Evidence map›Paper›PMID 26873695›Full record

Trial reportBMC musculoskeletal disorders2016

Surgically modifiable factors measured by computer-navigation together with patient-specific factors predict knee society score after total knee arthroplasty.

Frank Lampe, Franziska Fiedler, Carlos J Marques, Anusch Sufi-Siavach, Georg Matziolis

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC musculoskeletal disorders, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Navigated "small implants" in knee reconstruction.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 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

5 authors.

Frank LampeResearch Center of the Department of Orthopedics and Joint Replacement at the Schoen Klinik Hamburg Eilbek, Dehnhaide 120, D-22081, Hamburg, Germany. flampe@schoen-kliniken.de.
Franziska FiedlerDepartment of Orthopedics and Joint Replacement at the Schoen Klinik Hamburg Eilbek, Dehnhaide 120, D-22081, Hamburg, Germany. ffiedler@schoen-kliniken.de.
Carlos J MarquesResearch Center of the Department of Orthopedics and Joint Replacement at the Schoen Klinik Hamburg Eilbek, Dehnhaide 120, D-22081, Hamburg, Germany. cmarques@schoen-kliniken.de.
Anusch Sufi-SiavachDepartment of Orthopedics and Joint Replacement at the Schoen Klinik Hamburg Eilbek, Dehnhaide 120, D-22081, Hamburg, Germany. asufi@schoen-kliniken.de.
Georg MatziolisOrthopaedic Department, Jena University Hospital, Campus Eisenberg, Klosterlausnitzer Straße 81, D-07607, Eisenberg, Germany. g.matziolis@krankenhaus-eisenberg.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe purpose was to investigate whether patient-specific factors (PSF) and surgically modifiable factors (SMF), measured by means of a computer-assisted navigation system, can predict the Knee Society Scores (KSS) after total knee arthroplasty (TKA).

methodsData from 99 patients collected during a randomized clinical trial were used for this secondary data analysis. The KSS scores of the patients were measured preoperatively and at 4-years follow-up. Multiple regression analyses were performed to investigate which combination of variables would be the best to predict the 4-years KSS scores.

resultsWhen considering SMF alone the combination of four of them significantly predicted the 4-years KSS-F score (p = 0.009), explaining 18 % of its variation. When considering only PSF the combination of age and body weight significantly predicted the 4-years KSS-F (p = 0.008), explaining 11 % of its variation. When considering both groups of predictors simultaneously the combination of three PSF and two SMF significantly predicted the 4-years KSS-F (p = 0.007), explaining 20 % of its variation.

conclusionsYounger age, better preoperative KSS-F scores and lower BMI before surgery, a positive tibial component slope and small changes in femoral offset were predictors of better KSS-F scores at 4-years.

Indexed as

Arthroplasty, Replacement, KneeDecision Support TechniquesSurgery, Computer-AssistedAgedAge FactorsBiomechanical PhenomenaBody Mass IndexFemaleGermanyHumansKnee JointKnee ProsthesisMaleMiddle AgedOsteoarthritis, KneePredictive Value of Tests

Identifiers

PMID26873695
PMCPMC4752747

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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.