SynthesisArchives of orthopaedic and trauma surgery2020
A meta-analysis of total knee arthroplasty following high tibial osteotomy versus primary total knee arthroplasty.
Synthesis in Archives of orthopaedic and trauma surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 5 of them syntheses that pooled 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.
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
26 citing papers in PubMed, 5 syntheses or guidelines pooled it, 55 citations in OpenAlex.
- Total knee arthroplasty after prior high tibial osteotomy results in comparable survival and clinical outcomes but significantly higher complication rates compared to primary total knee arthroplasty: a systematic review and meta-analysis of 550,000 patients.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Pooled it
- Meta-analysis of prognostic factors in patients with knee arthroplasty.Frontiers in surgery · 2025Pooled it
- Clinical relevance of joint line obliquity after high tibial osteotomy for medial knee osteoarthritis remains controversial: a systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Pooled it
- Surgical interventions for symptomatic knee osteoarthritis: a network meta-analysis of randomized control trials.BMC musculoskeletal disorders · 2023Pooled it
- Proximal fibular osteotomy versus high tibial osteotomy for treating knee osteoarthritis: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2022Pooled it
- Short-term benefits of image-based robotic assistance in TKA after prior HTO: A comparative study.Journal of experimental orthopaedics · 2026Article
- Complications and Reoperation Rates of Total Knee Arthroplasty After High Tibial Osteotomy: A Matched Cohort Analysis From a Nationwide Database.Arthroplasty today · 2026Article
- Technical tips and tricks for complex biplanar high tibial osteotomies.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Review
- Improved clinical outcomes when maintaining a neutral joint line obliquity at high tibial osteotomy and subsequent total knee arthroplasty.Journal of experimental orthopaedics · 2026Article
- Decreasing utilization of tibial osteotomy and regional disparities: A population-based study of all surgeries in Sweden from 2008 to 2023.Journal of experimental orthopaedics · 2025Article
- The Influence of Varus Deformity Correction on Clinical Outcomes: a Comparative Study of Proximal Fibular Osteotomy and High Tibial Osteotomy in Knee Osteoarthritis.Indian journal of orthopaedics · 2025Article
- Total knee arthroplasty following lateral closing-wedge high tibial osteotomy versus primary total knee arthroplasty: a propensity score matching study.Journal of orthopaedic surgery and research · 2024Article
- Total knee arthroplasty post-high tibial osteotomy, results of an early experience from a North African arthroplasty unit, and a comprehensive review of the literature.Journal of orthopaedic surgery and research · 2023Review
- Survivorship of high tibial osteotomy in the treatment of osteoarthritis of the knee: a retrospective cohort study with fourteen years' follow-up.International orthopaedics · 2023Article
- Higher survival rate in total knee arthroplasty after high tibial osteotomy than that after unicompartmental knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Automated Detection of Surgical Implants on Plain Knee Radiographs Using a Deep Learning Algorithm.Medicina (Kaunas, Lithuania) · 2022Article
- Long-term follow-up results of medial opening wedge high tibia osteotomy with a pre-countered non-locking steel plate.Archives of orthopaedic and trauma surgery · 2022Article
- Around-knee osteotomy conversion for failed high tibial osteotomy: Re-correction high tibial osteotomy and additional distal femoral osteotomy may enable return to sporting activities.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2022Article
- Medial unicompartmental knee replacement is a viable treatment option after failed high tibial osteotomy: a systematic review.EFORT open reviews · 2022Review
- Chinese Clinical Practice Guidelines in Treating Knee Osteoarthritis by Periarticular Knee Osteotomy.Orthopaedic surgery · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
backgroundThis study was performed to compare the clinical and radiographic outcomes of total knee arthroplasty (TKA) following high tibial osteotomy (HTO) versus primary TKA.
methodsRelevant trials were identified via a search of Ovid, PubMed and the Cochrane Central Register of Controlled Trials from inception to 10 January 2019. A meta-analysis was performed to compare postoperative outcomes between revising HTO to TKA (RHTO) and primary TKA (PTKA) with respect to Knee Society Score (KSS), 10-year survival rate, operative time, flexion and extension angle, infection rate and radiographic results.
resultsSixteen of 340 studies involving 103,552 adult patients (RHTO group, n = 3955; PTKA group, n = 99,597) were eligible for inclusion in the meta-analysis. Compared with primary TKA, revising HTO to TKA required longer operative time and had a higher infection rate (P < 0.05). The PTKA group had better flexion angle than the RHTO group (P < 0.05). There were no significant differences between the two groups in the KSS, extension angle, radiographic results and 10-year survival rate (P > 0.05).
conclusionPatients who undergo conversion of HTO to TKA have similar 10-year survival rate, KSS, extension angle and radiographic results as patients who undergo primary TKA. However, conversion of HTO to TKA required longer operative time and had a higher infection rate than performing primary TKA. Moreover, conversion of HTO to TKA is associated with poorer flexion angle than primary TKA.
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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.