SynthesisEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2014
Will gender-specific total knee arthroplasty be a better choice for women? A systematic review and meta-analysis.
Synthesis in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.
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.
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Who cites it
13 citing papers in PubMed, 3 syntheses or guidelines pooled it, 33 citations in OpenAlex.
- Symmetric versus asymmetric tibial components: A systematic review of comparative studies.Journal of orthopaedic surgery and research · 2024Pooled it
- Are there gender-specific differences in hip and knee cartilage composition and degeneration? A systematic literature review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Pooled it
- What Differences in Morphologic Features of the Knee Exist Among Patients of Various Races? A Systematic Review.Clinical orthopaedics and related research · 2017Pooled it
- Does the femoral component design modified in consideration of Asian anatomical characteristics fit better than the conventional design for Korean femora in reality?Archives of orthopaedic and trauma surgery · 2024Article
- Anatomical bone structure differences in patients with hemophilic arthropathy of the knee.Journal of clinical imaging science · 2022Article
- Anthropometric measurements of non-arthritic knees in an Egyptian population: an MRI-based study.Journal of orthopaedic surgery and research · 2021Article
- No clinical benefit from gender-specific total knee replacement implants: a systematic review.SICOT-J · 2020Article
- Knee size chart nomogram for evaluation of tibial tuberosity-trochlear groove distance in knees with or without history of patellofemoral instability.International orthopaedics · 2018Article
- Quality assessment of systematic reviews on total hip or knee arthroplasty using mod-AMSTAR.BMC medical research methodology · 2018Article
- Patient specific instrumentation versus conventional knee arthroplasty: comparative study.International orthopaedics · 2017Article
- No clinical benefit of gender-specific total knee arthroplasty: A systematic review and meta-analysis of 6 randomized controlled trials.Acta orthopaedica · 2015Article
- Clinical Outcomes in Men and Women following Total Knee Arthroplasty with a High-Flex Knee: No Clinical Effect of Gender.TheScientificWorldJournal · 2015Article
- Anthropometric measurements of the knee: time to make it fit.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2014Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe aim of this meta-analysis was to review published articles that compared gender-specific total knee arthroplasty (TKA) with conventional TKA for short- or long-term outcomes and to determine which implant leads to a better outcome.
methodsA systematical electronic search was conducted in the database of PubMed, Embase, and the Cochrane Library for prospective and retrospective trials. Two investigators independently reviewed articles, and another two authors extracted information from the included studies. The assessment of methodological quality of eligible studies was performed by using the Cochrane collaboration's tool for assessing risk of bias. Meta-analysis was performed for the outcomes of clinical outcomes including knee society score (KSS), range of motion (ROM), deep infection, overhang of prosthesis, postoperative pain, reoperation rate, and radiolucent line.
resultsFive RCTs and one retrospective study with 1,120 TKAs in 717 patients met the inclusion criteria. Gender-specific TKA and conventional TKA could significantly increase ROM and KSS scores postoperatively, but no difference was observed between two groups. In addition, there was no statistical difference between these two implants in terms of deep infection (OR = 0.97, 95% CI 0.19-4.82, p = 0.97), postoperative pain (OR = 1.05, 95% CI 0.68-1.61, p = 0.83), reoperation rate (OR = 0.78, 95% CI 0.21-2.93, p = 0.71), and radiolucent line (OR = 0.96, 95% CI 0.46-2.01, p = 0.91). However, gender-specific TKA significantly reduced the number of patients with overhang of femoral component in comparison with conventional TKA (OR = 0.04, 95% CI 0.00-0.27, p = 0.001).
conclusionsDespite a lower overhang rate, there was insufficient evidence in favor of gender-specific TKA with regards to KSS score, ROM, deep infection, postoperative pain, reoperation rate, and radiolucent line.
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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.