Evidence map›Paper›PMID 25236682›Full record

Trial reportKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2016

No difference between wound closure in extension or flexion for range of motion following total knee arthroplasty: a randomized clinical trial.

Mahdi Motififard, Mohsen Heidari, Amin Nemati

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 21% of its field
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. The role of wound closure in total knee arthroplasty: a systematic review on knee position.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2016
    Pooled it
  2. [The influence of knee flexion position on postoperative blood loss and knee range of motion after total knee arthroplasty].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2020
    Review
  3. Controversial Topics in Total Knee Arthroplasty: A Five-Year Update (Part 2).Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2020
    Review
  4. 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 at 1 institution in 1 country.

Mahdi MotififardOrthopaedic Department, Kashani Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.
Mohsen HeidariOrthopaedic Department, Kashani Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.
Amin NematiOrthopaedic Department, Kashani Hospital, Isfahan University of Medical Sciences, Isfahan, Iran. amin.nemati164@gmail.com.
Isfahan University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTotal knee arthroplasty (TKA) is one of the most common surgeries performed in orthopedics. The null hypothesis of the present study was that wound closure in extension or flexion does not have any impact on range of motion (ROM) and clinical outcome after TKA. MATERIALS AND

methodsThis study was a double-blind prospective randomized clinical trial performed at Kashani Hospital. From 2011 to 2012, eligible patients were consecutively enrolled in the study and randomly assigned in two groups. Soft tissue was repaired in 90° flexion in the first group and in full extension position in the second group. The primary outcome of this study was the flexion ROM after 12 months. Secondary outcome was the knee flexion ROM that was evaluated in the first, second, and fourth week and also 6 months after TKA. The other secondary outcome was the knee society score (KSS) that was evaluated before the surgery and after 12 months.

resultsOf the 85 eligible patients who completed the study, 44 were assigned to extension group and 41 to flexion group. There was no significant difference between demographic variables in the study (n.s). There were no significant differences in ROM between the study groups (n.s). There was no significant difference in KSS between study groups before and after the study period (n.s).

conclusionIt is concluded that wound closure in flexion or extension position after TKA does not affect postoperative flexion ROM and KSS. LEVEL OF EVIDENCE: I.

Indexed as

Range of Motion, ArticularWound Closure TechniquesAgedArthroplasty, Replacement, KneeDouble-Blind MethodFemaleHumansKnee JointMaleMiddle AgedProspective StudiesExtensionFlexionSoft tissue repairTotal knee arthroplasty

Identifiers

PMID25236682
OpenAlexW2038323764

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.