SynthesisPloS one2017
Comparison of clinical and radiological outcomes between opening-wedge and closing-wedge high tibial osteotomy: A comprehensive meta-analysis.
Synthesis in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 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
24 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- High survivorship rate and good clinical outcomes after high tibial osteotomy in patients with radiological advanced medial knee osteoarthritis: a systematic review.Archives of orthopaedic and trauma surgery · 2024Pooled it
- Radiographic changes and clinical outcomes after open and closed wedge high tibial osteotomy: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2019Pooled it
- Closed wedge high tibial osteotomy can reduce medial meniscus extrusion in comparison with open wedge high tibial osteotomy.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2026Article
- Comparative Analysis of Bone Resection Volume and Lateral Overhang in Four Closed-Wedge High Tibial Osteotomy Techniques-A 3D-CT Computational Simulation Study of Eleven Knees.Journal of clinical medicine · 2025Article
- Osteotomies: Indications, Imaging Appearance, Surgical Techniques, and Complications.Diagnostics (Basel, Switzerland) · 2025Review
- Changes in Patellar Height and Tibial Posterior Slope after Biplanar High Tibial Osteotomy with Computer-Designed Personalized Surgical Guides: A Retrospective Study.Orthopaedic surgery · 2024Article
- Maintaining Posterior Tibial Slope and Patellar Height During Medial Opening Wedge High Tibial Osteotomy.Orthopaedic journal of sports medicine · 2023Article
- Meniscal allograft transplantation, anterior cruciate ligament reconstruction, and valgus high tibial osteotomy for meniscal-deficient, unstable, and varus knees: surgical technique and clinical outcomes.International orthopaedics · 2023Article
- [Periarticular knee osteotomies for pre-arthritic deformities in the frontal plane : Indications and surgical techniques].Orthopadie (Heidelberg, Germany) · 2023Review
- Excellent short-term results of dome-shaped high tibial osteotomy combined with all-inside anterior cruciate ligament reconstruction.Journal of experimental orthopaedics · 2023Article
- Application of SolidWorks software in preoperative planning of high tibial osteotomy.Frontiers in surgery · 2022Article
- Treatment of aseptic nonunion after medial opening-wedge high tibial osteotomy.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2021Article
- Personalised high tibial osteotomy has mechanical safety equivalent to generic device in a case-control in silico clinical trial.Communications medicine · 2021Article
- A Systematic Review on Selected Complications of Open-Wedge High Tibial Osteotomy from Clinical and Biomechanical Perspectives.Applied bionics and biomechanics · 2021Review
- Closing-wedge high tibial osteotomy, a reliable procedure for osteoarthritic varus knee.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Article
- Article
- Do Different Tibial Osteotomy Techniques Affect Sagittal Alignment in Children with Blount Disease?Orthopaedic surgery · 2020Article
- Article
- Biplane opening wedge high tibial osteotomy with a distal tuberosity osteotomy, radiological and clinical analysis with minimum follow-up of 2 years.Journal of experimental orthopaedics · 2019Article
- High Tibial Osteotomy: Review of Techniques and Biomechanics.Journal of healthcare engineering · 2019Review
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
High tibial osteotomy (HTO) has been widely used for clinical treatment of osteoarthritis of the medial compartment of the knee, and both opening-wedge and closing-wedge HTO are the most commonly used methods. However, it remains unclear which technique has better clinical and radiological outcomes in practice. To systematically evaluate this issue, we conducted a comprehensive meta-analysis by pooling all available data for the opening-wedge HTO and closing-wedge HTO techniques from the electronic databases including PubMed, Embase, Wed of Science and Cochrane Library. A total of 22 studies encompassing 2582 cases were finally enrolled in the meta-analysis. There was no significant difference regarding surgery time, duration of hospitalization, knee pain VAS, Lysholm score and HSS knee score (clinical outcomes) between the opening-wedge and closing-wedge HTO groups (P > 0.05). However, the opening-wedge HTO group showed wider range of motion than the closing-wedge HTO group (P = 0.003). Moreover, as for Hip-Knee-Ankle angle and mean angle of correction, no significant difference was observed between the opening-wedge and closing-wedge HTO groups (P > 0.05), while the opening-wedge HTO group showed greater posterior tibial slope angle (P < 0.001) and lesser patellar height than the closing-wedge HTO group (P < 0.001). On light of the above analysis, we believe that individualized surgical approach should be introduced based on the clinical characteristics of each patient.
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Registered trials
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