<?xml version="1.0" encoding="utf-8"?>
<export-example>
  <doc>
    <id>9822</id>
    <completedYear/>
    <publishedYear>2024</publishedYear>
    <thesisYearAccepted/>
    <language>eng</language>
    <pageFirst/>
    <pageLast/>
    <pageNumber/>
    <edition/>
    <issue/>
    <volume/>
    <type>article</type>
    <publisherName/>
    <publisherPlace/>
    <creatingCorporation/>
    <contributingCorporation/>
    <belongsToBibliography>0</belongsToBibliography>
    <completedDate>--</completedDate>
    <publishedDate>2024-12-09</publishedDate>
    <thesisDateAccepted>--</thesisDateAccepted>
    <title language="eng">Surgical planning in HTO – Alternative approaches to the Fujisawa gold-standard</title>
    <abstract language="eng">BACKGROUND: Presurgical planning of the correction angle plays a&#13;
decisive role in a high tibial osteotomy, affecting the loading situation in&#13;
the knee affected by osteoarthritis. The planning approach by Fujisawa et&#13;
al. aims to adjust the weight-bearing line to achieve an optimal knee joint&#13;
load distribution. While this method is accessible, it may not fully&#13;
consider the complexity of individual dynamic knee-loading profiles. This&#13;
review aims to disclose existing alternative HTO planning methods that&#13;
do not follow Fujisawa’s standard.&#13;
METHODS: PubMed, Web of Science and CENTRAL databases were&#13;
screened, focusing on HTO research in combination with alternative&#13;
planning approaches.&#13;
RESULTS: Eight out of 828 studies were included, with seven simulation&#13;
studies based on finite element analysis and multi-body dynamics. The&#13;
planning approaches incorporated gradual degrees of realignment&#13;
parameters (weight-bearing line shift, medial proximal tibial angle, hip-&#13;
knee-ankle, knee joint line orientation), simulating their effect on knee&#13;
kinematics, contact force/stress, Von Mises and shear stress. Two studies&#13;
proposed implementing individual correction magnitudes derived from&#13;
preoperatively predicted knee adduction moments.&#13;
CONCLUSION: Most planning methods depend on static alignment&#13;
assessments, neglecting an adequate loading-depending profile. They are&#13;
confined to their conceptual phases, making the associated planning&#13;
methods unviable for current clinical use.</abstract>
    <parentTitle language="eng">Technology and Health Care</parentTitle>
    <identifier type="doi">10.1177/09287329241299568</identifier>
    <identifier type="urn">urn:nbn:de:0297-zib-98227</identifier>
    <enrichment key="AcceptedDate">18.10.2024</enrichment>
    <enrichment key="PeerReviewed">yes</enrichment>
    <author>Igor Komnik</author>
    <author>Johannes Funken</author>
    <author>Stefan Zachow</author>
    <author>Rüdiger Schmidt-Wiethoff</author>
    <author>Andree Ellermann</author>
    <author>Wolfgang Potthast</author>
    <collection role="persons" number="zachow">Zachow, Stefan</collection>
    <collection role="institutes" number="VDcC">Visual and Data-centric Computing</collection>
    <collection role="projects" number="MoA_Cutting">MoA_Cutting</collection>
    <collection role="projects" number="SFB_1444">SFB_1444</collection>
  </doc>
</export-example>
