SynthesisKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2017
Locking plate versus non-locking plate in open-wedge high tibial osteotomy: a meta-analysis.
Synthesis in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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.
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
18 citing papers in PubMed.
- Bone autografting in medial open wedge high tibial osteotomy results in improved osseous gap healing on computed tomography, but no functional advantage: a prospective, randomised, controlled trial.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019Trial
- Integration of locking screw fixation into 3D-printed patient-specific porous titanium implants enhances osseointegration: anJournal of veterinary science · 2025Article
- Reinforced locking screws with enhanced head and neck junction: improving biomechanical stability in opening-wedge high tibial osteotomy applications.Journal of orthopaedic surgery and research · 2025Article
- Fixation stability and stress redistribution following metal block use in opening-wedge high tibial osteotomy: a finite element analysis.Frontiers in bioengineering and biotechnology · 2025Article
- Meniscus Reconstruction Using Autologous Tendon Combined With Open-Wedge High Tibial Osteotomy: A Technique to Achieve Rigid Fixation and Avoid Interference Between Locking Screws and Tibial Bone Tunnel.Arthroscopy techniques · 2024Article
- Clinical outcome after open-wedge high tibial osteotomy: comparison of double-triangle locking compression plate (DT-LCP) and T-shaped locking compression plate (T-LCP).BMC musculoskeletal disorders · 2024Article
- Clinical Outcome after Medial Open-Wedge High Tibial Osteotomy: Comparison of Two Angular Stable Locking Plates-TomoFix™ versus LOQTEQJournal of personalized medicine · 2023Article
- Femoral-varus tibial-valgus osteotomy (FVTVO) for neutrally-aligned knee osteoarthritis with severe joint line obliquity enables return to sports activities: A case series study.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2023Article
- Ankle-Angle-Adjusting Fibular Osteotomy in Closed Wedge High Tibial Osteotomy.Arthroscopy techniques · 2022Article
- [Osteotomy close to the knee joint in adults].Orthopadie (Heidelberg, Germany) · 2022Article
- Chinese Clinical Practice Guidelines in Treating Knee Osteoarthritis by Periarticular Knee Osteotomy.Orthopaedic surgery · 2022Article
- Bone healing on serial plain radiographs occurs slowly but adequately after medial opening wedge high tibial osteotomy without bone graft.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- [Knee realignment osteotomy in adults].Der Orthopade · 2021Review
- Relationship between the bony correction angle and mechanical axis change and their differences between closed and open wedge high tibial osteotomy.BMC musculoskeletal disorders · 2020Article
- Classical target coronal alignment in high tibial osteotomy demonstrates validity in terms of knee kinematics and kinetics in a computer model.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Article
- The correlation of sagittal osteotomy inclination and the anteroposterior translation in medial open-wedge high tibial osteotomy-one of the causes affecting the patellofemoral joint?International orthopaedics · 2019Observational
- Additional distal femoral osteotomy for insufficient correction after high tibial osteotomy.BMJ case reports · 2018Article
- Surgical anatomy of medial open-wedge high tibial osteotomy: crucial steps and pitfalls.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2017Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe purpose of this study was to conduct a meta-analysis to determine whether the locking plate or non-locking plate results in better opening-wedge high tibial osteotomy (OWHTO) outcomes.
methodsThe MEDLINE, EMBASE, COCHRANE, and KOREAMED register databases were searched for studies. The eligibility criteria for inclusion in the review were studies that compared the locking plate with the non-locking plate for OWHTO, and those that provided clear descriptions of surgical techniques and outcomes. The key outcomes of interest were union rate, correction loss angle, correction loss rate, and full weight-bearing starting point. The statistical software "RevMan" was used in statistical analysis.
resultsFive studies were included in the meta-analysis. Among their reported results, there were no differences in the incidence of union [risk ratio (RR) = 1.01, p = 0.34], non-locking plate was associated with lower incidence of correction maintenance (RR = 1.13, p = 0.0006) and greater angle of correction loss [mean difference (MD) = -2.06, p < 0.00001], and locking plate was associated with a significant improvement in Knee society score and function score (MD = 5.77, p < 0.0001; MD = 7.50, p = 0.0005).
conclusionsLocking plate provides better clinical outcomes and reduced correction loss rates and angles as compared to non-locking plate for fixation with OWHTO. LEVEL OF EVIDENCE: IV.
Indexed as
Identifiers
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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.