Survival of opening versus closing wedge high tibial osteotomy: A meta-analysis

Abstract This meta-analysis was designed to compare the longevity of the survivorship of opening versus closing wedge high tibial osteotomy (HTO). All studies reporting survival rates in patients who underwent open or closed wedge HTO with more than 5-year follow-up duration were included in the met...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Jun-Ho Kim, Hyun-Jung Kim, Dae-Hee Lee
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2017
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/4a6f03f0191d4b908a091244723448a5
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:4a6f03f0191d4b908a091244723448a5
record_format	dspace
spelling	oai:doaj.org-article:4a6f03f0191d4b908a091244723448a52021-12-02T15:06:10ZSurvival of opening versus closing wedge high tibial osteotomy: A meta-analysis10.1038/s41598-017-07856-82045-2322https://doaj.org/article/4a6f03f0191d4b908a091244723448a52017-08-01T00:00:00Zhttps://doi.org/10.1038/s41598-017-07856-8https://doaj.org/toc/2045-2322Abstract This meta-analysis was designed to compare the longevity of the survivorship of opening versus closing wedge high tibial osteotomy (HTO). All studies reporting survival rates in patients who underwent open or closed wedge HTO with more than 5-year follow-up duration were included in the meta-analysis. Survival time was considered as time to conversion to TKA. Twenty three studies were included in meta-analysis, 20 of which were of level IV evidence. The pooled 5-year survival rates were 95.1% (95% CI: 93.1 to 97.1%) in open wedge HTO and 93.9% (95% CI: 93.1 to 94.6%) in closed wedge HTO. Although there was 1.2% greater survival rate in open wedge HTO than in closed wedge HTO, this difference did not reach statistical significance (P = 0.419). Pooled 10-year survival rates were 91.6% (95% CI: 88.5 to 94.8%) in open wedge HTO and 85.4% (95% CI: 84.0 to 86.7%) in closed wedge HTO, indicating that open wedge HTO had 6.2% greater survival rate 10 years after surgery than did closed wedge HTO (P = 0.002). No difference in 5-year survivorship was found between open- and closed-wedge HTO. However, the survival rate was higher in open-wedge HTOs than in closed wedge HTO at 10 years.Jun-Ho KimHyun-Jung KimDae-Hee LeeNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 7, Iss 1, Pp 1-7 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Jun-Ho Kim Hyun-Jung Kim Dae-Hee Lee Survival of opening versus closing wedge high tibial osteotomy: A meta-analysis
description	Abstract This meta-analysis was designed to compare the longevity of the survivorship of opening versus closing wedge high tibial osteotomy (HTO). All studies reporting survival rates in patients who underwent open or closed wedge HTO with more than 5-year follow-up duration were included in the meta-analysis. Survival time was considered as time to conversion to TKA. Twenty three studies were included in meta-analysis, 20 of which were of level IV evidence. The pooled 5-year survival rates were 95.1% (95% CI: 93.1 to 97.1%) in open wedge HTO and 93.9% (95% CI: 93.1 to 94.6%) in closed wedge HTO. Although there was 1.2% greater survival rate in open wedge HTO than in closed wedge HTO, this difference did not reach statistical significance (P = 0.419). Pooled 10-year survival rates were 91.6% (95% CI: 88.5 to 94.8%) in open wedge HTO and 85.4% (95% CI: 84.0 to 86.7%) in closed wedge HTO, indicating that open wedge HTO had 6.2% greater survival rate 10 years after surgery than did closed wedge HTO (P = 0.002). No difference in 5-year survivorship was found between open- and closed-wedge HTO. However, the survival rate was higher in open-wedge HTOs than in closed wedge HTO at 10 years.
format	article
author	Jun-Ho Kim Hyun-Jung Kim Dae-Hee Lee
author_facet	Jun-Ho Kim Hyun-Jung Kim Dae-Hee Lee
author_sort	Jun-Ho Kim
title	Survival of opening versus closing wedge high tibial osteotomy: A meta-analysis
title_short	Survival of opening versus closing wedge high tibial osteotomy: A meta-analysis
title_full	Survival of opening versus closing wedge high tibial osteotomy: A meta-analysis
title_fullStr	Survival of opening versus closing wedge high tibial osteotomy: A meta-analysis
title_full_unstemmed	Survival of opening versus closing wedge high tibial osteotomy: A meta-analysis
title_sort	survival of opening versus closing wedge high tibial osteotomy: a meta-analysis
publisher	Nature Portfolio
publishDate	2017
url	https://doaj.org/article/4a6f03f0191d4b908a091244723448a5
work_keys_str_mv	AT junhokim survivalofopeningversusclosingwedgehightibialosteotomyametaanalysis AT hyunjungkim survivalofopeningversusclosingwedgehightibialosteotomyametaanalysis AT daeheelee survivalofopeningversusclosingwedgehightibialosteotomyametaanalysis
_version_	1718388579860742144

Survival of opening versus closing wedge high tibial osteotomy: A meta-analysis

Ejemplares similares