Evidence map›Paper›PMID 35611758›Full record

SynthesisOrthopaedic surgery2022

Clinical Outcomes of Revision Total Knee Arthroplasty after High Tibial Osteotomy and Unicompartmental Knee Arthroplasty: A Systematic Review and Meta-Analysis.

Gaobo Shen, Danhong Shen, Yuan Fang, Xuefei Li, Longkang Cui, Bing Wei, Lianguo Wu

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Orthopaedic surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 5% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Medial open wedge high tibial osteotomy is a viable option in young patients with advanced arthritis in a long-term follow-up.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Age-stratified analysis of HTO and UKA clinical effects in cross-indicated anterior medial osteoarthritis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024
    Article
  10. Article
  11. Article
  12. Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Gaobo ShenThe Second Clinical Medical College of Zhejiang Chinese Medical University, Hangzhou, China.ORCID https://orcid.org/0000-0001-7794-2002
Danhong ShenNanjing University of Science and Technology, Nanjing, China.
Yuan FangThe Second Clinical Medical College of Zhejiang Chinese Medical University, Hangzhou, China.
Xuefei LiThe Second Clinical Medical College of Zhejiang Chinese Medical University, Hangzhou, China.
Longkang CuiDepartment of Orthopaedics, The Second Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.
Bing WeiThe Second Clinical Medical College of Zhejiang Chinese Medical University, Hangzhou, China.
Lianguo WuDepartment of Orthopaedics, The Second Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.
Zhejiang Chinese Medical University · CNNanjing University of Science and Technology · CN

Funding

National TCM clinical Research Base support discipline construction plan-Integrated Chinese and Western medicine for the prevention and treatment of osteoarthrosis 2020-JDXK-ZC01Special Project of Traditional Chinese Medicine Modernization of Zhejiang Province 2021ZX009Zhejiang Provincial Administration of Traditional Chinese Medicine
6 · The paper itself

Abstract

As more high tibial osteotomy (HTO) and unicompartmental knee arthroplasty (UKA) are performed, orthopaedic surgeons realize that more HTO and UKA failures will require revision to total knee arthroplasty (TKA) in the future. To systematically evaluate the clinical outcomes of TKA after HTO and TKA after UKA, the Embase, PubMed, Ovid, Web of Science, and Cochrane Library databases were searched for studies investigating revision TKA after HTO and UKA published up to June 2021. RevMan version 5.3 was used to perform the meta-analysis. The revision TKA after HTO and revision TKA after UKA groups were compared in terms of operative time, range of motion (ROM), knee score, postoperative complications, postoperative infection, revision, and revision implants used. Nine studies were ultimately included in the meta-analysis. Results revealed that the knee score for the revision TKA after HTO group was better than that of the revision TKA after UKA group (MD 4.50 [95% CI 0.80-8.20]; p = 0.02). The revision TKA after HTO group had a lower revision rate (OR 0.65 [95% CI 0.55-0.78]; p < 0.00001) and fewer revision implants used (OR 0.11 [95% CI 0.05-0.23]; p < 0.00001). There were no statistical differences in operation time (MD -2.00 [95% CI -11.22 to 7.21]; p = 0.67), ROM (MD -0.04 [95% CI -3.69-3.61]; p = 0.98), postoperative complications (OR 1.41 [95% CI 0.77-2.60]; p = 0.27), or postoperative infections (OR 0.89 [95% CI 0.61-1.29]; p = 0.53). To conclude, the revision rate of revision TKA after UKA was greater, and more revision implants were required. It is important for orthopaedic surgeons to preserve bone during primary UKA.

Indexed as

Arthroplasty, Replacement, KneeOsteoarthritis, KneeHumansKnee JointOsteotomyPostoperative ComplicationsReoperationTibiaTreatment OutcomeHigh tibial osteotomyRevisionTotal knee arthroplastyUnicompartmental knee arthroplasty

Identifiers

PMID35611758
PMCPMC9363736
OpenAlexW4281477099

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.