Evidence map›Paper›PMID 26984107›Full record

ReviewDer Orthopade2016

[Partial replacement of the knee joint with patient-specific instruments and implants (ConforMIS iUni, iDuo)].

J Beckmann, A Steinert, C Zilkens, A Zeh, C Schnurr, M Schmitt-Sody, M Gebauer

Abstract readReview
PubMed Publisher
In one paragraph

Review in Der Orthopade, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

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

  1. Insufficient evidence to confirm benefits of custom partial knee arthroplasty: a systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022
    Pooled it
  2. Pooled it
  3. Trial
  4. Observational
  5. Relevant changes of leg alignment after customised individually made bicompartmental knee arthroplasty due to overstuffing.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022
    Article
  6. Article
  7. Customised bi-compartmental knee arthroplasty shows encouraging 3-year results: findings of a prospective, multicenter study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020
    Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. 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

7 authors.

J BeckmannSportklinik Stuttgart, Taubenheimstr. 8, 70372, Stuttgart, Deutschland. drjbeckmann@gmx.de.
A SteinertOrthopädische Klinik König-Ludwig-Haus, Würzburg, Deutschland.
C ZilkensOrthopädische Klinik, Heinrich-Heine Universität Düsseldorf, Düsseldorf, Deutschland.
A ZehOrthopädische Klinik, Universität Halle, Halle, Deutschland.
C SchnurrSt. Vinzenz-Krankenhaus, Düsseldorf, Deutschland.
M Schmitt-SodyMedical Park Chiemsee, Bernau, Deutschland.
M GebauerENDO-Klinik, Hamburg, Deutschland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Knee arthroplasty is a successful standard procedure in orthopedic surgery; however, approximately 20 % of patients are dissatisfied with the clinical results as they suffer pain and can no longer achieve the presurgery level of activity. According to the literature the reasons are inexact fitting of the prosthesis or too few anatomically formed implants resulting in less physiological kinematics of the knee joint. Reducing the number of dissatisfied patients and the corresponding number of revisions is an important goal considering the increasing need for artificial joints. In this context, patient-specific knee implants are an obvious alternative to conventional implants. For the first time implants are now matched to the individual bone and not vice versa to achieve the best possible individual situation and geometry and more structures (e.g. ligaments and bone) are preserved or only those structures are replaced which were actually destroyed by arthrosis. According to the authors view, this represents an optimal and pioneering addition to conventional implants. Patient-specific implants and the instruments needed for correct alignment and fitting can be manufactured by virtual 3D reconstruction and 3D printing based on computed tomography (CT) scans. The portfolio covers medial as well as lateral unicondylar implants, medial as well as lateral bicompartmental implants (femorotibial and patellofemoral compartments) and cruciate ligament-preserving as well as cruciate ligament-substituting total knee replacements; however, it must be explicitly emphasized that the literature is sparse and no long-term data are available.

Indexed as

Knee ProsthesisArthroplasty, Replacement, KneeEquipment Failure AnalysisHumansImaging, Three-DimensionalKnee JointOsteoarthritis, HipPatient SelectionPrecision MedicinePrinting, Three-DimensionalProsthesis DesignProsthesis FittingSurgery, Computer-AssistedTreatment OutcomeArthroplastyIndividualKneePartial joint replacementPatient-specific modeling

Identifiers

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.