The effect of lateral hinge fracture with hinge hole and protective K-wire for medial opening-wedge high tibial osteotomy by compression testing and finite element analysis

Abstract Background Medial open-wedge high tibial osteotomy (MOWHTO) is effective for treating medial-compartment knee osteoarthritis but carries a risk of lateral hinge fractures (LHF), compromising stability and outcomes. Hinge holes and protective K-wires reduce LHF by lowering stress and enhanci...

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Bibliographic Details
Main Authors: Yi-Sheng Chan, Alvin Chao-Yu Chen, Chun-Chieh Chen, Jeng-Ywan Jeng, Chi-Pin Hsu
Format: Article
Language:English
Published: BMC 2025-06-01
Series:Journal of Orthopaedic Surgery and Research
Subjects:
Online Access:https://doi.org/10.1186/s13018-025-05993-9
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