Article
Orthopedics
Hiroshi Nakayama, Ryo Kanto, Shintaro Onishi, Shunichiro Kambara, Kenta Amai, Shinichi Yoshiya, Steffen Schroeter, Toshiya Tachibana, Tomoya Iseki
Summary: The study aimed to examine the radiological features of hinge fracture occurring at the distal medial femoral cortex in knees undergoing biplanar lateral closed-wedge distal femoral osteotomy (LCW-DFO) in double-level osteotomy (DLO) based on pre- and postoperative CT image analyses. The results showed that medial femoral hinge fractures occurred in 30.6% of the cases, with types 1 and 2 fractures being more common than type 3 fractures.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2021)
Article
Orthopedics
Marco-Christopher Rupp, Philipp W. Winkler, Patricia M. Lutz, Markus Irger, Philipp Forkel, Andreas B. Imhoff, Matthias J. Feucht
Summary: Medial cortical hinge fractures after LCW-DFO are a common finding, with an increased risk expected with higher osteotomy wedge height and a hinge position closer to the medial cortex. Dislocation of a medial hinge fracture > 2 mm is associated with malunion and should be avoided.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2022)
Article
Orthopedics
Shao Jin Teo, Don Thong Siang Koh, Jun Wei Soong, William Yeo, Adrian Wilson, Kong Hwee Lee
Summary: This study aims to illustrate a case series of CWDFO with low rates of hinge fracture utilizing a preferred hinge point site, which can effectively reduce the incidence of hinge fractures and achieve successful outcomes for the treatment of unicompartmental knee osteoarthritis with coronal plane deformity.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2023)
Article
Engineering, Biomedical
Peng Chen, Yu Zhan, Shi Zhan, Ruiyang Li, Congfeng Luo, Xuetao Xie
Summary: This study evaluated the biomechanical properties of different types of lateral hinge fractures in medial opening wedge high tibial osteotomy and found that type III fractures were the most unstable, requiring cautious management with consideration for delayed weightbearing and/or additional fixation.
CLINICAL BIOMECHANICS
(2021)
Article
Orthopedics
Kyung Wook Nha, Kun Woo Kim, Ji Hoon Bae, Ki-Mo Jang, Sang-Gyun Kim
Summary: This study found that the detection rate of LHF after MCDFO is significantly higher on CT than on plain radiography, and knees with LHF have a significantly higher incidence of bone healing problems compared to those without LHF.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2021)
Article
Orthopedics
Yugo Morita, Shinichi Kuriyama, Takahiro Maeda, Shinichiro Nakamura, Kohei Nishitani, Hiromu Ito, Shuichi Matsuda
Summary: This study used the finite element method to analyze data from patients with Type III lateral hinge fracture who underwent open-wedge high tibial osteotomy. Simulation models were developed to predict fracture occurrence, and it was found that a posterior osteotomy extension of at least 70% could prevent Type III LHF.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2023)
Article
Orthopedics
Hiroyasu Ogawa, Yutaka Nakamura, Kazu Matsumoto, Haruhiko Akiyama
Summary: This study compared the incidence of lateral hinge fractures (LHFs) in medial opening-wedge high tibial osteotomy (OWHTO) and medial opening-wedge distal tibial tuberosity osteotomy (DTO), and investigated the risk factors for LHFs. The results showed that the incidence of LHFs was similar in both procedures and that DTO was not a risk factor for LHFs.
Article
Orthopedics
Ho Won Jeong, Myeongju Kim, Han Gyeol Choi, Seong Yun Park, Yong Seuk Lee
Summary: This study aimed to develop machine learning models to predict lateral hinge fractures with high predictive performance. Through data collection and ensemble modeling, surgeons can identify important features and establish strategies to prevent lateral hinge fractures.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2023)
Article
Orthopedics
Philipp W. Winkler, Marco C. Rupp, Patricia M. Lutz, Stephanie Geyer, Philipp Forkel, Andreas B. Imhoff, Matthias J. Feucht
Summary: Medial cortical hinge fractures in lateral open wedge distal femoral osteotomy (LOW-DFO) are common, with three distinct fracture types identified. It is recommended to position the osteotomy hinge at the level of or distal to the proximal margin of the adductor tubercle to minimize the risk of medial cortical hinge fractures. Anatomical factors such as the height of the osteotomy gap and the distance between the hinge and the adductor tubercle are associated with the occurrence of medial cortical hinge fractures.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2021)
Article
Orthopedics
Christian Peez, Arian Grosse-Allermann, Adrian Deichsel, Michael J. Raschke, Johannes Glasbrenner, Thorben Briese, Jens Wermers, Elmar Herbst, Christoph Kittl
Summary: Hinge fractures have a significant impact on the biomechanical properties of the bone-implant construct, leading to increased displacement and reduced stiffness at the fracture site. Additional plate fixation is the most effective method for restoring intact rotational displacement and improving stiffness compared to screw fixation. The type of osteotomy does not significantly affect axial and torsional stability.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2023)
Article
Orthopedics
Kyung Wook Nha, Hyung Suh Kim, Dong Uk Jin, Ji Hoon Bae, Jaykumar M. Patel, Sang-Gyun Kim
Summary: This study retrospectively evaluated 67 knees of 53 patients and found that a large medial closing gap and lateral hinge position in the supracondylar area are associated with lateral hinge fracture (LHF) in medial closing wedge distal femoral osteotomy (MCDFO). Therefore, caution should be taken to control the size of the closing gap and avoid setting a lateral hinge position in MCDFO.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2022)
Article
Orthopedics
Kenji Fujita, Takeshi Sawaguchi, Kenichi Goshima, Kenji Shigemoto, Shintaro Iwai
Summary: The study revealed a high incidence of hinge fractures in patients undergoing MCWDFO, leading to slow bone healing and correction loss. However, clinical outcomes at 1 year were not significantly affected by the occurrence of hinge fractures.
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
(2021)
Article
Orthopedics
Matthieu Ollivier, Maxime Fabre-Aubrespy, Gregoire Micicoi, Matthieu Ehlinger, Lukas Hanak, Kristian Kley
Summary: The distal femoral valgisation osteotomy is indicated for various conditions due to enhanced understanding of segmental deformities. Historically, correcting an overall varus deformity at the tibia nonanatomically could lead to abnormal postoperative morphology, which can be improved by the original lateral femoral closing wedge osteotomy technique.
ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH
(2021)
Article
Orthopedics
Taiga Oda, Akira Maeyama, Ichiro Yoshimura, Tetsuro Ishimatsu, Kotaro Miyazaki, Katsuro Tachibana, Kengo Yoshimitsu, Takuaki Yamamoto
Summary: This study anatomically, radiologically, and histologically analyzed the soft tissue around the hinge point of medial closed wedge distal femoral osteotomy. The results provide important clinical implications for selecting the appropriate hinge point and preventing hinge fractures during surgery.
BMC MUSCULOSKELETAL DISORDERS
(2022)
Article
Orthopedics
Sang-June Lee, Jae-Hwa Kim, Eugene Baek, Han-Seung Ryu, Donghun Han, Wonchul Choi
Summary: This study compared the detection rates of lateral hinge fracture on plain radiographs versus CT scans and found that the width of the opening gap and posterior opening gap width were significantly related to the occurrence of LHF. Therefore, special caution for possible LHF may be needed if a large correction is planned.
ORTHOPAEDIC JOURNAL OF SPORTS MEDICINE
(2021)
Article
Orthopedics
Benedikt Johannes Braun, Nils Thomas Veith, Rebecca Hell, Stefan Doebele, Michael Roland, Mika Rollmann, Joerg Holstein, Tim Pohlemann
JOURNAL OF FOOT AND ANKLE RESEARCH
(2015)
Letter
Cell & Tissue Engineering
Andreas Schmitt, Sabrina Ehnert, Hendrik Ungefroren, Stefan Doebele, Andreas Nussler
CELL TRANSPLANTATION
(2013)
Article
Critical Care Medicine
Tobias Harnoss, Bernd Felkel, Stefan Doebele, Ulrich Schreiber, Andreas Lenich
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2014)
Article
Orthopedics
Frank Martetschlaeger, Arne Buchholz, Gunther Sandmann, Sebastian Siebenlist, Stefan Doebele, Alexander Hapfelmeier, Ulrich Stoeckle, Peter J. Millett, Florian Elser, Andreas Lenich
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2013)
Article
Orthopedics
S. Schoeter, A. Ateschrang, C. Ihle, U. Stoeckle, L. Konstantinidis, S. Doebele
Article
Multidisciplinary Sciences
Stefan Doebele, Michael Gardner, Steffen Schroeter, Dankward Hoentzsch, Ulrich Stoeckle, Thomas Freude
Article
Multidisciplinary Sciences
Fabian M. Stuby, Stefan Doebele, Susanne-Dorothea Schaeffer, Simon Mueller, Atesch Ateschrang, Matthias Baumann, Derek Zieker
Article
Multidisciplinary Sciences
Fabian M. Stuby, Mark Lenz, Stefan Doebele, Yash Agarwal, Hristo Skulev, Bjoern G. Ochs, Joern Zwingmann, Boyko Gueorguiev
Article
Medicine, General & Internal
Thomas Freude, Sonja Gillen, Sabrina Ehnert, Andreas Nuessler, Ulrich Stockle, Natascha Charalambakis, Stefan Doebele, Stefan Pscherer
WIENER KLINISCHE WOCHENSCHRIFT
(2014)
Article
Orthopedics
A. Schaeffler, S. Doebele, F. Stuby, M. Maucher, S. Schroeter, U. Stoeckle, B. Koenig
ZEITSCHRIFT FUR ORTHOPADIE UND UNFALLCHIRURGIE
(2014)
Article
Orthopedics
M. Hausmann, S. Ehnert, V. Hofmann, S. Doebele, T. Freude, U. Stoeckle, A. Nussler
ZEITSCHRIFT FUR ORTHOPADIE UND UNFALLCHIRURGIE
(2014)
Article
Orthopedics
Leonard Gruenwald, Stephan Doebele, Dankward Hoentzsch, Theddy Slongo, Ulrich Stoeckle, Thomas Freude, Steffen Schroeter
STRATEGIES IN TRAUMA AND LIMB RECONSTRUCTION
(2015)
Article
Surgery
Thomas Freude, Benjamin Koenig, Frank Martetschlaeger, Sebastian Siebenlist, Markus Neumaier, Ulrich Stoeckle, Stefan Doebele
PATIENT SAFETY IN SURGERY
(2013)
Article
Surgery
Thomas Freude, Steffen Schroeter, Christoph Emanuel Gonser, Ulrich Stoeckle, Yves P. Acklin, Dankwart Hoentzsch, Stefan Doebele
PATIENT SAFETY IN SURGERY
(2014)