Digging into the Cause of Abnormal Patellar Kinematics After Open-Wedge High Tibial Osteotomy via a Quantitative Study on In Vivo Soft Tissue Functional Changes

The biomechanical mechanism of postoperative patellofemoral joint (PFJ) complications after open-wedge high tibial osteotomy (OWHTO) has not been investigated. This study was to determine the length changes in the patellar tendon (PT), medial patellotibial ligament (MPTL), medial patellofemoral liga...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Bioengineering (Basel) 2025-01, Vol.12 (2), p.123
Hauptverfasser: Jiang, Zheng, Zheng, Nan, He, Axiang, Zhang, Guoqiang, Lin, Weiming, Qu, Yang, Tsai, Tsungyuan, Liu, Wanjun, Mao, Yanjie
Format: Artikel
Sprache:eng
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page
container_issue 2
container_start_page 123
container_title Bioengineering (Basel)
container_volume 12
creator Jiang, Zheng
Zheng, Nan
He, Axiang
Zhang, Guoqiang
Lin, Weiming
Qu, Yang
Tsai, Tsungyuan
Liu, Wanjun
Mao, Yanjie
description The biomechanical mechanism of postoperative patellofemoral joint (PFJ) complications after open-wedge high tibial osteotomy (OWHTO) has not been investigated. This study was to determine the length changes in the patellar tendon (PT), medial patellotibial ligament (MPTL), medial patellofemoral ligament (MPFL), and quadriceps moment arm (QMA) during staircase motion before and after OWHTO. Computed tomography (CT) scans of 15 patients’ lower extremities were used to reconstruct three-dimensional models, and magnetic resonance imaging (MRI) of the knee and hip joints was used to mark the soft tissue footprints. Then, such soft tissue lengths were quantified by a dual fluoroscopic imaging system (DFIS). Additionally, function scores were used to assess patient outcome changes. The results showed that there was a contraction of the PT after OWHTO due to its adhesion to the osteotomy site, causing PT length to be negatively correlated to the open-wedge angle. In addition, the shortening of the MPTL and QMA caused patellar instability and an imbalance in the strength of the lower extremities. Additionally, most knee function scores improved after OWHTO, except the Feller scores. Multiple methods should be considered to optimize surgical procedures, postoperative rehabilitation, and physical therapy.
doi_str_mv 10.3390/bioengineering12020123
format Article
fullrecord <record><control><sourceid>crossref</sourceid><recordid>TN_cdi_crossref_primary_10_3390_bioengineering12020123</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>10_3390_bioengineering12020123</sourcerecordid><originalsourceid>FETCH-LOGICAL-c953-ffe8ca238788b24de29951efa4ac82e6b4a613dbdae3f37a2809e945bd0304a53</originalsourceid><addsrcrecordid>eNptkMFKw0AURQdRsNT-grwfiE5mkjRZlmhtsVClRZfhJXmTjiQzJTMp9G_8VCO6cOHq3s05Fy5jtyG_kzLj96W2ZBptiHptmlBwwUMhL9hESJ4EsYyjyz_9ms2c--Cch1LEIokm7PNBNyPegDbegj8Q5Dg4AqtgURrbd9jCC3pqW-zhedzp0OvKwUJ56mF7JBO8U90QrHRzgL0u9QhsnSfrbXeGk0ZAeB3QeO1H8kSw80N9BmtgbeBNnyzsrPIj6dxAsBxM5bU1oyQ_oGnI3bArha2j2W9O2X75uM9XwWb7tM4Xm6DKYhkoRWmFQqbzNC1FVJPIsjgkhRFWqaCkjDAJZV3WSFLJOYqUZ5RFcVlzySOM5ZQlP9qqt871pIpjrzvsz0XIi--ni_-fll-cKnjN</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Digging into the Cause of Abnormal Patellar Kinematics After Open-Wedge High Tibial Osteotomy via a Quantitative Study on In Vivo Soft Tissue Functional Changes</title><source>MDPI - Multidisciplinary Digital Publishing Institute</source><source>DOAJ Directory of Open Access Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><source>PubMed Central Open Access</source><creator>Jiang, Zheng ; Zheng, Nan ; He, Axiang ; Zhang, Guoqiang ; Lin, Weiming ; Qu, Yang ; Tsai, Tsungyuan ; Liu, Wanjun ; Mao, Yanjie</creator><creatorcontrib>Jiang, Zheng ; Zheng, Nan ; He, Axiang ; Zhang, Guoqiang ; Lin, Weiming ; Qu, Yang ; Tsai, Tsungyuan ; Liu, Wanjun ; Mao, Yanjie</creatorcontrib><description>The biomechanical mechanism of postoperative patellofemoral joint (PFJ) complications after open-wedge high tibial osteotomy (OWHTO) has not been investigated. This study was to determine the length changes in the patellar tendon (PT), medial patellotibial ligament (MPTL), medial patellofemoral ligament (MPFL), and quadriceps moment arm (QMA) during staircase motion before and after OWHTO. Computed tomography (CT) scans of 15 patients’ lower extremities were used to reconstruct three-dimensional models, and magnetic resonance imaging (MRI) of the knee and hip joints was used to mark the soft tissue footprints. Then, such soft tissue lengths were quantified by a dual fluoroscopic imaging system (DFIS). Additionally, function scores were used to assess patient outcome changes. The results showed that there was a contraction of the PT after OWHTO due to its adhesion to the osteotomy site, causing PT length to be negatively correlated to the open-wedge angle. In addition, the shortening of the MPTL and QMA caused patellar instability and an imbalance in the strength of the lower extremities. Additionally, most knee function scores improved after OWHTO, except the Feller scores. Multiple methods should be considered to optimize surgical procedures, postoperative rehabilitation, and physical therapy.</description><identifier>ISSN: 2306-5354</identifier><identifier>EISSN: 2306-5354</identifier><identifier>DOI: 10.3390/bioengineering12020123</identifier><language>eng</language><ispartof>Bioengineering (Basel), 2025-01, Vol.12 (2), p.123</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><orcidid>0000-0003-1522-2987 ; 0009-0000-5053-0884</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,860,27901,27902</link.rule.ids></links><search><creatorcontrib>Jiang, Zheng</creatorcontrib><creatorcontrib>Zheng, Nan</creatorcontrib><creatorcontrib>He, Axiang</creatorcontrib><creatorcontrib>Zhang, Guoqiang</creatorcontrib><creatorcontrib>Lin, Weiming</creatorcontrib><creatorcontrib>Qu, Yang</creatorcontrib><creatorcontrib>Tsai, Tsungyuan</creatorcontrib><creatorcontrib>Liu, Wanjun</creatorcontrib><creatorcontrib>Mao, Yanjie</creatorcontrib><title>Digging into the Cause of Abnormal Patellar Kinematics After Open-Wedge High Tibial Osteotomy via a Quantitative Study on In Vivo Soft Tissue Functional Changes</title><title>Bioengineering (Basel)</title><description>The biomechanical mechanism of postoperative patellofemoral joint (PFJ) complications after open-wedge high tibial osteotomy (OWHTO) has not been investigated. This study was to determine the length changes in the patellar tendon (PT), medial patellotibial ligament (MPTL), medial patellofemoral ligament (MPFL), and quadriceps moment arm (QMA) during staircase motion before and after OWHTO. Computed tomography (CT) scans of 15 patients’ lower extremities were used to reconstruct three-dimensional models, and magnetic resonance imaging (MRI) of the knee and hip joints was used to mark the soft tissue footprints. Then, such soft tissue lengths were quantified by a dual fluoroscopic imaging system (DFIS). Additionally, function scores were used to assess patient outcome changes. The results showed that there was a contraction of the PT after OWHTO due to its adhesion to the osteotomy site, causing PT length to be negatively correlated to the open-wedge angle. In addition, the shortening of the MPTL and QMA caused patellar instability and an imbalance in the strength of the lower extremities. Additionally, most knee function scores improved after OWHTO, except the Feller scores. Multiple methods should be considered to optimize surgical procedures, postoperative rehabilitation, and physical therapy.</description><issn>2306-5354</issn><issn>2306-5354</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2025</creationdate><recordtype>article</recordtype><recordid>eNptkMFKw0AURQdRsNT-grwfiE5mkjRZlmhtsVClRZfhJXmTjiQzJTMp9G_8VCO6cOHq3s05Fy5jtyG_kzLj96W2ZBptiHptmlBwwUMhL9hESJ4EsYyjyz_9ms2c--Cch1LEIokm7PNBNyPegDbegj8Q5Dg4AqtgURrbd9jCC3pqW-zhedzp0OvKwUJ56mF7JBO8U90QrHRzgL0u9QhsnSfrbXeGk0ZAeB3QeO1H8kSw80N9BmtgbeBNnyzsrPIj6dxAsBxM5bU1oyQ_oGnI3bArha2j2W9O2X75uM9XwWb7tM4Xm6DKYhkoRWmFQqbzNC1FVJPIsjgkhRFWqaCkjDAJZV3WSFLJOYqUZ5RFcVlzySOM5ZQlP9qqt871pIpjrzvsz0XIi--ni_-fll-cKnjN</recordid><startdate>20250128</startdate><enddate>20250128</enddate><creator>Jiang, Zheng</creator><creator>Zheng, Nan</creator><creator>He, Axiang</creator><creator>Zhang, Guoqiang</creator><creator>Lin, Weiming</creator><creator>Qu, Yang</creator><creator>Tsai, Tsungyuan</creator><creator>Liu, Wanjun</creator><creator>Mao, Yanjie</creator><scope>AAYXX</scope><scope>CITATION</scope><orcidid>https://orcid.org/0000-0003-1522-2987</orcidid><orcidid>https://orcid.org/0009-0000-5053-0884</orcidid></search><sort><creationdate>20250128</creationdate><title>Digging into the Cause of Abnormal Patellar Kinematics After Open-Wedge High Tibial Osteotomy via a Quantitative Study on In Vivo Soft Tissue Functional Changes</title><author>Jiang, Zheng ; Zheng, Nan ; He, Axiang ; Zhang, Guoqiang ; Lin, Weiming ; Qu, Yang ; Tsai, Tsungyuan ; Liu, Wanjun ; Mao, Yanjie</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c953-ffe8ca238788b24de29951efa4ac82e6b4a613dbdae3f37a2809e945bd0304a53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2025</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jiang, Zheng</creatorcontrib><creatorcontrib>Zheng, Nan</creatorcontrib><creatorcontrib>He, Axiang</creatorcontrib><creatorcontrib>Zhang, Guoqiang</creatorcontrib><creatorcontrib>Lin, Weiming</creatorcontrib><creatorcontrib>Qu, Yang</creatorcontrib><creatorcontrib>Tsai, Tsungyuan</creatorcontrib><creatorcontrib>Liu, Wanjun</creatorcontrib><creatorcontrib>Mao, Yanjie</creatorcontrib><collection>CrossRef</collection><jtitle>Bioengineering (Basel)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jiang, Zheng</au><au>Zheng, Nan</au><au>He, Axiang</au><au>Zhang, Guoqiang</au><au>Lin, Weiming</au><au>Qu, Yang</au><au>Tsai, Tsungyuan</au><au>Liu, Wanjun</au><au>Mao, Yanjie</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Digging into the Cause of Abnormal Patellar Kinematics After Open-Wedge High Tibial Osteotomy via a Quantitative Study on In Vivo Soft Tissue Functional Changes</atitle><jtitle>Bioengineering (Basel)</jtitle><date>2025-01-28</date><risdate>2025</risdate><volume>12</volume><issue>2</issue><spage>123</spage><pages>123-</pages><issn>2306-5354</issn><eissn>2306-5354</eissn><abstract>The biomechanical mechanism of postoperative patellofemoral joint (PFJ) complications after open-wedge high tibial osteotomy (OWHTO) has not been investigated. This study was to determine the length changes in the patellar tendon (PT), medial patellotibial ligament (MPTL), medial patellofemoral ligament (MPFL), and quadriceps moment arm (QMA) during staircase motion before and after OWHTO. Computed tomography (CT) scans of 15 patients’ lower extremities were used to reconstruct three-dimensional models, and magnetic resonance imaging (MRI) of the knee and hip joints was used to mark the soft tissue footprints. Then, such soft tissue lengths were quantified by a dual fluoroscopic imaging system (DFIS). Additionally, function scores were used to assess patient outcome changes. The results showed that there was a contraction of the PT after OWHTO due to its adhesion to the osteotomy site, causing PT length to be negatively correlated to the open-wedge angle. In addition, the shortening of the MPTL and QMA caused patellar instability and an imbalance in the strength of the lower extremities. Additionally, most knee function scores improved after OWHTO, except the Feller scores. Multiple methods should be considered to optimize surgical procedures, postoperative rehabilitation, and physical therapy.</abstract><doi>10.3390/bioengineering12020123</doi><orcidid>https://orcid.org/0000-0003-1522-2987</orcidid><orcidid>https://orcid.org/0009-0000-5053-0884</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 2306-5354
ispartof Bioengineering (Basel), 2025-01, Vol.12 (2), p.123
issn 2306-5354
2306-5354
language eng
recordid cdi_crossref_primary_10_3390_bioengineering12020123
source MDPI - Multidisciplinary Digital Publishing Institute; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; PubMed Central Open Access
title Digging into the Cause of Abnormal Patellar Kinematics After Open-Wedge High Tibial Osteotomy via a Quantitative Study on In Vivo Soft Tissue Functional Changes
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-14T04%3A34%3A18IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-crossref&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Digging%20into%20the%20Cause%20of%20Abnormal%20Patellar%20Kinematics%20After%20Open-Wedge%20High%20Tibial%20Osteotomy%20via%20a%20Quantitative%20Study%20on%20In%20Vivo%20Soft%20Tissue%20Functional%20Changes&rft.jtitle=Bioengineering%20(Basel)&rft.au=Jiang,%20Zheng&rft.date=2025-01-28&rft.volume=12&rft.issue=2&rft.spage=123&rft.pages=123-&rft.issn=2306-5354&rft.eissn=2306-5354&rft_id=info:doi/10.3390/bioengineering12020123&rft_dat=%3Ccrossref%3E10_3390_bioengineering12020123%3C/crossref%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_id=info:pmid/&rfr_iscdi=true