A hinge position distal to the adductor tubercle minimizes the risk of hinge fractures in lateral open wedge distal femoral osteotomy.
Winkler PW, Rupp MC, Lutz PM, Geyer S, Forkel P, Imhoff AB, Feucht MJ.
Knee Surg Sports Traumatol Arthrosc. 2021 Oct;29(10):3382-3391. doi: 10.1007/s00167-020-06244-6. Epub 2020 Aug 24.
The influence of different hinge position on PTS during HTO: comparison between open-wedge and closed-wedge HTO.
Moon DK, Seo MS, Kim CW, Cho SH, Nam DC, Byun JH, Hwang SC.
Eur J Orthop Surg Traumatol. 2023 May;33(4):1341-1347. doi: 10.1007/s00590-022-03280-5. Epub 2022 May 31.
Appropriate hinge position for prevention of unstable lateral hinge fracture in open wedge high tibial osteotomy.
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Bone Joint J. 2017 Oct;99-B(10):1313-1318. doi: 10.1302/0301-620X.99B10.BJJ-2017-0103.R1.
The Ideal Hinge Axis Position to Reduce Tibial Slope in Opening-Wedge High Tibial Osteotomy Includes Proximalization-Extension and Internal Rotation.
Eliasberg CD, Hancock KJ, Swartwout E, Robichaud H, Ranawat AS.
Arthroscopy. 2021 May;37(5):1577-1584. doi: 10.1016/j.arthro.2020.12.203. Epub 2020 Dec 24.
Appropriate hinge position to prevent hinge fracture in open wedge distal tuberosity tibial osteotomy.
Tanaka A, Araki D, Yamashita T, Sano S, Okada R, Takahashi M, Hashimoto Y.
J Exp Orthop. 2025 May 19;12(2):e70278. doi: 10.1002/jeo2.70278. eCollection 2025 Apr.
Opening-Wedge High Tibial Osteotomy With High Hinge Position Risks Lateral Hinge Fracture in Men With Posterolateral Tibial Condyle Protrusion.
Morita Y, Kuriyama S, Yamawaki Y, Nakamura S, Nishitani K, Ito H, Matsuda S.
Arthroscopy. 2023 Feb;39(2):324-334. doi: 10.1016/j.arthro.2022.07.018. Epub 2022 Aug 10.
The Effect of Hinge Position on Posterior Tibial Slope in Medial Open-Wedge High Tibial Osteotomy.
Moon SW, Park SH, Lee BH, Oh M, Chang M, Ahn JH, Wang JH.
Arthroscopy. 2015 Jun;31(6):1128-33. doi: 10.1016/j.arthro.2015.01.009. Epub 2015 Mar 3.
Optimal additional support screw position for prevention of hinge fracture in biplanar closed wedge distal femoral osteotomy.
Higa M, Nakayama H, Kanto R, Onishi S, Yoshiya S, Tachibana T, Iseki T.
J Orthop. 2023 Jul 18;43:1-5. doi: 10.1016/j.jor.2023.07.017. eCollection 2023 Sep.
Hinge Position Dominance Over Osteotomy Inclination in Medial Open-Wedge High Tibial Osteotomy: A Key Factor in Posterior Tibial Slope Changes.
Bax EA, Nguyen HC, van Egmond N, Slump CH, Kruyt MC, Custers RJH, Hekman EEG.
Cartilage. 2025 Jan 21:19476035241311233. doi: 10.1177/19476035241311233. Online ahead of print.
Setting hinge position distal to the proximal margin of the distal lateral femur reduces the maximum principal strains of the hinge area and risk of hinge fractures.
Tanaka A, Matsushita T, Nakatsuji T, Katsui Y, Nagai K, Nishida K, Mukai T, Kuroda R.
J Exp Orthop. 2024 Apr 8;11(2):e12015. doi: 10.1002/jeo2.12015. eCollection 2024 Apr.
