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Systematic Reviews
Copyright: ©Author(s) 2026.
World J Orthop. Apr 18, 2026; 17(4): 115881
Published online Apr 18, 2026. doi: 10.5312/wjo.v17.i4.115881
Table 5 Grading of recommendations assessment, development and evaluation system of the evidence certainty level
Outcome
Number of studies
Study design
Risk of bias
Inconsistency
Indirectness
Imprecision
Certainty
Functional outcomes (KSS)1210 case series + 2 cohortsSeriousNot seriousNot seriousSerious⊕◯◯◯: Very low
Range of motion (knee flexion)1210 case series + 2 cohortsSeriousNot seriousNot seriousSerious⊕◯◯◯: Very low
Complications (overall)1410 case series + 2 cohortsSeriousSerious Not seriousSerious⊕◯◯◯: Very low
Revision rate1410 case series + 2 cohortsSeriousNot seriousNot seriousVery serious⊕◯◯◯: Very low
Radiological alignment5All were case seriesSeriousSeriousNot seriousVery serious⊕◯◯◯: Very low


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