Evidence map›Paper›PMID 19189104›Full record

ArticleInternational orthopaedics2010

Stability of medial opening wedge high tibial osteotomy: a failure analysis.

E M Nelissen, E J van Langelaan, R G H H Nelissen

Open access · bronzeAbstract read
In one paragraph

Article in International orthopaedics, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 3 pooled it
8.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

73 citing papers in PubMed, 3 syntheses or guidelines pooled it, 158 citations in OpenAlex.

  1. Pooled it
  2. Consistent indications, targets and techniques for double-level osteotomy of the knee: a systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022
    Pooled it
  3. Locking plate versus non-locking plate in open-wedge high tibial osteotomy: a meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2017
    Pooled it
  4. Trial
  5. Effects of Plate-Bone Contact on Bridge Plate Fracture Fixation Biomechanics: Computational, Experimental, and Analytical Modeling.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2025
    Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Larger lateral hinges increase the probability of Takeuchi type II and III fractures in high tibial osteotomy.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024
    Article
  11. [Influence and risk factors of lateral hinge fracture on early effectiveness of supramalleolar osteotomy].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024
    Article
  12. Article
  13. Review
  14. Higher fibular head is a risk for lateral hinge fracture in medial open wedge high tibial osteotomy.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Dislocated hinge fractures are associated with malunion after lateral closing wedge distal femoral osteotomy.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022
    Observational
  20. Low rates of serious complications but high rates of hardware removal after high tibial osteotomy with Tomofix locking plate.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021
    Article

13 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 1 country.

E M NelissenDepartment of Orthopaedic Surgery, Leiden University Hospital (LUMC), kamer J11-70, Postbus 9600, 2300 RC, Leiden, The Netherlands. e_nelissen@yahoo.com
E J van Langelaan
R G H H Nelissen
Leiden University · NLLeiden University Medical Center · NLRijnland Ziekenhuis · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Medial opening wedge high tibial osteotmy (HTO) is often used to treat varus gonarthrosis in young, active, highly demanding patients, although it has many pitfalls, which were evaluated in a consecutive cohort of patients. A retrospective analysis of a consecutive series of 45 patients with 49 medial opening HTO for varus gonarthrosis using a spacer plate (Puddu I, Arthrex, USA) were included. A Chi square test was used to study the effect between the wedge size and complications. Complications occurred in 22 knees (45%). There was no significant difference between groups for individual complications; however, when combined, there were significantly more complications in the >10 mm wedge group (Chi square p = 0.05). The overall complication rate in this series was 45%. The majority were related to intrinsic instability at the osteotomy site (24%) and surgical technique (20%). The evaluated spacer provided inadequate stability.

Indexed as

ArthroplastyOsteotomyPostoperative ComplicationsAdultAgedBone PlatesCohort StudiesFemaleHumansJoint Deformities, AcquiredJoint InstabilityKnee JointMaleMiddle AgedNetherlandsOsteoarthritis, Knee

Identifiers

PMID19189104
PMCPMC2899369
OpenAlexW1980858766

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.