Trial reportDer Orthopade2014
[Osteotomy around the knee vs. unicondylar knee replacement].
Trial report in Der Orthopade, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
What it found
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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.
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.
Who cites it
7 citing papers in PubMed, 24 citations in OpenAlex.
- Factors to improve odds of success following medial opening-wedge high tibial osteotomy: a machine learning analysis.BMC musculoskeletal disorders · 2024Article
- Comparison of the clinical effects for different positions of the weight-bearing axis after high tibial osteotomy.Journal of orthopaedic surgery and research · 2023Article
- Osteotomy Around the Knee: The Surgical Treatment of Osteoarthritis.Orthopaedic surgery · 2021Review
- Unicompartmental Knee Osteoarthritis (UKOA): Unicompartmental Knee Arthroplasty (UKA) or High Tibial Osteotomy (HTO)?The archives of bone and joint surgery · 2016Review
- Load distribution in early osteoarthritis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2016Review
- Large animal models in experimental knee sports surgery: focus on clinical translation.Journal of experimental orthopaedics · 2015Article
- The learning curve of patient-specific unikondylar arthroplasty may be advantageous to off-the-shelf implants: A preliminary study.Journal of orthopaedicsArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOsteotomy around the knee and unicondylar knee replacement can both produce excellent results in unilateral knee osteoarthritis. The indications for these procedures differ significantly and are discussed in this article.
methodsA weight-bearing long-leg radiograph, clinical stability tests and varus-valgus-stress radiographs are mandatory for a preoperative analysis. Osteotomy is a safe and reproducible procedure when a biplanar cutting technique is used and fixation is achieved with a plate fixator. Unicondylar knee replacement can be performed minimally invasive with a quadriceps-sparing arthrotomy. EVALUATION: High tibial osteotomy and unicondylar knee may produce good results in unilateral osteoarthritis of the knee. Our multicenter follow-up study with 533 patients revealed good functional outcome scores with a low complication rate. The subjective ratings were better than in comparable groups with unicondylar knee replacement and with total knee arthroplasty.
conclusionsThe main criterium for osteotomy versus unicondylar knee replacement is constitutional deformity of femur or tibia. In constitutional deformity, osteotomy has a very good prognosis. The results are not dependent on age, BMI, or grade of osteoarthritis. Activity and ligament stability of the knee are secondary criteria in favor of osteotomy. Medial osteoarthritis without constitutional deformity should be treated with unicondylar knee replacement.
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Registered trials
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.