Research Article

Effect of Computer Navigation on Accuracy and Reliability of Limb Alignment Correction following Open-Wedge High Tibial Osteotomy: A Meta-Analysis

Table 1

Characteristics of the studies included in the meta-analysis.

AuthorsYearStudy typeSample sizeNavigation systemMeasured parametersTarget alignmentLateral cortex fractureOther complications
NavigationConventional

Akamatsu et al. [10]2012RCS3128OrthoPilotMA, CAO, TPS4° valgus4 (conventional)
5 (navigation)
1 delayed union (conventional)
Hankemeier et al. [1]2006RCS1010MedivisionWBLRWBLR 80%NoNR
Iorio et al. [11]2010RCS1413OrthoPilotCAO2°–6° valgusNR2 broken screw (conventional)
Kim et al. [12]2009RCS4743OrthoPilotMA, WBLR, TPS3°–5° valgus
WBLR 62%
2 (conventional)
3 (navigation)
2 delayed union (conventional), 2 delayed union (navigation), 1 varus collapse (navigation)
Lee et al. [13]2014RCS4040OrthoPilotWBLR, CAO, TPSWBLR 62% (50%–70%)NRNR
Lutzner et al. [14]2010RCS109OrthoPilotWBLR, CAOWBLR 80%NRNR
Maurer and Wassmer [15]2006RCS3720OrthoPilotMA, CAO3° valgus
(2°–5° valgus)
NRNR
Reising et al. [16]2013RCS4040OrthoPilotWBLR, CAOWBLR 62% (50%–70%)NRNR
Ribeiro et al. [17]2014RCS1820OrthoPilotMA, TPS3°–6° valgusNRNR
Saragaglia and Roberts [18]2005RCS2828OrthoPilotMA, CAO3°–6° valgus
(HKA 183°–186°)
NRNR

RCS, retrospective comparison study; MA, mechanical axis; CAO, coronal alignment outlier; WBLR, weight bearing line ratio; TPS, tibial posterior slope; NR, not reported.