Trial reportClinical orthopaedics and related research2011
Hypesthesia after anterolateral versus midline skin incision in TKA: a randomized study.
Trial report in Clinical orthopaedics and related research, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06050473 (Preservation vs Sacrifice of the Supraclavicular Nerve During Clavicle ORIF), which is not on this map. Cited by 23 papers.
What it found
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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.
Preservation vs Sacrifice of the Supraclavicular Nerve During Clavicle ORIF: A Randomized Controlled Trial
Who cites it
23 citing papers in PubMed, 47 citations in OpenAlex.
- Numbness Following Total Knee Arthroplasty: Role of Incision Length And Position - A Randomized Study.Clinics in orthopedic surgery · 2023Trial
- A prospective randomized study in 20 patients undergoing bilateral TKA comparing midline incision to anterolateral incision.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2017Trial
- A modified lateral skin incision reduces wound complications and hospital stay in morbidly obese patients undergoing total knee arthroplasty: a propensity-matched cohort study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Excellent results of restricted kinematic alignment total knee arthroplasty at a minimum of 10 years of follow-up.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- The objective measurement of hypoaesthesia after Total Knee Arthroplasty and its correlation with skin incision length: a prospective study.International orthopaedics · 2024Article
- Total Knee Arthroplasty With Lateral Parapatellar Approach Results in Less Early Postoperative Skin Numbness Than Medial Approach, but No Difference at Mid-Term Follow-Up: A Randomized Control Trial.Arthroplasty today · 2024Article
- Skin sensory alteration and kneeling ability following cruciate retaining total knee arthroplasty are not affected by the incision position: A randomised controlled trial of simultaneous bilateral surgery.Journal of experimental orthopaedics · 2023Article
- SKINTED: an uncommon cutaneous complication of total knee replacement.American journal of neurodegenerative disease · 2023Article
- Is the Numbness after Knee Replacement a More Critical Complication Than Thought? A Detailed Analysis of Neuropathic Pain and Functional Outcomes.Medicina (Kaunas, Lithuania) · 2022Article
- Effects of Leg Length, Sex, Laterality, and the Intermediate Femoral Cutaneous Nerve on Infrapatellar Innervation.Orthopaedic journal of sports medicine · 2022Article
- Correlation of patient-reported numbness around surgical scars with patient-reported outcome measures and joint awareness after knee replacement: a cohort study.BMC musculoskeletal disorders · 2022Article
- Surgical treatment outcome of painful traumatic neuroma of the infrapatellar branch of the saphenous nerve during total knee arthroplasty.World journal of orthopedics · 2021Article
- Fragility Index as a Measure of Randomized Clinical Trial Quality in Adult Reconstruction: A Systematic Review.Arthroplasty today · 2021Article
- The Effect of Sensory Deficit After Total Knee Arthroplasty on Patient Satisfaction and Kneeling Ability.Arthroplasty today · 2021Article
- Cutaneous nerve fields of the anteromedial lower limb-Determination with selective ultrasound-guided nerve blockade.Clinical anatomy (New York, N.Y.) · 2021Article
- SKINTED: A Rare Complication After Total Knee Arthroplasty.Arthroplasty today · 2020Article
- Anatomical Study of the Infrapatellar Branch of the Saphenous Nerve in Humans.Revista brasileira de ortopedia · 2020Article
- Diagnosis and treatment of hyperextension bicondylar tibial plateau fractures.Journal of orthopaedic surgery and research · 2019Article
- Minimally invasive versus conventional approaches in total knee replacement/arthroplasty: A review of the literature.Journal of orthopaedics · 2018Review
- The effect of numbness on outcome from total knee replacement.Annals of the Royal College of Surgeons of England · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe anterior midline skin incision in a TKA provides excellent surgical exposure. However, it usually requires sectioning the infrapatellar branch of the saphenous nerve which may be associated with lateral cutaneous hypesthesia and neuroma formation. QUESTIONS/PURPOSES: We asked whether an anterolateral skin incision to the knee would decrease the area of skin hypesthesia and associated postoperative discomfort. PATIENTS AND
methodsWe randomized 69 knees to receive a TKA through either a midline or an anterolateral skin incision. We assessed skin sensitivity by application of the Semmes-Weinstein monofilament at 13 reference points at 6 weeks and 6 and 12 months postoperatively. The area of hypesthesia was measured using Mesurim Pro 9(®) software. Patient knee ROM, Knee Injury and Osteoarthritis Outcome Score (KOOS), and WOMAC clinical score also were assessed.
resultsThe area of hypesthesia was less after an anterolateral compared with a midline incision up to 1 year after surgery: the areas of hypesthesia were, respectively, 32 cm(2) versus 76 cm(2) at 6 weeks, 14 cm(2) versus 29 cm(2) at 6 months, and 7 cm(2) versus 19 cm(2) at 1 year. Clinical scores and knee ROM were similar in both groups at each followup. At 1 year, in the entire group we observed a correlation between a smaller area of paresthesia and better WOMAC and KOOS scores and greater knee flexion.
conclusionsCompared with the midline skin incision, the anterolateral incision is associated with fewer sensory disturbances and appears to be a reasonable alternative in TKA. LEVEL OF EVIDENCE: Level I, therapeutic study. See the guidelines for authors for a complete description of levels of evidence.
Indexed as
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What 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.