SynthesisEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2023
Could anterior closed-wedge high tibial osteotomy be a viable option in patients with high posterior tibial slope who undergo anterior cruciate ligament reconstruction? A systematic review and meta-analysis.
Synthesis in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 5 of them syntheses that pooled it.
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.
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Who cites it
33 citing papers in PubMed, 5 syntheses or guidelines pooled it, 44 citations in OpenAlex.
- Slope-reducing tibial osteotomy combined with primary or revision ACL reconstruction improves knee stability and subjective function in patients with steep posterior tibial slope: a systematic review and meta-analysis.International journal of surgery (London, England) · 2026Pooled it
- Irreducible knee dislocation: improved clinical outcomes of open and arthroscopic surgical treatment. A systematic review of the literature.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Pooled it
- Surgical treatment of popliteomeniscal fascicles tears is associated with better patient-reported outcome measures. A systematic review and meta-analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Pooled it
- Extended trochanteric osteotomy is a safe procedure in two-stage hip revision: a systematic review of the literature.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Pooled it
- Posterior tibial slope, notch width index and tibial tubercle to trochlear groove distance contribute to development of mucoid degeneration of the anterior cruciate ligament: a systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Pooled it
- Efficacy of Adductor Canal Block on Medial Knee Pain in Patients with Knee Osteoarthritis: A Randomized Single-Blind Placebo-Controlled Study.International journal of environmental research and public health · 2022Trial
- A Novel Assessment of Infratubercle Sagittal Proximal Tibial Morphology and Relationship to Full Length Posterior Tibial Slope: Lateral Infratubercle Angle.Orthopaedic journal of sports medicine · 2026Article
- Middle Eastern male ACL-deficient patients exhibit steeper posterior tibial slope than European counterparts: A cross-cultural matched cohort study.Journal of experimental orthopaedics · 2026Article
- [Knee osteotomies-Indication, planning and technical considerations].Orthopadie (Heidelberg, Germany) · 2026Review
- Does the Medial or Lateral Tibial Slope Have a Greater Effect on ACL Reconstruction Mechanics? A Biomechanical Analysis.Orthopaedic journal of sports medicine · 2026Article
- Tibial Infratubercle Anterior Closing-Wedge Slope-Reducing Osteotomy With Combined Revision Anterior Cruciate Ligament Reconstruction.Arthroscopy techniques · 2025Article
- Varus aligned patients have decreased patient reported International Knee Documentation Committee, knee injury and osteoarthritis outcome score sports scores and Tegner activity levels compared to neutral aligned patients in primary anterior cruciate ligament reconstructions.Journal of experimental orthopaedics · 2025Article
- Increased posterior tibial slope leads to increased risk of graft rupture in anterior cruciate reconstruction: a retrospective matched case-control study.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2025Article
- Article
- Comparative impact of high tibial osteotomy and supramalleolar osteotomy on limb alignment and ankle function: a retrospective study.Journal of orthopaedic surgery and research · 2025Article
- Patient-specific cutting guides allow 1° precision in asymmetric anterior closing-wedge osteotomy.Journal of experimental orthopaedics · 2025Article
- Axial rotation of the hinge axis can cause changes in coronal tibial alignment in anterior tibial closing wedge osteotomy in a 3D simulation model.Journal of experimental orthopaedics · 2025Article
- Infratuberosity Anterior Closing-Wedge High Tibial Osteotomy for Slope Correction in Anterior Cruciate Ligament-Deficient Knees.Arthroscopy techniques · 2025Article
- Posterior tibial slope angle in contact versus non-contact anterior cruciate ligament injuries.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Proximal tibial anatomical axis and anterior tibial cortex-based measurements of posterior tibial slope on lateral radiographs differ least from actual posterior tibial slope-A biomechanical study.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
10 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis study aims to examine the clinical and radiological outcomes of patients who underwent ACL reconstruction (ACLR) combined with anterior closed-wedge high tibial osteotomy (ACW-HTO) for posterior tibial slope (PTS) reduction to investigate the efficacy of this procedure in improving anterior knee stability and preventing graft failure in primary and revision ACLR.
methodsA literature search was conducted in six databases (PubMed, Embase, Medline, Web of Science, Cochrane, and Scopus). The study was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline. The initial screening identified 1246 studies. Each eligible clinical article was screened according to the Oxford Centre for Evidence-Based Medicine 2011 levels of evidence (LoE), excluding clinical studies of LoE V. Quality assessment of the articles was performed using the ROBINS-I methodological evaluation. This systematic review and meta-analysis was registered on the International Prospective Register of Systematic Reviews (PROSPERO). For the outcomes that were possible to perform a meta-analysis, a p < 0.05 was considered statistically significant.
resultsFive clinical studies were included in the final analysis. A total of 110 patients were examined. Pre- and post-operative clinical and objective tests that assess anteroposterior knee stability, PTS, clinical scores, and data on surgical characteristics, complications, return to sports activity, and graft failure after ACLR were investigated. A meta-analysis was conducted using R software, version 4.1.3 (2022, R Core Team), for Lysholm score and PTS outcomes. A statistically significant improvement for both these clinical and radiological outcomes (p < 0.05) after the ACW-HTO surgical procedure was found.
conclusionACLR combined with ACW-HTO restores knee stability and function with satisfactory clinical and radiological outcomes in patients with an anterior cruciate ligament injury associated with a high PTS and seems to have a protective effect from further ruptures on the reconstructed ACL. LEVEL OF EVIDENCE: Level IV.
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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.