SynthesisKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2022
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.
Synthesis in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07212777 (Precisión de la osteotomía Tibial Proximal Con Instrumental Paciente-específico vs técnica Convencional), which is not on this map. Cited by 30 papers, 1 of them a synthesis 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.
Precisión de la osteotomía Tibial Proximal Con Instrumental Paciente-específico vs técnica Convencional
Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it, 62 citations in OpenAlex.
- Is Patient-Specific Instrumentation Accurate and Necessary for Open-Wedge High Tibial Osteotomy? A Meta-Analysis.Orthopaedic surgery · 2023Pooled it
- Comparison of Clinical and Radiological Outcomes between Calibratable Patient-Specific Instrumentation and Conventional Operation for Medial Open-Wedge High Tibial Osteotomy: A Randomized Controlled Trial.BioMed research international · 2022Trial
- Complementary roles of standing, supine, and valgus-stress whole-leg radiographs in medial open-wedge high tibial osteotomy planning: supine minimizes bias, whereas standing and valgus-stress reduce outliers.Knee surgery & related research · 2026Article
- The Outrigger Technique for Medial Opening Wedge High Tibial Osteotomy Using a Hintermann Distractor to Control the Osteotomy Gap Opening and the Posterior Tibial Slope.Arthroscopy techniques · 2026Article
- Clinical Outcomes and Accuracy of Patient-Specific Instrumentation for Corrective High Tibial and Distal Femoral Osteotomy.Orthopaedic journal of sports medicine · 2026Article
- [Application progress of customized steel plates in osteotomy and orthopedic treatment of knee osteoarthritis].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025Review
- Indications, Technique, and Outcomes of Patient Specific Instrumentation for Osteotomy About the Knee.Current reviews in musculoskeletal medicine · 2025Review
- The Neutral Hinge for Medial Closing Wedge Distal Femur Osteotomy. A 3-dimensional Surgical Simulation Study.Orthopaedic journal of sports medicine · 2025Article
- Digitized Precision Corrective Osteotomy for Treating Knee Joint Deformities: Current Evidence and Future Perspectives.Orthopaedic surgery · 2025Review
- Patient-Specific Cutting Guides for Alignment-Correcting Osteotomy About the Knee: A Study of Accuracy, Cost, and Surgical and Fluoroscopic Safety.Orthopaedic journal of sports medicine · 2025Article
- A network meta-analysis evaluating valgization high tibial osteotomy cutting guides: improving surgical precision through navigation and PSI.Knee surgery & related research · 2025Review
- Triplanar Anteromedial Closing Wedge Tibial Osteotomy in Excessive Slope and Tibial Valgum Patients.Arthroscopy techniques · 2025Article
- The top 100 most-cited knee osteotomy publications.Journal of experimental orthopaedics · 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
- Optimizing Reduction Guide Stability in Osteotomy Using Patient-Specific Instrumentation: A Basic Guideline.Orthopaedic journal of sports medicine · 2024Article
- 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
- Clinical outcomes of guider-assisted osteotomy compared to conventional pendulum-saw osteotomy in open wedge high tibial osteotomy: a propensity score-matched cohort study.Journal of orthopaedic surgery and research · 2024Article
- Applications and accuracy of 3D-printed surgical guides in traumatology and orthopaedic surgery: A systematic review and meta-analysis.Journal of experimental orthopaedics · 2024Article
- Superior accuracy in knee double level osteotomy using a novel hybrid fixation technique compared to conventional double plating.Journal of experimental orthopaedics · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 5 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeMedial open-wedge high tibial osteotomy (MOWHTO) is an accepted option in the treatment of medial compartment osteoarthritis of the knee in young and active patients. Functional results are closely correlated to the correction of the mechanical axis of the lower limb. Although several angular and geometrical methods and values have been proposed in the past, the ideal target is still debated. In addition, it is important to have a deep correlation between the planned correction and the achieved correction after surgery. The aim of the present systematic review was to identify the ideal coronal correction after MOWHTO and the most accurate method to achieve it.
methodsA systematic review of the literature was completed on July 3rd 2020 in the Pubmed, Medline, Cochrane Reviews, and Google Scholar databases using the Medical Subject Headings (MeSH) terms: "high tibial osteotomy" AND "accuracy" OR "planning".
results28 studies were included; 18 were focused on computer-assisted surgery (CAS) and 10 on patient-specific instrumentation (PSI). There were 598 patients in the CAS group and 501 in the control group; the rate of outliers was 16% and 38.2% respectively (P = 0.04), while there was no significant difference between the two groups (SMD = - 0.10; 95% CI 1.31 to 1.12; P = n.s.) in terms of coronal accuracy. Likewise, there were 318 patients in the PSI group and 40 in the control group; the rate of outliers was 15% and 40% respectively (P = 0.98), while there was no significant difference between the two groups (SMD = 0.01; 95% CI 0.58 to 0.59; P = 0.98).
conclusionsA statistically significant reduced outlier rate and a non-significant increased accuracy emerged with the use of CAS when compared to the traditional surgical technique, whereas the results of PSI were still inconclusive. In addition, it emerged clearly that no consensus still exists on the ideal correction target to be achieved after surgery. LEVEL OF EVIDENCE: III.
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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.