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. 2014 Dec 13;2014(12):CD004019. doi: 10.1002/14651858.CD004019.pub4

Iori 2011.

Methods RCT; randomisation and allocation procedures not described
Participants
  1. Age < 65 years

  2. Grade III or lower radiographic Kellgren‐Lawrence symptomatic isolated medial knee compartment osteoarthritis

  3. Failed conservative treatment

  4. Absence of additional cartilage treatment

  5. Concomitant ligamentous lesions

Interventions I: open wedge HTO with a navigation system (n = 13; 14 knees)
C: open wedge HTO without navigation system (n = 11; 13 knees)
Outcomes Alignment (HKA angle), mechanical medial proximal tibial angle (mMPTA), mechanical lateral distal femoral angle (mLDFA), tibial slope (Brazier methods), patellar height (Insall‐Salvati Index), inferior limb length, American KSS, Modified Cincinnati Rating System Questionnaire, VAS (pain: 0 = unbearable pain and 10 = no pain)
Notes Quote: "The authors declare that they have no conflict of interest with this study"
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Not described
Allocation concealment (selection bias) Unclear risk Not described
Blinding (performance bias and detection bias) 
 All outcomes High risk Not possible
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Not described
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Quote: "All the radiological evaluations were performed by a single blinded expert radiologist"
Incomplete outcome data (attrition bias) 
 All outcomes Low risk No dropouts mentioned
Selective reporting (reporting bias) Low risk All outcomes presented
Other bias Low risk No issue