{"id":"https://openalex.org/W4417153133","doi":"https://doi.org/10.1002/ksa.70224","title":"Medial hinge fracture after closing wedge high tibial osteotomy: Proposing a new classification and risk factor analysis of a neglected complication","display_name":"Medial hinge fracture after closing wedge high tibial osteotomy: Proposing a new classification and risk factor analysis of a neglected complication","publication_year":2025,"publication_date":"2025-12-08","ids":{"openalex":"https://openalex.org/W4417153133","doi":"https://doi.org/10.1002/ksa.70224","pmid":"https://pubmed.ncbi.nlm.nih.gov/41358686"},"language":"en","primary_location":{"id":"doi:10.1002/ksa.70224","doi":"https://doi.org/10.1002/ksa.70224","is_oa":true,"landing_page_url":"https://doi.org/10.1002/ksa.70224","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/ksa.70224","source":{"id":"https://openalex.org/S51654951","display_name":"Knee Surgery Sports Traumatology Arthroscopy","issn_l":"0942-2056","issn":["0942-2056","1433-7347"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","jufo-1","ki-jl-2","medline","norway-1"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Knee Surgery, Sports Traumatology, Arthroscopy","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/ksa.70224","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5047788398","display_name":"Gian Andrea Lucidi","orcid":"https://orcid.org/0000-0003-3065-9212","observed_orcids":["https://orcid.org/0000-0003-3065-9212"]},"institutions":[{"id":"https://openalex.org/I4210121742","display_name":"Istituto Ortopedico Rizzoli","ror":"https://ror.org/02ycyys66","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I4210121742","https://openalex.org/I4210153126"]},{"id":"https://openalex.org/I9360294","display_name":"University of Bologna","ror":"https://ror.org/01111rn36","country_code":"IT","type":"education","lineage":["https://openalex.org/I9360294"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Gian Andrea Lucidi","raw_affiliation_strings":["2nd Orthopaedic and Trauma Department IRCCS Rizzoli Orthopaedic Institute Bologna Italy","Department of Biomedical and Neuromotor Sciences (DIBINEM) University of Bologna Bologna Italy","2nd Orthopaedic and Trauma Department, IRCCS Rizzoli Orthopaedic Institute, Bologna, Italy","Department of Biomedical and Neuromotor Sciences (DIBINEM), University of Bologna, Bologna, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"2nd Orthopaedic and Trauma Department IRCCS Rizzoli Orthopaedic Institute Bologna Italy","institution_ids":["https://openalex.org/I4210121742"]},{"raw_affiliation_string":"Department of Biomedical and Neuromotor Sciences (DIBINEM) University of Bologna Bologna Italy","institution_ids":["https://openalex.org/I9360294"]},{"raw_affiliation_string":"2nd Orthopaedic and Trauma Department, IRCCS Rizzoli Orthopaedic Institute, Bologna, Italy","institution_ids":["https://openalex.org/I4210121742"]},{"raw_affiliation_string":"Department of Biomedical and Neuromotor Sciences (DIBINEM), University of Bologna, Bologna, Italy","institution_ids":["https://openalex.org/I9360294"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Giovanni Balboni","orcid":"https://orcid.org/0009-0001-6815-5397","observed_orcids":["https://orcid.org/0009-0001-6815-5397"]},"institutions":[{"id":"https://openalex.org/I4210121742","display_name":"Istituto Ortopedico Rizzoli","ror":"https://ror.org/02ycyys66","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I4210121742","https://openalex.org/I4210153126"]},{"id":"https://openalex.org/I9360294","display_name":"University of Bologna","ror":"https://ror.org/01111rn36","country_code":"IT","type":"education","lineage":["https://openalex.org/I9360294"]}],"countries":["IT"],"is_corresponding":true,"raw_author_name":"Giovanni Balboni","raw_affiliation_strings":["2nd Orthopaedic and Trauma Department IRCCS Rizzoli Orthopaedic Institute Bologna Italy","University of Bologna Bologna Italy","2nd Orthopaedic and Trauma Department, IRCCS Rizzoli Orthopaedic Institute, Bologna, Italy","University of Bologna, Bologna, Italy"],"raw_orcid":"https://orcid.org/0009-0001-6815-5397","affiliations":[{"raw_affiliation_string":"2nd Orthopaedic and Trauma Department IRCCS Rizzoli Orthopaedic Institute Bologna Italy","institution_ids":["https://openalex.org/I4210121742"]},{"raw_affiliation_string":"University of Bologna Bologna Italy","institution_ids":["https://openalex.org/I9360294"]},{"raw_affiliation_string":"2nd Orthopaedic and Trauma Department, IRCCS Rizzoli Orthopaedic Institute, Bologna, Italy","institution_ids":["https://openalex.org/I4210121742"]},{"raw_affiliation_string":"University of Bologna, Bologna, Italy","institution_ids":["https://openalex.org/I9360294"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5075193433","display_name":"Luca Solaro","orcid":"https://orcid.org/0000-0001-5786-9602","observed_orcids":["https://orcid.org/0000-0001-5786-9602"]},"institutions":[{"id":"https://openalex.org/I4210121742","display_name":"Istituto Ortopedico Rizzoli","ror":"https://ror.org/02ycyys66","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I4210121742","https://openalex.org/I4210153126"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Luca Solaro","raw_affiliation_strings":["2nd Orthopaedic and Trauma Department IRCCS Rizzoli Orthopaedic Institute Bologna Italy","2nd Orthopaedic and Trauma Department, IRCCS Rizzoli Orthopaedic Institute, Bologna, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"2nd Orthopaedic and Trauma Department IRCCS Rizzoli Orthopaedic Institute Bologna Italy","institution_ids":["https://openalex.org/I4210121742"]},{"raw_affiliation_string":"2nd Orthopaedic and Trauma Department, IRCCS Rizzoli Orthopaedic Institute, Bologna, Italy","institution_ids":["https://openalex.org/I4210121742"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5117826941","display_name":"Margherita Bonaiuti","orcid":"https://orcid.org/0009-0004-3889-9573","observed_orcids":["https://orcid.org/0009-0004-3889-9573"]},"institutions":[{"id":"https://openalex.org/I4210121742","display_name":"Istituto Ortopedico Rizzoli","ror":"https://ror.org/02ycyys66","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I4210121742","https://openalex.org/I4210153126"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Margherita Bonaiuti","raw_affiliation_strings":["2nd Orthopaedic and Trauma Department IRCCS Rizzoli Orthopaedic Institute Bologna Italy","2nd Orthopaedic and Trauma Department, IRCCS Rizzoli Orthopaedic Institute, Bologna, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"2nd Orthopaedic and Trauma Department IRCCS Rizzoli Orthopaedic Institute Bologna Italy","institution_ids":["https://openalex.org/I4210121742"]},{"raw_affiliation_string":"2nd Orthopaedic and Trauma Department, IRCCS Rizzoli Orthopaedic Institute, Bologna, Italy","institution_ids":["https://openalex.org/I4210121742"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5032000898","display_name":"Stefano Di Paolo","orcid":"https://orcid.org/0000-0002-1761-7352","observed_orcids":["https://orcid.org/0000-0002-1761-7352"]},"institutions":[{"id":"https://openalex.org/I4210121742","display_name":"Istituto Ortopedico Rizzoli","ror":"https://ror.org/02ycyys66","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I4210121742","https://openalex.org/I4210153126"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Stefano di Paolo","raw_affiliation_strings":["2nd Orthopaedic and Trauma Department IRCCS Rizzoli Orthopaedic Institute Bologna Italy","2nd Orthopaedic and Trauma Department, IRCCS Rizzoli Orthopaedic Institute, Bologna, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"2nd Orthopaedic and Trauma Department IRCCS Rizzoli Orthopaedic Institute Bologna Italy","institution_ids":["https://openalex.org/I4210121742"]},{"raw_affiliation_string":"2nd Orthopaedic and Trauma Department, IRCCS Rizzoli Orthopaedic Institute, Bologna, Italy","institution_ids":["https://openalex.org/I4210121742"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5008161261","display_name":"Stefano Zaffagnini","orcid":"https://orcid.org/0000-0002-2941-1407","observed_orcids":["https://orcid.org/0000-0002-2941-1407"]},"institutions":[{"id":"https://openalex.org/I4210121742","display_name":"Istituto Ortopedico Rizzoli","ror":"https://ror.org/02ycyys66","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I4210121742","https://openalex.org/I4210153126"]},{"id":"https://openalex.org/I9360294","display_name":"University of Bologna","ror":"https://ror.org/01111rn36","country_code":"IT","type":"education","lineage":["https://openalex.org/I9360294"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Stefano Zaffagnini","raw_affiliation_strings":["2nd Orthopaedic and Trauma Department IRCCS Rizzoli Orthopaedic Institute Bologna Italy","Department of Biomedical and Neuromotor Sciences (DIBINEM) University of Bologna Bologna Italy","University of Bologna Bologna Italy","2nd Orthopaedic and Trauma Department, IRCCS Rizzoli Orthopaedic Institute, Bologna, Italy","Department of Biomedical and Neuromotor Sciences (DIBINEM), University of Bologna, Bologna, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"2nd Orthopaedic and Trauma Department IRCCS Rizzoli Orthopaedic Institute Bologna Italy","institution_ids":["https://openalex.org/I4210121742"]},{"raw_affiliation_string":"Department of Biomedical and Neuromotor Sciences (DIBINEM) University of Bologna Bologna Italy","institution_ids":["https://openalex.org/I9360294"]},{"raw_affiliation_string":"University of Bologna Bologna Italy","institution_ids":["https://openalex.org/I9360294"]},{"raw_affiliation_string":"2nd Orthopaedic and Trauma Department, IRCCS Rizzoli Orthopaedic Institute, Bologna, Italy","institution_ids":["https://openalex.org/I4210121742"]},{"raw_affiliation_string":"Department of Biomedical and Neuromotor Sciences (DIBINEM), University of Bologna, Bologna, Italy","institution_ids":["https://openalex.org/I9360294"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I4210121742","https://openalex.org/I9360294"],"apc_list":{"value":4300,"currency":"USD","value_usd":4300},"apc_paid":{"value":4300,"currency":"USD","value_usd":4300},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.4711357,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"34","issue":"3","first_page":"1014","last_page":"1023"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10442","display_name":"Knee injuries and reconstruction techniques","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10442","display_name":"Knee injuries and reconstruction techniques","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10658","display_name":"Bone fractures and treatments","score":0.0006000000284984708,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11427","display_name":"Elbow and Forearm Trauma Treatment","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2742","display_name":"Rehabilitation"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/varus-alignment","display_name":"varus malalignment","score":0.7739999890327454},{"id":"https://openalex.org/keywords/fracture-classification","display_name":"fracture classification","score":0.722000002861023},{"id":"https://openalex.org/keywords/risk-factors","display_name":"risk factors","score":0.781000018119812},{"id":"https://openalex.org/keywords/postoperative-complications","display_name":"postoperative complications","score":0.6930000185966492},{"id":"https://openalex.org/keywords/knee-osteoarthritis","display_name":"knee osteoarthritis","score":0.6779999732971191},{"id":"https://openalex.org/keywords/medial-tibial-plateau","display_name":"medial tibial plateau","score":0.7540000081062317}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8930000066757202},{"id":"https://openalex.org/C68312169","wikidata":"https://www.wikidata.org/wiki/Q216685","display_name":"Orthopedic surgery","level":2,"score":0.6944000124931335},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.6116999983787537},{"id":"https://openalex.org/C50440223","wikidata":"https://www.wikidata.org/wiki/Q1475848","display_name":"Risk factor","level":2,"score":0.5896000266075134},{"id":"https://openalex.org/C29694066","wikidata":"https://www.wikidata.org/wiki/Q118301","display_name":"Orthodontics","level":1,"score":0.570900022983551},{"id":"https://openalex.org/C43369102","wikidata":"https://www.wikidata.org/wiki/Q2307625","display_name":"Fracture (geology)","level":2,"score":0.5403000116348267},{"id":"https://openalex.org/C47422493","wikidata":"https://www.wikidata.org/wiki/Q2755127","display_name":"Wedge (geometry)","level":2,"score":0.5236999988555908},{"id":"https://openalex.org/C44000306","wikidata":"https://www.wikidata.org/wiki/Q244330","display_name":"Hinge","level":2,"score":0.48579999804496765},{"id":"https://openalex.org/C2778775528","wikidata":"https://www.wikidata.org/wiki/Q5135432","display_name":"Closing (real estate)","level":2,"score":0.43309998512268066},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.40869998931884766},{"id":"https://openalex.org/C2777236700","wikidata":"https://www.wikidata.org/wiki/Q178366","display_name":"Tibia","level":2,"score":0.35249999165534973},{"id":"https://openalex.org/C2992115439","wikidata":"https://www.wikidata.org/wiki/Q6027402","display_name":"Tibial fracture","level":3,"score":0.3504999876022339},{"id":"https://openalex.org/C2779866876","wikidata":"https://www.wikidata.org/wiki/Q18349435","display_name":"High tibial osteotomy","level":4,"score":0.29760000109672546},{"id":"https://openalex.org/C2911105243","wikidata":"https://www.wikidata.org/wiki/Q1753467","display_name":"Insufficiency fracture","level":3,"score":0.2581999897956848}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010027","descriptor_name":"Osteotomy","qualifier_ui":"Q000009","qualifier_name":"adverse effects","is_major_topic":true},{"descriptor_ui":"D010027","descriptor_name":"Osteotomy","qualifier_ui":"Q000009","qualifier_name":"adverse effects","is_major_topic":true},{"descriptor_ui":"D010027","descriptor_name":"Osteotomy","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D010027","descriptor_name":"Osteotomy","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D011183","descriptor_name":"Postoperative Complications","qualifier_ui":"Q000145","qualifier_name":"classification","is_major_topic":true},{"descriptor_ui":"D011183","descriptor_name":"Postoperative Complications","qualifier_ui":"Q000145","qualifier_name":"classification","is_major_topic":true},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013977","descriptor_name":"Tibia","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D013977","descriptor_name":"Tibia","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D013978","descriptor_name":"Tibial Fractures","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":true},{"descriptor_ui":"D013978","descriptor_name":"Tibial Fractures","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":true},{"descriptor_ui":"D013978","descriptor_name":"Tibial Fractures","qualifier_ui":"Q000145","qualifier_name":"classification","is_major_topic":true},{"descriptor_ui":"D013978","descriptor_name":"Tibial Fractures","qualifier_ui":"Q000145","qualifier_name":"classification","is_major_topic":true},{"descriptor_ui":"D013978","descriptor_name":"Tibial Fractures","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D013978","descriptor_name":"Tibial Fractures","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D013978","descriptor_name":"Tibial Fractures","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D013978","descriptor_name":"Tibial Fractures","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D015994","descriptor_name":"Incidence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015994","descriptor_name":"Incidence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017760","descriptor_name":"Bone Malalignment","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D017760","descriptor_name":"Bone Malalignment","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D020370","descriptor_name":"Osteoarthritis, Knee","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D020370","descriptor_name":"Osteoarthritis, Knee","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true}],"locations_count":4,"locations":[{"id":"doi:10.1002/ksa.70224","doi":"https://doi.org/10.1002/ksa.70224","is_oa":true,"landing_page_url":"https://doi.org/10.1002/ksa.70224","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/ksa.70224","source":{"id":"https://openalex.org/S51654951","display_name":"Knee Surgery Sports Traumatology Arthroscopy","issn_l":"0942-2056","issn":["0942-2056","1433-7347"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","jufo-1","ki-jl-2","medline","norway-1"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Knee Surgery, Sports Traumatology, Arthroscopy","raw_type":"journal-article"},{"id":"pmid:41358686","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41358686","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA","raw_type":"Journal Article"},{"id":"pmh:oai:cris.unibo.it:11585/1031877","doi":null,"is_oa":true,"landing_page_url":"https://esskajournals.onlinelibrary.wiley.com/doi/10.1002/ksa.70224","pdf_url":null,"source":{"id":"https://openalex.org/S4306402579","display_name":"Archivio istituzionale della ricerca (Alma Mater Studiorum Universit\u00e0 di Bologna)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210117483","host_organization_name":"Istituto di Ematologia di Bologna","host_organization_lineage":["https://openalex.org/I4210117483"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"info:eu-repo/semantics/article"},{"id":"pmh:oai:pubmedcentral.nih.gov:12948340","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12948340/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Knee Surg Sports Traumatol Arthrosc","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1002/ksa.70224","doi":"https://doi.org/10.1002/ksa.70224","is_oa":true,"landing_page_url":"https://doi.org/10.1002/ksa.70224","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/ksa.70224","source":{"id":"https://openalex.org/S51654951","display_name":"Knee Surgery Sports Traumatology Arthroscopy","issn_l":"0942-2056","issn":["0942-2056","1433-7347"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","jufo-1","ki-jl-2","medline","norway-1"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Knee Surgery, Sports Traumatology, Arthroscopy","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9476000070571899,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"sustainable_development_goals_aurora":[],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4417153133.pdf","grobid_xml":"https://content.openalex.org/works/W4417153133.grobid-xml"},"referenced_works_count":21,"referenced_works":["https://openalex.org/W1921581791","https://openalex.org/W1973690872","https://openalex.org/W2033295044","https://openalex.org/W2093662189","https://openalex.org/W2294574549","https://openalex.org/W2487618593","https://openalex.org/W2750771066","https://openalex.org/W2759938395","https://openalex.org/W3080685683","https://openalex.org/W3083983274","https://openalex.org/W3092313689","https://openalex.org/W3131767464","https://openalex.org/W3203751415","https://openalex.org/W4306916505","https://openalex.org/W4308639683","https://openalex.org/W4320490930","https://openalex.org/W4382918721","https://openalex.org/W4385999416","https://openalex.org/W4392767444","https://openalex.org/W4401220505","https://openalex.org/W4409709396"],"related_works":[],"abstract_inverted_index":{"PURPOSE:":[0],"Contralateral":[1],"hinge":[2,50],"fracture":[3,51,194],"is":[4,287],"one":[5],"of":[6,11,33,48,99,114,169,187,219,237,250,260,276,322],"the":[7,39,162,175,197,235,238,243,251,272,283,295,303,316,323],"most":[8,192],"common":[9,193,289],"complications":[10],"medial":[12,49,244,317],"opening":[13],"wedge":[14],"high":[15],"tibial":[16,245],"osteotomy":[17,239,252,304],"(HTO),":[18],"however,":[19],"this":[20,34],"complication":[21,290],"has":[22],"been":[23],"poorly":[24],"investigated":[25],"after":[26,53,291],"closing-wedge":[27],"HTO":[28],"(CW-HTO).":[29],"The":[30,55,177,191],"primary":[31],"aim":[32,57],"study":[35],"was":[36,58,181,196,215,224,309],"to":[37,59,67,299,302],"describe":[38],"incidence":[40,96,178,308],"and":[41,43,62,97,122,152,183,208,247,274,293,319],"characteristics":[42],"propose":[44],"a":[45,80,112,129,138,158,288],"classification":[46],"system":[47],"(MHF)":[52],"CW-HTO.":[54],"secondary":[56],"identify":[60],"demographic":[61,121],"surgical":[63],"factors":[64,109,297],"that":[65,136,231],"predispose":[66],"MHF.":[68],"METHODS:":[69],"Consecutive":[70],"patients":[71],"who":[72],"underwent":[73],"CW-HTO":[74],"for":[75,86,110,271,282],"varus":[76],"malalignment":[77],"performed":[78,119],"at":[79],"single":[81],"institution":[82],"were":[83,90,101,118,147,153,172,189,254],"retrospectively":[84],"screened":[85],"eligibility.":[87],"Preoperative":[88],"data":[89,124],"retrieved":[91],"from":[92,315],"medical":[93],"charts,":[94],"while":[95,221],"type":[98,195],"MHF":[100,179,214,286,307],"evaluated":[102],"on":[103],"postoperative":[104],"X-rays.":[105],"To":[106],"determine":[107],"risk":[108,296],"MHF,":[111],"series":[113],"univariate":[115,145],"logistic":[116],"regression":[117],"using":[120,128],"radiological":[123],"as":[125,149,155,331],"independent":[126,150],"variables,":[127],"generalised":[130],"linear":[131],"mixed":[132],"model":[133],"(GLMM).":[134],"Variables":[135],"demonstrated":[137],"significant":[139],"difference":[140],"(p":[141,268,279],"<":[142],"0.1)":[143],"in":[144,157,174,217,226],"analyses":[146],"defined":[148],"variables":[151,165],"used":[154],"covariates":[156],"multivariate":[159],"analysis":[160,229],"with":[161,201,257,311],"same":[163],"dependent":[164],"RESULTS:":[166],"A":[167,211],"total":[168],"137":[170],"knees":[171],"included":[173],"study.":[176],"fractures":[180,188],"57%":[182],"three":[184],"distinct":[185],"types":[186],"identified.":[190],"two":[198],"fragment":[199],"one,":[200],"its":[202],"subtypes":[203],"\"linear\"":[204],"(31%),":[205],"\"distal\"":[206],"(9%)":[207],"\"proximal\"":[209],"(8%).":[210],"\"third":[212],"fragment\"":[213],"identified":[216],"7%":[218],"cases,":[220],"\"intra-articular\"":[222],"pattern":[223],"observed":[225],"2%.":[227],"Multivariate":[228],"showed":[230],"increased":[232,313],"distance":[233,314],"between":[234],"end":[236],"line":[240,253],"up":[241],"until":[242],"plateau":[246,318],"decreased":[248],"length":[249],"significantly":[255],"associated":[256,310],"higher":[258,306],"probability":[259],"MHF:":[261],"respectively":[262],"OR":[263,275],"(odds":[264],"ratio)":[265],"2.8":[266],"[1.20-6.78]":[267],"=":[269,280],"0.018)":[270],"former":[273],"0.35":[277],"[0.16-0.77]":[278],"0.009)":[281],"latter.":[284],"CONCLUSION:":[285],"CW-HTO,":[292],"all":[294],"appear":[298],"be":[300],"related":[301],"line:":[305],"an":[312],"reduced":[320],"depth":[321],"cut.":[324],"Both":[325],"these":[326],"parameters":[327],"are":[328,333],"clinically":[329],"relevant":[330],"they":[332],"modifiable.":[334],"LEVEL":[335],"OF":[336],"EVIDENCE:":[337],"Level":[338],"IV.":[339]},"counts_by_year":[],"updated_date":"2026-09-29T14:09:16.559479","created_date":"2025-12-08T00:00:00"}
