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10.1002/ksa.70219

http://scihub22266oqcxt.onion/10.1002/ksa.70219
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41353741!?!41353741

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suck abstract from ncbi

pmid41353741      Knee+Surg+Sports+Traumatol+Arthrosc 2025 ; ? (?): ?
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  • Significant changes of the mechanical medial proximal tibial angle in dependence of internal and external rotation of the hinge axis in slope correcting infratuberositary tibial deflexion osteotomy #MMPMID41353741
  • Jud L; Kolle M; Neopoulos G; Vlachopoulos L; Fucentese SF
  • Knee Surg Sports Traumatol Arthrosc 2025[Dec]; ? (?): ? PMID41353741show ga
  • PURPOSE: Tibial deflexion osteotomy (TDO) is performed to correct an increased posterior tibial slope (PTS). Unintended rotation of the osteotomy and the hinge axis (HA) orientation can result in a postoperative deviation of the mechanical medial proximal tibial angle (mMPTA). This study aimed to investigate how internal and external HA rotations affect postoperative mMPTA. METHODS: Three-dimensional (3D) bone models of ten patients with increased PTS were used to simulate infratuberositary TDO with different HA orientations and closing distances. Postoperative changes in mMPTA were analysed. RESULTS: In total, 440 TDOs were simulated. The PTS changed by 0.9 +/- 0.0 degrees per mm of closing distance. TDO perpendicular to the coronal plane of the long-leg radiograph showed no significant change in the postoperative mMPTA. Internal and external rotation of the HA resulted in significant changes in postoperative mMPTA, with absolute changes up to 4.5 degrees +/- 0.5 degrees . CONCLUSION: A TDO oriented perpendicular to the leg's coronal plane preserves the preoperative mMPTA and therefore avoids unintended coronal correction. The mMPTA changed significantly with a rotation of the HA of only 5 degrees and exceeded a postoperative change of >/=2 degrees with 15 degrees of HA rotation. LEVEL OF EVIDENCE: N/A.
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