Evidence map›Paper›PMID 26423055›Full record

SynthesisKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2016

Total knee arthroplasty after failed high tibial osteotomy: a systematic review of open versus closed wedge osteotomy.

Jae Hwi Han, Jae-Hyuk Yang, Nikhl N Bhandare, Dong Won Suh, Jong Seong Lee, Yong Suk Chang, Ji Woong Yeom, Kyung Wook Nha

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 7% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Higher survival rate in total knee arthroplasty after high tibial osteotomy than that after unicompartmental knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023
    Article
  12. Article
  13. Article
  14. A novel biplanar medial opening-wedge high tibial osteotomy: the Z-shaped technique. A case series at 7.2 years follow-up.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2021
    Article
  15. Long-term survival rate of closing wedge high tibial osteotomy with high valgus correction: a 15-year follow-up study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021
    Article
  16. High Tibial Osteotomy for Varus Deformity of the Knee.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2021
    Review
  17. Review
  18. Observational
  19. Closing-wedge high tibial osteotomy, a reliable procedure for osteoarthritic varus knee.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020
    Article
  20. Article
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

8 authors at 3 institutions in 1 country.

Jae Hwi HanDepartment of Orthopaedic Surgery, Inje University, Ilsan Paik Hospital, Ilsan, 411-706, 2240, Daehwa-dong, Ilsan-Segu, Koyang-Si, Ilsan, Republic of Korea.
Jae-Hyuk YangDepartment of Orthopedic Surgery, Veterans Health Service Medical Center, Seoul, South Korea.
Nikhl N BhandareDepartment of Orthopedic Surgery, Bhandare Hospital, Panaji, Goa, India.
Dong Won SuhDepartment of Orthopedic Surgery, Barunsesang Hospital, Seongnam, Korea.
Jong Seong LeeDepartment of Orthopaedic Surgery, Inje University, Ilsan Paik Hospital, Ilsan, 411-706, 2240, Daehwa-dong, Ilsan-Segu, Koyang-Si, Ilsan, Republic of Korea.
Yong Suk ChangDepartment of Orthopaedic Surgery, Inje University, Ilsan Paik Hospital, Ilsan, 411-706, 2240, Daehwa-dong, Ilsan-Segu, Koyang-Si, Ilsan, Republic of Korea.
Ji Woong YeomDepartment of Orthopaedic Surgery, Inje University, Ilsan Paik Hospital, Ilsan, 411-706, 2240, Daehwa-dong, Ilsan-Segu, Koyang-Si, Ilsan, Republic of Korea.
Kyung Wook NhaDepartment of Orthopaedic Surgery, Inje University, Ilsan Paik Hospital, Ilsan, 411-706, 2240, Daehwa-dong, Ilsan-Segu, Koyang-Si, Ilsan, Republic of Korea. kwnhamj@hotmail.com.
Inje University Ilsan Paik Hospital · KRVeterans Health Service Medical Center · KRYang Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMedial opening wedge high tibial osteotomy (HTO) has become increasingly popular as an alternative to lateral closing wedge osteotomy for the treatment of medial compartment knee osteoarthritis with varus deformity. The present systematic review was conducted to provide an objective analysis of total knee arthroplasty (TKA) outcomes following previous knee osteotomy (medial opening wedge vs. lateral closing wedge).

methodsA literature search of online databases (MEDLINE, EMBASE, Cochrane Library database) was made, in addition to manual search of major orthopaedic journals. The methodological quality of each of the studies was assessed on the Newcastle-Ottawa Scale and Effective Practice and Organization of Care. A total of ten studies were included in the review. There were eight studies with Level IV and two studies with Level III evidence.

resultsEight studies reported clinical and radiologic scores. Comparative studies between TKA following medial opening and lateral closing wedge HTO did not demonstrate statistically significant clinical and radiologic differences. The revision rates were similar. However, more technical issues during TKA surgery after lateral closing wedge HTO were mentioned than the medial open wedge group. The quadriceps snip, tibial tubercle osteotomy, and lateral soft tissue release were more frequently needed in the lateral closing wedge HTO group. In addition, because of loss of proximal tibia bone geometry in the lateral closing wedge HTO group, concerns such as tibia stem impingement in the lateral tibial cortex was noted.

conclusionThe present systematic review suggests that TKA after medial opening and lateral closing wedge HTO showed similar performance. Clinical and radiologic outcome including revision rates did not statistically differ from included studies. However, there are more surgical technical concerns in TKA conversion from lateral closing wedge HTO than from the medial opening wedge HTO group. LEVEL OF EVIDENCE: IV.

Indexed as

Arthroplasty, Replacement, KneeHumansKnee JointOsteoarthritis, KneeOsteotomyQuadriceps MuscleReoperationTibiaTreatment OutcomeClosedHigh tibial osteotomyOpenSystematic reviewTotal knee arthroplasty

Identifiers

PMID26423055
OpenAlexW2181130916

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.