ArticleSICOT-J2022
Outcomes of double level osteotomy for osteoarthritic knees with severe varus deformity. A systematic review.
Article in SICOT-J, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07283237 (Enhancing Medial Knee Pain Rehabilitation), which is not on this map. Cited by 14 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.
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.
Enhancing Medial Knee Pain Rehabilitation : A Clinical Trial On The Effectiveness Of Blood Flow Restriction In Combination With Targeted Exercises For Adult With Varus Deformity
Who cites it
14 citing papers in PubMed.
- Clinical and Functional Outcomes Following MOWHTO for Combined Tibial and Femoral Deformities in Varus Knees: A Retrospective Cohort Study.The archives of bone and joint surgery · 2026Article
- Improved clinical outcomes when maintaining a neutral joint line obliquity at high tibial osteotomy and subsequent total knee arthroplasty.Journal of experimental orthopaedics · 2026Article
- 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
- Long-term Comparison of Opening Wedge High Tibial Osteotomy and Double Level Osteotomy for Large Varus Knee Deformities: A Retrospective Cohort Study of Functional Outcomes, Complications, and Survival Rates.Journal of orthopaedic case reports · 2025Article
- Comparing the outcome after double level osteotomies in severe valgus and varus knees.Archives of orthopaedic and trauma surgery · 2025Article
- Article
- Double-level osteotomy (DLO) for varus deformity results in over a decade of mean survival without compromising subsequent total knee arthroplasty function at a mean 26-year follow-up.Journal of experimental orthopaedics · 2025Article
- [Modified pendulum osteotomy to correct severe tibial varus deformity].Operative Orthopadie und Traumatologie · 2024Article
- Preoperative Joint Line Convergence Angle as an Indicator of Clinical Outcomes and Accuracy of Alignment Correction After Double-Level Osteotomy.Orthopaedic journal of sports medicine · 2024Article
- Superior accuracy in knee double level osteotomy using a novel hybrid fixation technique compared to conventional double plating.Journal of experimental orthopaedics · 2024Article
- Article
- The joint line convergence angle (JLCA) correlates with intra-articular arthritis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Clinical and Radiological Outcomes of Double-Level Osteotomy Versus Open-Wedge High Tibial Osteotomy for Bifocal Varus Deformity.Orthopaedic journal of sports medicine · 2023Article
- Femoral-varus tibial-valgus osteotomy (FVTVO) for neutrally-aligned knee osteoarthritis with severe joint line obliquity enables return to sports activities: A case series study.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2023Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWhen correcting severe genu varus deformity, knee surgeons must choose between performing a single or double-level osteotomy. This systematic review aims to provide this equipoise with some clarity. PATIENTS AND
methodsWe conducted this study following the Preferred Reporting Items for Systematic Reviews and Meta-analyses Statement (PRISMA) and the Cochrane Handbook for systematic reviews and meta-analysis. Studies evaluating the effect of the double level osteotomy (DLO) or those comparing it to high tibial osteotomy (HTO) from all regions and written in any language were included.
resultsSix studies were included in this systematic review. They were prepared and analysed using Review Manager V5.0 [Computer Program] (RevMan5). Performing DLO resulted in restoring patellar height, joint-line convergence angle (JLCA), and mMPTA to normal values. DLO was also more successful at avoiding joint line obliquity (JLO) in severe varus deformity when compared to HTO (P < 0.001). No significant difference was reported between the two cohorts regarding the mLPTA. DLO resulted in satisfactory short term KOOS and IKDC scores. The complication rate after DLO was 2.28%.
conclusionsDLO showed a low complication rate and satisfactory short term KOOS and IKDAC scores. Randomised control trials with long term follow-up comparing the DLO and HTO are recommended.
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