Trial reportKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2016
Surgical accuracy in high tibial osteotomy: coronal equivalence of computer navigation and gap measurement.
Trial report 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. An erratum has been issued. Cited by 46 papers, 3 of them syntheses that pooled it.
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
46 citing papers in PubMed, 3 syntheses or guidelines pooled it, 92 citations in OpenAlex.
- Influence of axial limb rotation on radiographic lower limb alignment: a systematic review.Archives of orthopaedic and trauma surgery · 2022Pooled it
- CAS and PSI increase coronal alignment accuracy and reduce outliers when compared to traditional technique of medial open wedge high tibial osteotomy: a meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Pooled it
- Outcome reporting following navigated high tibial osteotomy of the knee: a systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2016Pooled it
- Significant changes of the mechanical medial proximal tibial angle in dependence of internal and external rotation of the hinge axis in slope correcting infratuberositary tibial deflexion osteotomy.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- High survival rates and patient satisfaction 12 years after medial open wedge high tibial osteotomy surgery: A prospective cohort study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Comparison of Two-Dimensional and Three-Dimensional Preoperative Planning Measurements for High Tibial Osteotomy.Orthopaedic surgery · 2025Article
- 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 · 2025Article
- Three-Dimensional-Printed Porous Tantalum Wedge Shows Promising Early Results for Opening-Wedge High Tibial Osteotomy: A Retrospective Comparative Study With Mean 50-Month Follow-Up.Orthopaedic surgery · 2025Article
- Tibial morphological variations reveal medial proximal tibial angle discrepancies in Japanese patients: Three-type classification for high tibial osteotomy.Journal of experimental orthopaedics · 2025Article
- The Neutral Hinge for Medial Closing Wedge Distal Femur Osteotomy. A 3-dimensional Surgical Simulation Study.Orthopaedic journal of sports medicine · 2025Article
- Measuring osteotomy wedge angle is more important than measuring wedge height in open wedge osteotomies around the knee in preoperative planning.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Developing Presurgical Conversion Formulas to Predict Miniaci Angle for Personalized Realignment Targets in Opening-Wedge High Tibial Osteotomies.Orthopaedic journal of sports medicine · 2025Article
- Alignment rod and gap measurement methods achieve comparable alignment correction in opening wedge high tibial osteotomy for varus osteoarthritic knees.Journal of experimental orthopaedics · 2024Article
- Learning curves for high tibial osteotomy using patient-specific instrumentation: a case control study.Innovative surgical sciences · 2024Article
- Superior accuracy in knee double level osteotomy using a novel hybrid fixation technique compared to conventional double plating.Journal of experimental orthopaedics · 2024Article
- Surgical Technique and Preliminary Outcomes of Double-Level Osteotomy for Valgus Deformity.Orthopaedic journal of sports medicine · 2024Article
- Surgical accuracy of coronal and sagittal alignment in conventional closed-wedge high tibial osteotomy after computer-assisted surgery experience.Knee surgery & related research · 2023Article
- Muti-factor analysis of sport activity level after high tibial osteotomy.Journal of orthopaedic surgery and research · 2023Article
- Comparison of the Miniaci and Dugdale techniques on functional outcomes in medial open wedge high tibial osteotomy.Journal of experimental orthopaedics · 2023Article
- The gap height in open wedge high tibial osteotomy is not affected by the starting point of the osteotomy.BMC musculoskeletal disorders · 2023Article
Corrections and comments
- Erratum issued
Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeMedial opening wedge high tibial osteotomy (MOW HTO) is now a successful operation with a range of indications, requiring an individualised approach to the choice of intended correction. This manuscript introduces the concept of surgical accuracy as the absolute deviation of the achieved correction from the intended correction, where small values represent greater accuracy. Surgical accuracy is compared in a randomised controlled trial (RCT) between gap measurement and computer navigation groups.
methodsThis was a prospective RCT conducted over 3 years of 120 consecutive patients with varus malalignment and medial compartment osteoarthritis, who underwent MOW HTO. All procedures were planned with digital software. Patients were randomly assigned into gap measurement or computer navigation groups. Coronal plane alignment was judged using the mechanical tibiofemoral angle (mTFA), before and after surgery. Absolute (positive) values were calculated for surgical accuracy in each individual case.
resultsThere was no significant difference in the mean intended correction between groups. The achieved mTFA revealed a small under-correction in both groups. This was attributed to a failure to account for saw blade thickness (gap measurement) and over-compensation for weight bearing (computer navigation). Surgical accuracy was 1.7° ± 1.2° (gap measurement) compared to 2.1° ± 1.4° (computer navigation) without statistical significance. The difference in tibial slope increases of 2.7° ± 3.9° (gap measurement) and 2.1° ± 3.9° (computer navigation) had statistical significance (P < 0.001) but magnitude (0.6°) without clinical relevance.
conclusionSurgical accuracy as described here is a new way to judge achieved alignment following knee osteotomy for individual cases. This work is clinically relevant because coronal surgical accuracy was not superior in either group. Therefore, the increased expense and surgical time associated with navigated MOW HTO is not supported, because meticulously conducted gap measurement yields equivalent surgical accuracy. LEVEL OF EVIDENCE: I.
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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.