Evidence map›Paper›PMID 26714820›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2017

Health-related quality of life after open-wedge high tibial osteotomy.

Tim Saier, Philipp Minzlaff, Matthias J Feucht, Lena Lämmle, Maike Burghoff, Christoph Ihle, Andreas B Imhoff, Stefan Hinterwimmer

Abstract read
PubMed Publisher
In one paragraph

Article 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 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
3.8field-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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.

  1. Pooled it
  2. The use of factor Xa inhibitors following opening-wedge high tibial osteotomy for venous thromboembolism prophylaxis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2017
    Trial
  3. Mid-term survival and physiological joint angles after double level osteotomy of severe varus osteoarthritis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025
    Article
  4. Article
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  11. Work intensity and quality of life can be restored following double-level osteotomy in varus knee osteoarthritis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023
    Article
  12. Article
  13. Surgeons' expectations of osteotomies around the knee.Archives of orthopaedic and trauma surgery · 2022
    Article
  14. Article
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  19. Article
  20. Patients' expectations of osteotomies around the knee are high regarding activities of daily living.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019
    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 5 institutions in 1 country.

Tim SaierDepartment of Orthopedic Sports Medicine, Klinikum rechts der Isar, Technische Universtität München, 81679, Munich, Germany.
Philipp MinzlaffDepartment of Orthopedic Sports Medicine, Klinikum rechts der Isar, Technische Universtität München, 81679, Munich, Germany.
Matthias J FeuchtDepartment Orthopedics and Traumatology, University of Freiburg, Freiburg, Germany.
Lena LämmleMSH Medical School Hamburg, Hamburg, Germany.
Maike BurghoffDepartment of Orthopedic Sports Medicine, Klinikum rechts der Isar, Technische Universtität München, 81679, Munich, Germany.
Christoph IhleDepartment of Traumatology and Reconstructive Surgery, BG Traumacenter Tübingen, University of Tübingen, Tübingen, Germany.
Andreas B ImhoffDepartment of Orthopedic Sports Medicine, Klinikum rechts der Isar, Technische Universtität München, 81679, Munich, Germany. a.imhoff@lrz.tum.de.
Stefan HinterwimmerDepartment of Orthopedic Sports Medicine, Klinikum rechts der Isar, Technische Universtität München, 81679, Munich, Germany.
Klinikum rechts der Isar · DEBerufsgenossenschaftliche Unfallklinik Murnau · DEMSH Medical School Hamburg – University of Applied Sciences and Medical University · DEUniversity of Freiburg · DEUniversity of Tübingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose(1) To monitor longitudinal changes in health-related quality of life (HRQOL), pain, knee function, and return to work (RtW) following high tibial osteotomy (HTO) for medial compartment osteoarthritis (OA), and (2) to investigate the influences of psychopathological comorbidities on preoperative impairment and post-operative course.

methodsSixty-four patients were prospectively followed for 24 months after HTO to determine HRQOL, pain, functional outcome, and RtW. Psychopathological comorbidities (e.g. depression) were determined preoperatively. Patients with no psychological distress (ND) were compared to patients with psychological distress (PD) in order to investigate the influence of psychopathological comorbidities on outcome.

resultsThere was a significant increase in HRQOL and decrease in pain from 6 month follow-up on. Functional outcomes increased significantly from 12 month follow-up on. In general, there was a steady state of outcomes from 6- to 12-month follow-up on. At final follow-up, 90 % returned to their previous occupation without limitations. Mental component summary (MCS) and functional outcome showed a positive correlation with RtW, while depression had a negative one. A significantly inferior outcome of group PD versus ND was observed at baseline and early follow-up. RtW was significantly prolonged in group PD (8.9 ± 7.6 vs. 3.9 ± 3 months; p < 0.001). At final follow-up, both groups presented with comparable outcomes.

conclusionHTO for medial compartment OA significantly improves HRQOL, pain, and knee function. Time to RtW is high and critically depends on PD. Further, extend of preoperative impairments, an initially inferior course, and inferior MCS outcome was influenced by PD. However, otherwise no significant differences were observed between groups PD and ND at final follow-up. LEVEL OF EVIDENCE: Prospective case series, II.

Indexed as

Quality of LifeAdultDepressionFemaleFollow-Up StudiesHumansKnee JointMaleMiddle AgedOsteoarthritis, KneeOsteotomyPainProspective StudiesStress, PsychologicalTibiaTreatment OutcomeHigh tibial osteotomyKneeOsteoarthritisQuality of lifeReturn to work

Identifiers

PMID26714820
OpenAlexW2200072660

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.