SynthesisJournal of orthopaedic surgery and research2019
Radiographic changes and clinical outcomes after open and closed wedge high tibial osteotomy: a systematic review and meta-analysis.
Synthesis in Journal of orthopaedic surgery and research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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.
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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.
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Who cites it
21 citing papers in PubMed.
- All-inside Circumferential Fiber Augmentation of Medial Meniscus Combined with Medial Open-wedge High Tibial Osteotomy.Journal of orthopaedic case reports · 2026Article
- Changes in Balance Outcomes Following High Tibial Osteotomy in Patients With Knee Osteoarthritis: A Systematic Review.Health science reports · 2026Review
- Clinical Outcomes and Complications of Total knee Arthroplasty Following Previous Opening vs. Closing-Wedge High Tibial Osteotomy: A Systematic Review.The archives of bone and joint surgery · 2026Review
- Biomechanical effects of LCWHTO vs. MOWHTO on medial meniscus posterior root repair: a finite element analysis.Scientific reports · 2025Article
- Accuracy of Combined High Tibial Slope Correction Osteotomy Using 3-Dimensional-Planned Patient-Specific Instrumentation.The American journal of sports medicine · 2024Article
- [Biomechanical study of three-dimensional printed filler block design in open wedge high tibial osteotomy].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2024Article
- Osteotomy Correction Angle Cut-off Points Can Guide the Operation to Prevent a Significant Decrease in Patella Height.Orthopaedic surgery · 2024Article
- Article
- Fixation method can affect posterior tibial slope in opening-wedge high tibial osteotomy: a retrospective study.Journal of orthopaedic surgery and research · 2023Article
- [Periarticular knee osteotomies for pre-arthritic deformities in the frontal plane : Indications and surgical techniques].Orthopadie (Heidelberg, Germany) · 2023Review
- High tibial osteotomy improves balance control in patients with knee osteoarthritis and a varus deformity.Journal of orthopaedic surgery and research · 2023Article
- Change in Cartilage Status of Medial Compartment after Open-Wedge High Tibial Osteotomy without Cartilage Regeneration Procedure: Second Look Arthroscopic Assessment.Biomedicines · 2023Article
- Closing-Wedge and Opening-Wedge High Tibial Osteotomy as Successful Treatments of Symptomatic Medial Osteoarthritis of the Knee: A Randomized Controlled Trial.The archives of bone and joint surgery · 2023Article
- [Osteotomy close to the knee joint in adults].Orthopadie (Heidelberg, Germany) · 2022Article
- Patellar Height after High Tibial Osteotomy of the Distal Tibial Tuberosity: A Retrospective Study of Age Stratification.Computational and mathematical methods in medicine · 2022Article
- 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 · 2021Article
- Inversed V-shaped High Tibial Osteotomy for Severe Varus Deformity due to Blount Disease: A Case Report.Journal of orthopaedic case reports · 2021Article
- [Knee realignment osteotomy in adults].Der Orthopade · 2021Review
- Interlocking Closed-Wedge High Tibial Osteotomy Modified With Oblique Osteotomy Lines and a Locking Plate Fixation.Arthroscopy techniques · 2021Article
- Postoperative Bone Marrow Lesions (BMLs) Are Associated with Pain Severity in Patients Undergoing Open Wedge High Tibial Osteotomy (OWHTO).BioMed research international · 2021Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundThe purpose of this meta-analysis is to examine changes in radiological variables and clinical outcomes between open and closed wedge high tibial osteotomy (OWHTO and CWHTO, respectively), which have ongoing controversial issues in numerous quantitative clinical studies.
methodsPubMed, Embase, and the Cochrane Library were systematically searched for suitable controlled trials between Jan 1, 1999, and Feb 2, 2018. The inclusion criteria included studies written in English, studies with a level of evidence of I-IV, and studies presenting comparisons between OWHTO and CWHTO. The main clinical and radiographic results were extracted and pooled using Stata 12.0.
resultsAfter searching for and screening trials, 28 trials involving 2840 knees were eligible for the meta-analysis. After OWHTO or CWHTO, clinical scores, including the American Knee Society Score, Hospital for Special Surgery Knee Score, Lysholm score, and Visual Analog Scale pain score, improved (p < 0.05), but the range of motion was unchanged (p > 0.05). The anatomical femorotibial angle (SMD 0.04, 95% CI - 0.66 to 0.74) and hip-knee-ankle angle (SMD 0.11, 95% CI - 0.11 to 0.33) data suggested that the OWHTO and CWHTO groups were similar in function of correction. Posterior tibial slope increased (SMD - 0.71, 95% CI - 1.04 to - 0.37) after OWHTO but decreased (SMD 0.72, 95% CI 0.35 to 1.08) after CWHTO. OWHTO decreased patellar height (p < 0.05), while patellar height did not change significantly after CWHTO (p > 0.05).
conclusionThis meta-analysis indicates that compared with CWHTO, OWHTO increases the posterior slope, decreases the patellar height, and provides a similar accuracy of correction; however, CWHTO leads to a decreased posterior slope and an unchanged patellar height. Therefore, programs should be personalized and customized for the specific situation of each patient.
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