Evidence map›Paper›PMID 21562841›Full record

Trial reportKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2011

Gait analysis and electromyography in fixed- and mobile-bearing total knee replacement: a prospective, comparative study.

Carsten O Tibesku, Kiriakos Daniilidis, Adrian Skwara, Tobias Dierkes, Dieter Rosenbaum, Susanne Fuchs-Winkelmann

Abstract readComparative StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 4 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, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Mobile-bearing versus fixed-bearing total knee arthroplasty: a meta-analysis of randomized controlled trials.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2022
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Article
  7. Article
  8. Article
  9. Slow gait speed after bilateral total knee arthroplasty is associated with suboptimal improvement of knee biomechanics.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2018
    Article
  10. No differences between fixed- and mobile-bearing total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2017
    Review
  11. Mobile bearing and fixed bearing total knee arthroplasty.Annals of translational medicine · 2016
    Review
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

6 authors.

Carsten O TibeskuSporthopaedicum Straubing, Bahnhofplatz 8, 94315, Straubing, Germany. carsten@tibesku.de
Kiriakos Daniilidis
Adrian Skwara
Tobias Dierkes
Dieter Rosenbaum
Susanne Fuchs-Winkelmann

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe theoretical superiority of mobile-bearing total knee arthroplasties (TKAs) has not yet been proven in clinical studies. The aim of the current study was to compare and to analyse in a patient population that had received either a fixed or a mobile TKA differences in gait analysis electromyography and clinical scores.

methodsIn a prospective, randomized, patient- and observer-blinded clinical study, 33 patients with primary osteoarthritis of the knee were included. All patients received a Genesis II total knee replacement. Sixteen patients received a mobile and 17 a fixed-bearing cruciate retaining Genesis II TKA. Clinical and quality-of-life scores, electromyography and gait analysis were applied preoperatively and postoperatively with a follow-up of 24 months.

resultsIn both groups, improvements from pre- to postoperative were detected. whereas the results of gait analysis and electromyography did not show any differences. The results from the clinical and the quality-of-life scores improved from pre- to postoperative, while the Knee Society Score showed a superiority of the mobile-bearing group (mean 159 ± 28) over the fixed-bearing group (mean 134 ± 41).

conclusionNo functional advantage of mobile over fixed-bearing TKA was detected, although the mobile-bearing group had better clinical results for which a reason could not be found. These results only apply to cruciate retaining mobile-bearing TKA with a bearing which allows both rotation and anteroposterior translation.

Indexed as

AgedAged, 80 and overArthroplasty, Replacement, KneeElectromyographyFemaleGaitHumansMaleMiddle AgedOsteoarthritis, KneeProspective StudiesQuality of LifeStatistics, NonparametricTreatment OutcomeWeight-Bearing

Identifiers

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.