Cochrane · systematic review · CD004019

Osteotomy for treating knee osteoarthritis

Brouwer, RW, Huizinga, MR, Duivenvoorden, T, et al. · Cochrane Database of Systematic Reviews · 2014 · Cochrane Library

MusculoskeletalAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
14
current version
GRADE rated
6
No studies
8
Included studies
NR
No studies 8 · 57.1%Ungraded 0 · 0%Very low 2 · 14.3%Low 4 · 28.6%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Other types of high tibial osteotomy (aHTO) compared with closing wedge high tibial osteotomy (CW‐HTO) for people with knee osteoarthritis

Population: people with knee osteoarthritis
7 questions
OutcomeEffectEvidenceStatus / GRADE
Treatment failure rate
Other types of high tibial osteotomy (aHTO) vs closing wedge high tibial osteotomy (CW‐HTO)
no estimate extractedNRNo studies
Pain
Other types of high tibial osteotomy (aHTO) vs closing wedge high tibial osteotomy (CW‐HTO)
no estimate extracted4 studies · 216 participantsLow
Downgraded: imprecision
Function
Other types of high tibial osteotomy (aHTO) vs closing wedge high tibial osteotomy (CW‐HTO)
no estimate extracted4 studies · 216 participantsLow
Downgraded: imprecision
Health‐related quality of life measures
Other types of high tibial osteotomy (aHTO) vs closing wedge high tibial osteotomy (CW‐HTO)
no estimate extractedNRNo studies
Serious adverse events
Other types of high tibial osteotomy (aHTO) vs closing wedge high tibial osteotomy (CW‐HTO)
RR 2.49 [0.64, 9.75]4 studies · 265 participantsLow
Downgraded: imprecision
Mortality
Other types of high tibial osteotomy (aHTO) vs closing wedge high tibial osteotomy (CW‐HTO)
no estimate extractedNRNo studies
Reoperation rate
Other types of high tibial osteotomy (aHTO) vs closing wedge high tibial osteotomy (CW‐HTO)
RR 2.58 [1.49, 4.45]4 studies · 224 participantsLow
Downgraded: imprecision

Closing wedge high tibial osteotomy (CW‐HTO) compared with unicompartmental knee arthroplasty for people with knee osteoarthritis

Population: people with knee osteoarthritis
7 questions
OutcomeEffectEvidenceStatus / GRADE
Treatment failure rate
Closing wedge high tibial osteotomy (CW‐HTO) vs unicompartmental knee arthroplasty
RR 1.32 [0.94, 1.87]1 study · 60 participantsVery low
Pain
Closing wedge high tibial osteotomy (CW‐HTO) vs unicompartmental knee arthroplasty
no estimate extractedNRNo studies
Function
Closing wedge high tibial osteotomy (CW‐HTO) vs unicompartmental knee arthroplasty
no estimate extractedNRNo studies
Health‐related quality of life measures Participant opinion: improvement
Closing wedge high tibial osteotomy (CW‐HTO) vs unicompartmental knee arthroplasty
no estimate extractedNRNo studies
Adverse events
Closing wedge high tibial osteotomy (CW‐HTO) vs unicompartmental knee arthroplasty
RR 0.25 [0.06, 1.08]1 study · 60 participantsVery low
Mortality
Closing wedge high tibial osteotomy (CW‐HTO) vs unicompartmental knee arthroplasty
no estimate extractedNRNo studies
Reoperation rate
Closing wedge high tibial osteotomy (CW‐HTO) vs unicompartmental knee arthroplasty
no estimate extractedNRNo studies