Evidence map›Paper›PMID 19859692›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2010

Ligament releases do not lead to increased postoperative varus-valgus laxity in flexion and extension: a prospective clinical study in 49 TKR patients.

P J C Heesterbeek, N L W Keijsers, A B Wymenga

Abstract read
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In one paragraph

Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Observational
  5. Article
  6. Laxity after complete release of the medial collateral ligament in primary total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2015
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Anteroposterior stability after posterior cruciate-retaining total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2011
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

P J C HeesterbeekDepartment of Research, Development and Education, Sint Maartenskliniek, Postbox 9011, 6500 GM, Nijmegen, The Netherlands. p.heesterbeek@maartenskliniek.nl
N L W Keijsers
A B Wymenga

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This prospective study investigated whether ligament releases necessary during total knee replacement (TKR) led to a higher varus-valgus laxity during intraoperative examination after implantation of the prosthesis and after 6 months. The laxity values of TKR patients were also compared to healthy controls. Varus-valgus laxity was assessed intra- and postoperatively in extension and 70 degrees flexion in 49 patients undergoing TKR, implanted using a balanced gap technique. Knees were catalogued according to ligament releases performed during surgery. Postoperative varus-valgus laxity and laxity after 6 months had not increased following release of the posteromedial capsule, iliotibial tract, and the superficial medial collateral ligament. The obtained postoperative laxity compares well with a healthy equally aged control group. It can be concluded that the balanced gap technique results in stable knees and that releases can safely be performed to achieve neutral leg alignment without causing postoperative laxity.

Indexed as

Range of Motion, ArticularAdultAgedAged, 80 and overArthroplasty, Replacement, KneeFemaleHumansJoint CapsuleJoint InstabilityKnee JointMaleMedial Collateral Ligament, KneeMiddle AgedOsteotomyProspective StudiesSurgery, Computer-Assisted

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.