Is Patient‐Specific Instrumentation Accurate and Necessary for Open‐Wedge High Tibial Osteotomy? A Meta‐Analysis

Autor: Ran Pang, Zhaohui Jiang, Chunlei Xu, Wei Shi, Xinglong Zhang, Xin Wan, Daniel Bahat, Hui Li, Fedor Senatov, Inna Bulygina, Hu Wang, Huafeng Zhang, Zhijun Li
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Orthopaedic Surgery, Vol 15, Iss 2, Pp 413-422 (2023)
Druh dokumentu: article
ISSN: 1757-7861
1757-7853
DOI: 10.1111/os.13483
Popis: The purpose of this meta‐analysis was to identify if patient‐specific instrumentation (PSI) could increase the accuracy of the correction in high tibial osteotomy (HTO) and to explore the assessment indices and the necessity of using a PSI in HTO. A systematic search was carried out using online databases. A total of 466 patients were included in 11 papers that matched the inclusion criteria. To evaluate the accuracy of PSI‐assisted HTO, the weight bearing line ratio (WBL%), hip‐knee‐ankle angle (HKA), mechanical medial proximal tibial angle (mMPTA), and posterior tibial slope angle (PTSA) were measured preoperatively and postoperatively and compared to the designed target values. Statistical analysis was performed after strict data extraction with Review Manager (version 5.4). Significant differences were detected in WBL% (MD = −36.41; 95% CI: −42.30 to −30.53; p
Databáze: Directory of Open Access Journals
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