Evidence map›Paper›PMID 40694375›Full record

SynthesisOrthopaedic surgery2025

Comparison of Unicompartmental Knee Arthroplasty Versus High Tibial Osteotomy for Medial Knee Osteoarthritis: An Updated Meta-Analysis of 56,000 Patients.

Muhammad Hassan Waseem, Zain Ul Abideen, Muhammad Haris Khan, Muhammad Fawad Tahir, Muhammad Mukhlis, Aisha Kakakhail, Eiman Zeeshan, Mahnoor Usman, Misha Khalid, Ameer Haider Cheema and 3 more

Abstract readMeta-AnalysisComparative StudySystematic Review
In one paragraph

Synthesis in Orthopaedic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Selecting between UKA and HTO in the grey zone.Journal of orthopaedic translation · 2026
    Article
  4. Evolving Strategies for Knee Osteoarthritis: A Narrative Review of Integrated Rehabilitation, Pharmacologic, and Joint-Preserving Interventions.Medical science monitor : international medical journal of experimental and clinical research · 2026
    Review
  5. Implantable Shock Absorber: Breakthrough or Hype?Current reviews in musculoskeletal medicine · 2026
    Review
  6. Article
  7. Article
  8. 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

13 authors.

Muhammad Hassan WaseemAllama Iqbal Medical College, Lahore, Pakistan.
Zain Ul AbideenKing Edward Medical University, Lahore, Pakistan.
Muhammad Haris KhanSaidu Medical College, Swat, Pakistan.
Muhammad Fawad TahirH.B.S Medical and Dental College, Islamabad, Pakistan.
Muhammad MukhlisAyub Medical College Abbottabad, Pakistan.
Aisha KakakhailKhyber Girls Medical College Peshawar, Pakistan.
Eiman ZeeshanDow Dental College, Karachi, Pakistan.
Mahnoor UsmanKing Edward Medical University, Lahore, Pakistan.
Misha KhalidKarachi Medical and Dental College, Karachi, Pakistan.
Ameer Haider CheemaUT Southwestern Medical Center, Dallas, Texas, USA.ORCID https://orcid.org/0009-0002-2508-4370
Sania AimenQuetta Institute of Medical Sciences, Balochistan, Pakistan.
Javed IqbalNursing Department Hamad Medical Corporation, Doha, Qatar.ORCID https://orcid.org/0000-0003-2627-685X
Haseeb Javed KhanKing Edward Medical University, Lahore, Pakistan.

Funding

University of Texas Southwestern Medical Center
6 · The paper itself

Abstract

Osteoarthritis (OA) is a prevalent degenerative joint disease primarily affecting hip and knee joints, with an estimated 300 million cases globally. This study is crucial as it provides an updated, comprehensive comparison of unicompartmental knee arthroplasty (UKA) and high tibial osteotomy (HTO) for treating medial knee osteoarthritis, offering valuable insights into their relative effectiveness. The findings aim to inform clinical decision-making and improve patient outcomes by identifying the superior treatment option. A comprehensive search was conducted across PubMed, Cochrane Library, and Google Scholar until August 1, 2024. Statistical analysis used Review Manager 5.4 with a random-effects model, risk ratio (RR), and mean differences (MD) with 95% confidence intervals (CI) for the dichotomous and continuous outcomes, respectively. The Newcastle-Ottawa Scale was used for quality assessment, and funnel plots were used to analyze publication bias. GRADE assessment was done to gauge the certainty of the evidence. Thirty-nine studies, involving a total of 56,686 patients, were evaluated for comparison. UKA significantly reduced the complications (RR = 0.37; 95% CI: [0.25, 0.54]; p < 0.0001; I

Indexed as

Arthroplasty, Replacement, KneeOsteoarthritis, KneeOsteotomyTibiaHumansPostoperative Complicationshigh tibial osteotomymeta‐analysisosteoarthritisunicompartmental knee arthroplasty

Identifiers

PMID40694375
PMCPMC12404872

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.