Evidence map›Paper›PMID 20137094›Full record

Trial reportBMC musculoskeletal disorders2010

Total knee arthroplasties performed with a mini-incision or a standard incision. Similar results at six months follow-up.

Daniel Hernandez-Vaquero, Alfonso Noriega-Fernandez, Abelardo Suarez-Vazquez

Abstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC musculoskeletal disorders, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 7 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

18 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. A meta-analysis of minimally invasive and conventional medial parapatella approaches for primary total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2015
    Pooled it
  6. Pooled it
  7. Comparison of the minimally invasive and standard medial parapatellar approaches for primary total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2012
    Pooled it
  8. Trial
  9. Trial
  10. Article
  11. Better outcomes after mini-subvastus approach for primary total knee arthroplasty: a Bayesian network meta-analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2020
    Review
  12. Article
  13. Review
  14. Patient Satisfaction after Total Knee Arthroplasty.Knee surgery & related research · 2016
    Review
  15. Article
  16. Length of hospital stay with patient-dependent determination in bilateral scheduled staged total knee arthroplasty.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2014
    Article
  17. Article
  18. 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.

Daniel Hernandez-VaqueroSchool of Medicine, University of Oviedo, Oviedo, Asturias, Spain. dhernandezv@meditex.es
Alfonso Noriega-Fernandez
Abelardo Suarez-Vazquez

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMinimal invasion surgery (MIS) is a recent technique recommended for Total knee arthroplasty (TKA) but demands an effort of the surgeons and the learning curve may be long.

methodsTwenty six MIS-TKA were matched to 36 standard TKA with respect to age, sex, body mass index or preoperative score. All patients suffered from knee osteoarthritis, which had not improved with medical treatment and which presented a less than 10 degrees deformity in the coronal and sagittal radiographic projections. At six months after the surgery a specific questionnaire was completed as well as the KSS (Knee Society rating scale), the generic short-form health questionnaire (SF-12) and a visual analogue scale (VAS).

resultsThe MIS technique required more time of surgery (p < 0.001), hospital stay was noticeably shorter (p < 0.05) and drainage volume collected after surgery was significantly higher in the standard technique. We observe a higher frequency in small sizes implants for MIS surgery but no statistically significant differences were found between both groups regarding the radiological alignment of the implant. At six months no differences were found between the groups in range of motion, KSS scores, the physical or mental subscale SF-12, patient's pain perception, satisfaction or subjective improvement.

conclusionsMinimal invasion surgery in total knee arthroplasty showed no improvement over a standard approach.

Indexed as

AgedAged, 80 and overAnalgesicsArthroplasty, Replacement, KneeFemaleFollow-Up StudiesHumansLength of StayMaleMinimally Invasive Surgical ProceduresOsteoarthritis, KneePostoperative PainProspective StudiesQuality of LifeRecovery of FunctionTreatment OutcomeAnalgesics

Identifiers

PMID20137094
PMCPMC2835658

What OpenQuestion holds

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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.