Trial reportKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2009
Avoidance of patellar eversion improves range of motion after total knee replacement: a prospective randomized study.
Trial report in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
12 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Comparison of the clinical efficacy of patellar lateral retraction and patellar eversion in total knee arthroplasty: a systematic review and meta-analysis.BMC musculoskeletal disorders · 2025Pooled it
- The Postoperative Effects of Patellar Eversion in Total Knee Arthroplasty: An Updated Systematic Review and Meta-Analysis.BioMed research international · 2022Pooled it
- Patellar non-eversion in primary TKA reduces the complication rate.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2016Pooled it
- No difference in clinical outcomes after total knee arthroplasty between patellar eversion and non-eversion.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2016Pooled it
- No difference in clinical outcome between patella eversion and lateral retraction in total knee arthroplasty: a systemic review and meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2015Pooled it
- Optimal Handling of the Patella in Tourniquet-Free Total Knee Arthroplasty: Eversion or Lateral Retraction?Orthopaedic surgery · 2020Trial
- Faster recovery after minimally invasive surgery in total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2013Trial
- Faster quadriceps recovery with the far medial subvastus approach in minimally invasive total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2013Trial
- Postoperative clinical outcome between lateral retraction and eversion of patella following simultaneous bilateral total knee arthroplasty.Journal of clinical orthopaedics and trauma · 2021Article
- Common controversies in total knee replacement surgery: Current evidence.World journal of orthopedics · 2014Review
- C-reactive protein (CRP) in different types of minimally invasive knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2013Article
- Patient-specific instruments: industry's innovation with a surgeon's interest.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2013Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Minimally invasive surgery has recently been introduced in TKA surgery. The purpose of this study was to evaluate the effect of eversion of the patella, on safety and functional result after TKA. In a prospective, randomised, double blinded trial, 60 patients were divided in two groups: group A underwent TKA through a standard medial parapatellar arthrotomy, with patellar eversion. Group B underwent the same exposure, except for the fact that the patella was subluxed laterally. All other treatment protocols were identical. Outcomes were measured until 1 year postoperatively. Radiographic evaluation included AP, lateral, skyline and full leg standing radiographs. VAS, WOMAC score, Knee Society Knee and Function score were performed. Active and passive range of motion (ROM) and knee proprioception was measured. All patients underwent isokinetic strength testing. The mean passive ROM changed from 121 degrees preoperatively to 121 degrees postoperatively in group A, compared to 118 degrees -131 degrees respectively in group B at 1 year (P = 0.003). The mean active ROM changed from 112 degrees to 115 degrees in group A, and from 108 degrees to 125 degrees in group B (P = 0.005). All other parameters were not significantly different. Patellar dislocation without eversion for exposing the knee during TKA is a safe procedure and improves ROM at 1 year postoperatively.
Indexed as
Identifiers
19585102What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.