Evidence map›Paper›PMID 22530953›Full record

SynthesisActa orthopaedica2012

RSA prediction of high failure rate for the uncoated Interax TKA confirmed by meta-analysis.

Bart G Pijls, Marc J Nieuwenhuijse, Jan W Schoones, Saskia Middeldorp, Edward R Valstar, Rob G H H Nelissen

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Acta orthopaedica, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. A translational murine model of aseptic loosening with osseointegration failure.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2024
    Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Cementless total knee arthroplasty.Annals of translational medicine · 2016
    Review
  14. Review
  15. Radiostereometry and new prostheses.Acta orthopaedica · 2012
    Article
  16. 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

6 authors.

Bart G PijlsDepartment of Orthopaedics, Leiden University Medical Centre, the Netherlands. b.g.c.w.pijls@lumc.nl
Marc J Nieuwenhuijse
Jan W Schoones
Saskia Middeldorp
Edward R Valstar
Rob G H H Nelissen

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeIn a previous radiostereometric (RSA) trial the uncoated, uncemented, Interax tibial components showed excessive migration within 2 years compared to HA-coated and cemented tibial components. It was predicted that this type of fixation would have a high failure rate. The purpose of this systematic review and meta-analysis was to investigate whether this RSA prediction was correct. MATERIALS AND

methodsWe performed a systematic review and meta-analysis to determine the revision rate for aseptic loosening of the uncoated and cemented Interax tibial components.

results3 studies were included, involving 349 Interax total knee arthroplasties (TKAs) for the comparison of uncoated and cemented fixation. There were 30 revisions: 27 uncoated and 3 cemented components. There was a 3-times higher revision rate for the uncoated Interax components than that for cemented Interax components (OR = 3; 95% CI: 1.4-7.2).

interpretationThis meta-analysis confirms the prediction of a previous RSA trial. The uncoated Interax components showed the highest migration and turned out to have the highest revision rate for aseptic loosening. RSA appears to enable efficient detection of an inferior design as early as 2 years postoperatively in a small group of patients.

Indexed as

Knee ProsthesisProsthesis FailureRadiostereometric AnalysisArthroplasty, Replacement, KneeFemaleHumansMalePredictive Value of TestsReoperation

Identifiers

PMID22530953
PMCPMC3339527

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Registered trials

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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.