SynthesisKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2023
Clinical relevance of joint line obliquity after high tibial osteotomy for medial knee osteoarthritis remains controversial: a systematic review.
Synthesis in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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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
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Who cites it
19 citing papers in PubMed, 33 citations in OpenAlex.
- Preoperative standing-supine difference in joint line convergence angle predicts postoperative alignment change after closing-wedge high tibial osteotomy.Journal of experimental orthopaedics · 2026Article
- High Tibial Osteotomy for Knee Osteoarthritis with Genu Varum: A Retrospective, Observational Study.Journal of functional morphology and kinesiology · 2026Article
- [Knee osteotomies-Indication, planning and technical considerations].Orthopadie (Heidelberg, Germany) · 2026Review
- CPAK phenotypes in medial open wedge high tibial osteotomy: undercorrection as the key factor influencing clinical outcomes and cartilage regeneration.Journal of orthopaedic surgery and research · 2026Article
- 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
- Excessive tibial valgus was not associated with worse 5-year clinical outcomes after medial opening-wedge high tibial osteotomy for advanced knee osteoarthritis: a retrospective cohort study.Frontiers in surgery · 2026Article
- Palliative high tibial osteotomy achieves comparable outcomes to corrective osteotomy in varus knees with medial compartment osteoarthritis: A long-term clinical and radiological retrospective study.Journal of experimental orthopaedics · 2026Article
- Article
- Assessing joint line obliquity in valgus-producing high tibial osteotomy: A scoping review of the literature.Journal of orthopaedics · 2025Review
- Preoperative activity, postoperative flexion contractures, and degree of medial cartilage damage affects achievement of high physical activity after open wedge high tibial osteotomy.Journal of experimental orthopaedics · 2025Article
- Comparing the outcome after double level osteotomies in severe valgus and varus knees.Archives of orthopaedic and trauma surgery · 2025Article
- 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
- Article
- An increased medial proximal tibial angle of greater than 95 degrees after opening wedge high tibial osteotomy is not associated with deterioration of minimum 10-year clinical outcomes.Archives of orthopaedic and trauma surgery · 2024Article
- Adjusted planning based on the joint line convergence angle improves correction accuracy in the standing position after opening wedge high tibial osteotomy.Journal of orthopaedic surgery and research · 2024Article
- Mathematical explanations for knee osteotomies: "Dear engineer, how would you explain it in a simple way?"Archives of orthopaedic and trauma surgery · 2024Review
- Influence of Increased Joint Line Obliquity on Survivorship After Lateral Closing-Wedge High Tibial Osteotomy.The American journal of sports medicine · 2024Article
- 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
- A Systematic Review of Interventions for Prevention and Treatment of Post-Traumatic Stress Disorder Following Childbirth.medRxiv : the preprint server for health sciences · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo systematically review the literature on the association between knee joint line obliquity (KJLO) and clinical outcome after high tibial osteotomy (HTO) for medial knee osteoarthritis and summarize the KJLO cut-off value used when studying this association.
methodsA systematic search was conducted in three databases (PubMed, Embase, and Web of Science) on September 2022, updated on February 2023. Eligible studies describing postoperative KJLO in relation to clinical outcome after HTO for medial knee osteoarthritis were included. Nonpatient studies and conference abstracts without full-text were excluded. Two independent reviewers assessed title, abstract and full-text based on the inclusion and exclusion criteria. The modified Downs and Black checklist was used to assess the methodological quality of each included study.
resultsOf the seventeen studies included, three had good methodological quality, thirteen fair quality, and one had poor quality. Conflicting findings were shown on the associations between postoperative KJLO and patient-reported outcome, medial knee cartilage regeneration, and 10-year surgical survival in sixteen studies. Three good-quality studies found no significant differences in lateral knee cartilage degeneration between postoperative medial proximal tibial angle > 95° and < 95°. Joint line orientation angles by the tibial plateau of 4° and 6°, joint line orientation angle by the middle knee joint space of 5°, medial proximal tibial angles of 95° and 98°, and Mikulicz joint line angle of 94° were KJLO cut-off values used in the included studies.
conclusionBased on current evidence, the actual association between postoperative KJLO and clinical consequences after HTO for medial knee osteoarthritis cannot be ascertained. The clinical relevance of KJLO after HTO remains controversial. LEVEL OF EVIDENCE: IV.
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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.