Comparative biomechanical analysis of hinge fracture risk between medial open-wedge high tibial osteotomy and distal tuberosity osteotomy: a porcine tibia study.

Although OWDTO groups demonstrated a slight trend toward greater PTS increases, these differences did not reach statistical significance (Table 3 ).

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Interestingly, although PTS changes did not differ significantly, both OWDTO groups showed a numerical trend toward greater slope increases.

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Rather, the results indicate an associative trend that warrants further investigation under more physiologic and demanding loading conditions.

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