":"Akizuki","year":"2008","journal-title":"J. Bone Jt. Surg. Br."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1007\/s00167-002-0334-7","article-title":"Improvements in surgical technique of valgus high tibial osteotomy","volume":"11","author":"Lobenhoffer","year":"2003","journal-title":"Knee Surg. Sports Traumatol. Arthrosc."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"e431","DOI":"10.1016\/j.eats.2014.04.004","article-title":"A novel closed-wedge high tibial osteotomy procedure to treat osteoarthritis of the knee: Hybrid technique and rehabilitation measures","volume":"3","author":"Takeuchi","year":"2014","journal-title":"Arthrosc. Tech."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1455","DOI":"10.1016\/j.arth.2023.02.027","article-title":"Hybrid Lateral Closed-Wedge High Tibial Osteotomy Showed Similar Accuracy in Angular Correction and Reduction of Posterior Tibial Slope Compared to Opening-Wedge High Tibial Osteotomy: A Correction Angle Matched Cohort Study","volume":"38","author":"Rhee","year":"2023","journal-title":"J. Arthroplast."},{"key":"ref_8","first-page":"511","article-title":"Time to Bone Union after Hybrid Closed-Wedge High Tibial Osteotomy","volume":"73","author":"Takahara","year":"2019","journal-title":"Acta Med. Okayama"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1097\/00003086-198909000-00035","article-title":"Proximal tibial osteotomy. A new fixation device","volume":"246","author":"Miniaci","year":"1989","journal-title":"Clin. Orthop. Relat. Res."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"4927","DOI":"10.1007\/s00167-023-07518-5","article-title":"A significant rate of tibial overcorrection with an increased JLO occurred after isolated high tibial osteotomy without considering international consensus","volume":"31","author":"Ollivier","year":"2023","journal-title":"Knee Surg. Sports Traumatol. Arthrosc."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1186\/s43019-020-00076-x","article-title":"Change of joint-line convergence angle should be considered for accurate alignment correction in high tibial osteotomy","volume":"33","author":"Na","year":"2021","journal-title":"Knee Surg. Relat. Res."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"3022","DOI":"10.1007\/s00167-019-05762-2","article-title":"Preoperative soft tissue laxity around knee was associated with less accurate alignment correction after hybrid closed-wedge high tibial osteotomy","volume":"28","author":"Takagawa","year":"2020","journal-title":"Knee Surg. Sports Traumatol. Arthrosc."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"777","DOI":"10.1016\/j.knee.2020.04.018","article-title":"Changes in knee joint line orientation after high tibial osteotomy are the result of adaptation of the lower limb to the new alignment","volume":"27","author":"Bartholomeeusen","year":"2020","journal-title":"Knee"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1507","DOI":"10.1007\/s00167-021-06663-z","article-title":"The Dugdale planning method for high tibial osteotomies underestimates the correction angle compared to the Miniaci method","volume":"31","author":"Sivertsen","year":"2023","journal-title":"Knee Surg. Sports Traumatol. Arthrosc."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1563","DOI":"10.1007\/s00167-022-07006-2","article-title":"Closed-wedge high tibial osteotomy is more advantageous to maintain the correction than open-wedge high tibial osteotomy in osteopenic patients","volume":"31","author":"Song","year":"2023","journal-title":"Knee Surg. Sports Traumatol. Arthrosc."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1007\/s00167-014-3303-z","article-title":"Better clinical results after closed- compared to open-wedge high tibial osteotomy in patients with medial knee osteoarthritis and varus leg alignment","volume":"24","author":"Gaasbeek","year":"2016","journal-title":"Knee Surg. Sports Traumatol. Arthrosc."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"3955","DOI":"10.1007\/s00167-020-05890-0","article-title":"Closing-wedge high tibial osteotomy, a reliable procedure for osteoarthritic varus knee","volume":"28","author":"Berruto","year":"2020","journal-title":"Knee Surg. Sports Traumatol. Arthrosc."},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Ferrer Rivero, R., Pujol, O., Ferrer Rivero, J., and Oliver Far, G. (2023). Closing wedge high tibial osteotomy: An old-fashioned technique? Survival, clinical and radiological outcomes of a case series analysis. Rev. Esp. Cir. Ortop. Traumatol., in press.","DOI":"10.1016\/j.recot.2024.01.028"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1002\/ksa.12026","article-title":"Economic evaluation of high tibial osteotomy: Closing wedge is more cost-effective than open wedge technique when analysing the KOOS-12 improvement","volume":"32","author":"Pujol","year":"2024","journal-title":"Knee Surg. Sports Traumatol. Arthrosc."},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Ogino, T., Kumagai, K., Yamada, S., Akamatsu, T., Nejima, S., Sotozawa, M., and Inaba, Y. (2020). Relationship between the bony correction angle and mechanical axis change and their differences between closed and open wedge high tibial osteotomy. BMC Musculoskelet. Disord., 21.","DOI":"10.1186\/s12891-020-03703-6"}],"container-title":["Diagnostics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-4418\/14\/11\/1137\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T14:50:38Z","timestamp":1760107838000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-4418\/14\/11\/1137"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,29]]},"references-count":20,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2024,6]]}},"alternative-id":["diagnostics14111137"],"URL":"https:\/\/doi.org\/10.3390\/diagnostics14111137","relation":{},"ISSN":["2075-4418"],"issn-type":[{"value":"2075-4418","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5,29]]}}}