{"id":"https://openalex.org/W7203609746","doi":"https://doi.org/10.1002/ksa.70575","title":"Complications after anterior closing\u2010wedge high tibial osteotomy in anterior cruciate ligament reconstruction: A state\u2010of\u2010the\u2010art technical review","display_name":"Complications after anterior closing\u2010wedge high tibial osteotomy in anterior cruciate ligament reconstruction: A state\u2010of\u2010the\u2010art technical review","publication_year":2026,"publication_date":"2026-08-17","ids":{"openalex":"https://openalex.org/W7203609746","doi":"https://doi.org/10.1002/ksa.70575","pmid":"https://pubmed.ncbi.nlm.nih.gov/42605955"},"language":"en","primary_location":{"id":"doi:10.1002/ksa.70575","doi":"https://doi.org/10.1002/ksa.70575","is_oa":false,"landing_page_url":"https://doi.org/10.1002/ksa.70575","pdf_url":null,"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":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-1","ki-jl-2","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"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":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Knee Surgery, Sports Traumatology, Arthroscopy","raw_type":"journal-article"},"volume":null,"type":"review","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5015552589","display_name":"Jaime Ugarte","orcid":"https://orcid.org/0000-0003-2583-7432","observed_orcids":["https://orcid.org/0000-0003-2583-7432"]},"institutions":[{"id":"https://openalex.org/I13897259","display_name":"Universidad Andr\u00e9s Bello","ror":"https://ror.org/01qq57711","country_code":"CL","type":"education","lineage":["https://openalex.org/I13897259"]},{"id":"https://openalex.org/I4210153686","display_name":"Hospital del Trabajador","ror":"https://ror.org/057pdzy92","country_code":"CL","type":"healthcare","lineage":["https://openalex.org/I4210153686"]}],"countries":["CL"],"is_corresponding":true,"raw_author_name":"Jaime Ugarte","raw_affiliation_strings":["Hospital del Trabajador, Facultad de Medicina Universidad Andr\u00e9s Bello Santiago Chile","Knee Unit, Orthopaedic Department Hospital del Trabajador Santiago Chile"],"raw_orcid":"https://orcid.org/0000-0003-2583-7432","affiliations":[{"raw_affiliation_string":"Hospital del Trabajador, Facultad de Medicina Universidad Andr\u00e9s Bello Santiago Chile","institution_ids":["https://openalex.org/I13897259","https://openalex.org/I4210153686"]},{"raw_affiliation_string":"Knee Unit, Orthopaedic Department Hospital del Trabajador Santiago Chile","institution_ids":["https://openalex.org/I4210153686"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5014258826","display_name":"Jos\u00e9 Tomas Mu\u00f1oz","orcid":"https://orcid.org/0000-0001-5894-1151","observed_orcids":["https://orcid.org/0000-0001-5894-1151"]},"institutions":[{"id":"https://openalex.org/I4210150238","display_name":"Hospital Militar de Santiago","ror":"https://ror.org/05d5yjx85","country_code":"CL","type":"healthcare","lineage":["https://openalex.org/I4210150238"]},{"id":"https://openalex.org/I4210153686","display_name":"Hospital del Trabajador","ror":"https://ror.org/057pdzy92","country_code":"CL","type":"healthcare","lineage":["https://openalex.org/I4210153686"]}],"countries":["CL"],"is_corresponding":false,"raw_author_name":"Jos\u00e9 Tom\u00e1s Mu\u00f1oz","raw_affiliation_strings":["Knee Unit, Orthopaedic Department Hospital Militar de Santiago Santiago Chile","Knee Unit, Orthopaedic Department Hospital del Trabajador Santiago Chile"],"raw_orcid":"https://orcid.org/0000-0001-5894-1151","affiliations":[{"raw_affiliation_string":"Knee Unit, Orthopaedic Department Hospital Militar de Santiago Santiago Chile","institution_ids":["https://openalex.org/I4210150238"]},{"raw_affiliation_string":"Knee Unit, Orthopaedic Department Hospital del Trabajador Santiago Chile","institution_ids":["https://openalex.org/I4210153686"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5080328748","display_name":"Nicol\u00e1s Franulic","orcid":"https://orcid.org/0000-0002-6608-5858","observed_orcids":["https://orcid.org/0000-0002-6608-5858"]},"institutions":[{"id":"https://openalex.org/I189977406","display_name":"Universidad de Los Andes, Chile","ror":"https://ror.org/03v0qd864","country_code":"CL","type":"education","lineage":["https://openalex.org/I189977406"]},{"id":"https://openalex.org/I4210150238","display_name":"Hospital Militar de Santiago","ror":"https://ror.org/05d5yjx85","country_code":"CL","type":"healthcare","lineage":["https://openalex.org/I4210150238"]},{"id":"https://openalex.org/I4210153686","display_name":"Hospital del Trabajador","ror":"https://ror.org/057pdzy92","country_code":"CL","type":"healthcare","lineage":["https://openalex.org/I4210153686"]}],"countries":["CL"],"is_corresponding":false,"raw_author_name":"Nicol\u00e1s Franulic","raw_affiliation_strings":["Facultad de Medicina Universidad de Los Andes Santiago Chile","Knee Unit, Orthopaedic Department Hospital Militar de Santiago Santiago Chile","Knee Unit, Orthopaedic Department Hospital del Trabajador Santiago Chile"],"raw_orcid":"https://orcid.org/0000-0002-6608-5858","affiliations":[{"raw_affiliation_string":"Facultad de Medicina Universidad de Los Andes Santiago Chile","institution_ids":["https://openalex.org/I189977406"]},{"raw_affiliation_string":"Knee Unit, Orthopaedic Department Hospital Militar de Santiago Santiago Chile","institution_ids":["https://openalex.org/I4210150238"]},{"raw_affiliation_string":"Knee Unit, Orthopaedic Department Hospital del Trabajador Santiago Chile","institution_ids":["https://openalex.org/I4210153686"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5074479933","display_name":"Tom\u00e1s Pineda","orcid":"https://orcid.org/0000-0002-9537-0658","observed_orcids":["https://orcid.org/0000-0002-9537-0658"]},"institutions":[{"id":"https://openalex.org/I13897259","display_name":"Universidad Andr\u00e9s Bello","ror":"https://ror.org/01qq57711","country_code":"CL","type":"education","lineage":["https://openalex.org/I13897259"]},{"id":"https://openalex.org/I4210113179","display_name":"Finis Terrae University","ror":"https://ror.org/0225snd59","country_code":"CL","type":"education","lineage":["https://openalex.org/I4210113179"]},{"id":"https://openalex.org/I4210153686","display_name":"Hospital del Trabajador","ror":"https://ror.org/057pdzy92","country_code":"CL","type":"healthcare","lineage":["https://openalex.org/I4210153686"]}],"countries":["CL"],"is_corresponding":false,"raw_author_name":"Tom\u00e1s Pineda","raw_affiliation_strings":["Facultad de Medicina Universidad Finis Terrae, Hospital El Carmen Santiago Chile","Hospital del Trabajador, Facultad de Medicina Universidad Andr\u00e9s Bello Santiago Chile","Knee Unit, Orthopaedic Department Hospital del Trabajador Santiago Chile"],"raw_orcid":"https://orcid.org/0000-0002-9537-0658","affiliations":[{"raw_affiliation_string":"Facultad de Medicina Universidad Finis Terrae, Hospital El Carmen Santiago Chile","institution_ids":["https://openalex.org/I4210113179"]},{"raw_affiliation_string":"Hospital del Trabajador, Facultad de Medicina Universidad Andr\u00e9s Bello Santiago Chile","institution_ids":["https://openalex.org/I13897259","https://openalex.org/I4210153686"]},{"raw_affiliation_string":"Knee Unit, Orthopaedic Department Hospital del Trabajador Santiago Chile","institution_ids":["https://openalex.org/I4210153686"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5054255291","display_name":"Volker Musahl","orcid":"https://orcid.org/0000-0001-8881-6212","observed_orcids":["https://orcid.org/0000-0001-8881-6212"]},"institutions":[{"id":"https://openalex.org/I4210098814","display_name":"UPMC Health System","ror":"https://ror.org/011htkb76","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210098814"]},{"id":"https://openalex.org/I4210134769","display_name":"University of Pittsburgh Medical Center","ror":"https://ror.org/04ehecz88","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210098814","https://openalex.org/I4210134769"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Volker Musahl","raw_affiliation_strings":["Department of Orthopaedic Surgery UPMC Freddie Fu Sports Medicine Center Pittsburgh Pennsylvania USA"],"raw_orcid":"https://orcid.org/0000-0001-8881-6212","affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery UPMC Freddie Fu Sports Medicine Center Pittsburgh Pennsylvania USA","institution_ids":["https://openalex.org/I4210098814","https://openalex.org/I4210134769"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5035344869","display_name":"Rodrigo Olivieri","orcid":"https://orcid.org/0000-0002-6446-4985","observed_orcids":["https://orcid.org/0000-0002-6446-4985"]},"institutions":[{"id":"https://openalex.org/I13897259","display_name":"Universidad Andr\u00e9s Bello","ror":"https://ror.org/01qq57711","country_code":"CL","type":"education","lineage":["https://openalex.org/I13897259"]},{"id":"https://openalex.org/I4210153686","display_name":"Hospital del Trabajador","ror":"https://ror.org/057pdzy92","country_code":"CL","type":"healthcare","lineage":["https://openalex.org/I4210153686"]}],"countries":["CL"],"is_corresponding":false,"raw_author_name":"Rodrigo Olivieri","raw_affiliation_strings":["Hospital del Trabajador, Facultad de Medicina Universidad Andr\u00e9s Bello Santiago Chile","Knee Unit, Orthopaedic Department Hospital del Trabajador Santiago Chile"],"raw_orcid":"https://orcid.org/0000-0002-6446-4985","affiliations":[{"raw_affiliation_string":"Hospital del Trabajador, Facultad de Medicina Universidad Andr\u00e9s Bello Santiago Chile","institution_ids":["https://openalex.org/I13897259","https://openalex.org/I4210153686"]},{"raw_affiliation_string":"Knee Unit, Orthopaedic Department Hospital del Trabajador Santiago Chile","institution_ids":["https://openalex.org/I4210153686"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5063146151","display_name":"Jonathan Daniel Hughes","orcid":"https://orcid.org/0000-0002-1298-7514","observed_orcids":["https://orcid.org/0000-0002-1298-7514"]},"institutions":[{"id":"https://openalex.org/I4210098814","display_name":"UPMC Health System","ror":"https://ror.org/011htkb76","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210098814"]},{"id":"https://openalex.org/I4210134769","display_name":"University of Pittsburgh Medical Center","ror":"https://ror.org/04ehecz88","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210098814","https://openalex.org/I4210134769"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jonathan D. Hughes","raw_affiliation_strings":["Department of Orthopaedic Surgery UPMC Freddie Fu Sports Medicine Center Pittsburgh Pennsylvania USA"],"raw_orcid":"https://orcid.org/0000-0002-1298-7514","affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery UPMC Freddie Fu Sports Medicine Center Pittsburgh Pennsylvania USA","institution_ids":["https://openalex.org/I4210098814","https://openalex.org/I4210134769"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":7,"corresponding_author_ids":["https://openalex.org/A5015552589"],"corresponding_institution_ids":["https://openalex.org/I13897259","https://openalex.org/I4210153686"],"apc_list":{"value":4300,"currency":"USD","value_usd":4300},"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10442","display_name":"Knee injuries and reconstruction techniques","score":1.0,"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":1.0,"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/T10455","display_name":"Foot and Ankle Surgery","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"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":0.0,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"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/anterior-cruciate-ligament-reconstruction","display_name":"anterior cruciate ligament reconstruction","score":0.996999979019165},{"id":"https://openalex.org/keywords/surgical-complications","display_name":"surgical complications","score":0.7260000109672546},{"id":"https://openalex.org/keywords/posterior-tibial-slope","display_name":"posterior tibial slope","score":0.8679999709129333},{"id":"https://openalex.org/keywords/hinge-fracture","display_name":"hinge fracture","score":0.6190000176429749},{"id":"https://openalex.org/keywords/patellar-height","display_name":"patellar height","score":0.8230000138282776},{"id":"https://openalex.org/keywords/knee-hyperextension","display_name":"knee hyperextension","score":0.753000020980835},{"id":"https://openalex.org/keywords/genu-recurvatum","display_name":"genu recurvatum","score":0.7710000276565552},{"id":"https://openalex.org/keywords/delayed-union","display_name":"delayed union","score":0.593999981880188},{"id":"https://openalex.org/keywords/revision-acl-reconstruction","display_name":"revision ACL reconstruction","score":0.5960000157356262},{"id":"https://openalex.org/keywords/osteotomy-fixation","display_name":"osteotomy fixation","score":0.593999981880188},{"id":"https://openalex.org/keywords/patient-selection","display_name":"patient selection","score":0.5540000200271606}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9345999956130981},{"id":"https://openalex.org/C2779866876","wikidata":"https://www.wikidata.org/wiki/Q18349435","display_name":"High tibial osteotomy","level":4,"score":0.633400022983551},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.6147000193595886},{"id":"https://openalex.org/C68312169","wikidata":"https://www.wikidata.org/wiki/Q216685","display_name":"Orthopedic surgery","level":2,"score":0.6037999987602234},{"id":"https://openalex.org/C2778434673","wikidata":"https://www.wikidata.org/wiki/Q611127","display_name":"Anterior cruciate ligament","level":2,"score":0.5884000062942505},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5695000290870667},{"id":"https://openalex.org/C2780887989","wikidata":"https://www.wikidata.org/wiki/Q4771338","display_name":"Anterior cruciate ligament reconstruction","level":3,"score":0.5479000210762024},{"id":"https://openalex.org/C2776389721","wikidata":"https://www.wikidata.org/wiki/Q2167748","display_name":"Osteotomy","level":2,"score":0.5347999930381775},{"id":"https://openalex.org/C146249460","wikidata":"https://www.wikidata.org/wiki/Q2914991","display_name":"Fixation (population genetics)","level":3,"score":0.446399986743927},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.39969998598098755},{"id":"https://openalex.org/C19648533","wikidata":"https://www.wikidata.org/wiki/Q691640","display_name":"Evidence-based medicine","level":3,"score":0.3968000113964081},{"id":"https://openalex.org/C13483470","wikidata":"https://www.wikidata.org/wiki/Q1470152","display_name":"Coronal plane","level":2,"score":0.3919999897480011},{"id":"https://openalex.org/C2777236700","wikidata":"https://www.wikidata.org/wiki/Q178366","display_name":"Tibia","level":2,"score":0.3885999917984009},{"id":"https://openalex.org/C36454342","wikidata":"https://www.wikidata.org/wiki/Q245341","display_name":"Radiography","level":2,"score":0.36340001225471497},{"id":"https://openalex.org/C2910979460","wikidata":"https://www.wikidata.org/wiki/Q216685","display_name":"Orthopedic Procedures","level":3,"score":0.3605000078678131},{"id":"https://openalex.org/C189708586","wikidata":"https://www.wikidata.org/wiki/Q1504425","display_name":"Systematic review","level":3,"score":0.349700003862381},{"id":"https://openalex.org/C178910020","wikidata":"https://www.wikidata.org/wiki/Q2211994","display_name":"Sagittal plane","level":2,"score":0.3264000117778778},{"id":"https://openalex.org/C2776164576","wikidata":"https://www.wikidata.org/wiki/Q62736","display_name":"Osteoarthritis","level":3,"score":0.2883000075817108},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.26669999957084656},{"id":"https://openalex.org/C2779486068","wikidata":"https://www.wikidata.org/wiki/Q6421862","display_name":"Knee arthritis","level":4,"score":0.26159998774528503}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1002/ksa.70575","doi":"https://doi.org/10.1002/ksa.70575","is_oa":false,"landing_page_url":"https://doi.org/10.1002/ksa.70575","pdf_url":null,"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":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-1","ki-jl-2","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"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":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Knee Surgery, Sports Traumatology, Arthroscopy","raw_type":"journal-article"},{"id":"pmid:42605955","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42605955","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"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.98580002784729}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":80,"referenced_works":["https://openalex.org/W1669252995","https://openalex.org/W1973690872","https://openalex.org/W1993547992","https://openalex.org/W2053583976","https://openalex.org/W2110872089","https://openalex.org/W2131125789","https://openalex.org/W2133726819","https://openalex.org/W2331815954","https://openalex.org/W2343572633","https://openalex.org/W2514140729","https://openalex.org/W2767004415","https://openalex.org/W2909978817","https://openalex.org/W2914125162","https://openalex.org/W2939841036","https://openalex.org/W2974350968","https://openalex.org/W3006658362","https://openalex.org/W3048437287","https://openalex.org/W3087170933","https://openalex.org/W3096237739","https://openalex.org/W3097641435","https://openalex.org/W3144278244","https://openalex.org/W3154983972","https://openalex.org/W3203232516","https://openalex.org/W3204493372","https://openalex.org/W4220869755","https://openalex.org/W4223565535","https://openalex.org/W4285404733","https://openalex.org/W4295796969","https://openalex.org/W4297880320","https://openalex.org/W4298087016","https://openalex.org/W4300817657","https://openalex.org/W4302283402","https://openalex.org/W4306928149","https://openalex.org/W4306956169","https://openalex.org/W4307580788","https://openalex.org/W4307953908","https://openalex.org/W4315629613","https://openalex.org/W4317569005","https://openalex.org/W4322487367","https://openalex.org/W4324335530","https://openalex.org/W4382918721","https://openalex.org/W4384300561","https://openalex.org/W4384627115","https://openalex.org/W4384831366","https://openalex.org/W4385380132","https://openalex.org/W4386946008","https://openalex.org/W4387965760","https://openalex.org/W4389669037","https://openalex.org/W4389885876","https://openalex.org/W4391321957","https://openalex.org/W4391604649","https://openalex.org/W4392057777","https://openalex.org/W4399293175","https://openalex.org/W4399359738","https://openalex.org/W4400105449","https://openalex.org/W4400736446","https://openalex.org/W4401050348","https://openalex.org/W4401527068","https://openalex.org/W4402737442","https://openalex.org/W4403718477","https://openalex.org/W4404290842","https://openalex.org/W4405407579","https://openalex.org/W4405890196","https://openalex.org/W4406053228","https://openalex.org/W4406827985","https://openalex.org/W4409441510","https://openalex.org/W4409761368","https://openalex.org/W4410500793","https://openalex.org/W4410567195","https://openalex.org/W4411370354","https://openalex.org/W4411880187","https://openalex.org/W4412636592","https://openalex.org/W4413137590","https://openalex.org/W4413257985","https://openalex.org/W4413867045","https://openalex.org/W4414020880","https://openalex.org/W4414252726","https://openalex.org/W4414537389","https://openalex.org/W4415898431","https://openalex.org/W7117314795"],"related_works":["https://openalex.org/W7131416841","https://openalex.org/W4307580788","https://openalex.org/W4414252726","https://openalex.org/W4390805372","https://openalex.org/W4297880320","https://openalex.org/W4296328664","https://openalex.org/W3040939605","https://openalex.org/W7221630978","https://openalex.org/W4200431871","https://openalex.org/W4389669037"],"abstract_inverted_index":{"PURPOSE:":[0],"To":[1],"provide":[2],"a":[3],"state-of-the-art":[4],"technical":[5,66,86,106],"review":[6,28,59],"of":[7,21,60,120,203,257],"complications":[8,184],"associated":[9],"with":[10,148,290],"anterior":[11,22],"closing-wedge":[12],"high":[13],"tibial":[14,77,156,205,260],"osteotomy":[15,124],"(ACWHTO)":[16],"performed":[17,50,139],"in":[18,51,122,227,254],"the":[19,255],"setting":[20],"cruciate":[23],"ligament":[24],"reconstruction":[25],"(ACLR).":[26],"The":[27],"focuses":[29],"on":[30],"mechanisms,":[31],"risk":[32],"factors,":[33],"prevention":[34,91],"strategies":[35],"and":[36,54,70,110,131,163,214,224,236,277,280,294],"management":[37],"principles":[38],"rather":[39],"than":[40],"pooled":[41],"complication-rate":[42],"estimation.":[43],"METHODS:":[44],"A":[45],"targeted":[46],"literature":[47],"search":[48],"was":[49,95],"PubMed/MEDLINE,":[52],"Ovid":[53],"Scopus,":[55],"supplemented":[56],"by":[57],"manual":[58],"references":[61],"from":[62,103,171],"key":[63],"clinical":[64,223],"series,":[65],"reports,":[67,107],"biomechanical":[68,104],"studies":[69,289],"systematic":[71,108],"reviews.":[72],"Publications":[73],"addressing":[74],"ACWHTO,":[75],"slope-reducing":[76],"osteotomy,":[78],"ACL-deficient":[79],"knees,":[80],"primary":[81],"or":[82,85,144,182,194,201,209],"revision":[83],"ACLR,":[84],"aspects":[87],"relevant":[88],"to":[89,173,269,285],"complication":[90,114,164,168,232,292],"were":[92,101,116],"considered.":[93],"Evidence":[94],"synthesized":[96],"qualitatively.":[97],"Clinical":[98],"cohort":[99,133],"data":[100],"distinguished":[102],"studies,":[105],"reviews":[109],"expert-opinion-based":[111],"recommendations.":[112],"Pooled":[113],"rates":[115,169],"not":[117],"calculated":[118],"because":[119],"heterogeneity":[121],"indications,":[123],"techniques,":[125,146],"fixation":[126,154,282],"constructs,":[127],"follow-up,":[128],"reporting":[129,233,296],"definitions":[130,176,293],"potential":[132,183],"overlap.":[134],"RESULTS:":[135],"ACWHTO":[136,243],"may":[137],"be":[138],"using":[140],"supratubercle,":[141],"transtubercle,":[142],"infratubercle":[143],"retrotubercle":[145],"each":[147],"distinct":[149],"implications":[150],"for":[151,249],"sagittal":[152],"correction,":[153],"strategy,":[155],"tunnel":[157],"planning,":[158,274],"patellar":[159,197],"height,":[160],"bone":[161],"healing":[162],"risk.":[165],"Reported":[166,181],"overall":[167],"ranged":[170],"0%":[172],"56.5%,":[174],"although":[175],"varied":[177],"substantially":[178],"across":[179],"studies.":[180],"include":[185],"hinge":[186,276],"fracture,":[187],"unintended":[188],"coronal":[189],"alignment":[190],"modification,":[191],"knee":[192],"hyperextension":[193],"genu":[195],"recurvatum,":[196],"height":[198],"changes,":[199],"over-":[200],"undercorrection":[202],"posterior":[204,259],"slope,":[206],"delayed":[207],"union":[208],"nonunion,":[210],"ACLR":[211,253],"failure,":[212],"infection":[213],"hardware":[215],"removal":[216],"when":[217],"symptomatic.":[218],"Available":[219],"evidence":[220],"suggests":[221],"favourable":[222],"radiographic":[225],"outcomes":[226],"appropriately":[228],"selected":[229,250],"patients,":[230],"but":[231],"remains":[234,267],"inconsistent,":[235],"secondary":[237],"procedures":[238],"are":[239,283,297],"variably":[240],"defined.":[241],"CONCLUSION:":[242],"is":[244],"an":[245],"effective":[246],"adjunctive":[247],"procedure":[248],"patients":[251],"undergoing":[252],"presence":[256],"increased":[258],"slope.":[261],"However,":[262],"its":[263],"true":[264],"safety":[265],"profile":[266],"difficult":[268],"define.":[270],"Patient":[271],"selection,":[272],"individualized":[273],"precise":[275],"wedge":[278],"control":[279],"stable":[281],"essential":[284],"minimize":[286],"complications.":[287],"Prospective":[288],"standardized":[291],"stratified":[295],"required.":[298],"LEVEL":[299],"OF":[300],"EVIDENCE:":[301],"Level":[302],"V.":[303]},"counts_by_year":[],"updated_date":"2026-10-27T15:51:10.671819","created_date":"2026-08-18T00:00:00"}