Evidence map›Paper›PMID 27056687›Full record

Trial reportKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2017

No difference between fixed- and mobile-bearing total knee arthroplasty in activities of daily living and pain: a randomized clinical trial.

Joicemar Tarouco Amaro, Gustavo Gonçalves Arliani, Diego Costa Astur, Pedro Debieux, Camila Cohen Kaleka, Moises Cohen

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
0.9field-weighted citation impact, top 24% 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. No difference between mobile and fixed bearing in primary total knee arthroplasty: a meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022
    Pooled it
  2. Mobile-bearing versus fixed-bearing total knee arthroplasty: a meta-analysis of randomized controlled trials.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2022
    Pooled it
  3. Trial
  4. Article
  5. Article
  6. 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 at 3 institutions in 2 countries.

Joicemar Tarouco AmaroDepartamento de Ortopedia e Traumatologia, Centro de Traumatologia do Esporte (CETE), Universidade Federal de São Paulo, Rua Borges Lagoa, 783, 5° andar, Vila Clementino, São Paulo, SP, CEP 04038-032, Brazil.
Gustavo Gonçalves ArlianiDepartamento de Ortopedia e Traumatologia, Centro de Traumatologia do Esporte (CETE), Universidade Federal de São Paulo, Rua Borges Lagoa, 783, 5° andar, Vila Clementino, São Paulo, SP, CEP 04038-032, Brazil. ggarliani@hotmail.com.
Diego Costa AsturDepartamento de Ortopedia e Traumatologia, Centro de Traumatologia do Esporte (CETE), Universidade Federal de São Paulo, Rua Borges Lagoa, 783, 5° andar, Vila Clementino, São Paulo, SP, CEP 04038-032, Brazil.
Pedro DebieuxDepartamento de Ortopedia e Traumatologia, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
Camila Cohen KalekaGrupo do Joelho, Departamento de Ortopedia e Traumatologia, Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, SP, Brazil.
Moises CohenDepartamento de Ortopedia e Traumatologia, Centro de Traumatologia do Esporte (CETE), Universidade Federal de São Paulo, Rua Borges Lagoa, 783, 5° andar, Vila Clementino, São Paulo, SP, CEP 04038-032, Brazil.
Universidade Federal de São Paulo · BRRauma Group (Norway) · NOFaculdade de Ciências Médicas da Santa Casa de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeUntil now, there are no definitive conclusions regarding functional differences related to middle- and long-term everyday activities and patient pain following implantation of mobile- and fixed-platform tibial prostheses. The aim of this study was to determine whether there are middle-term differences in knee function and pain in patients undergoing fixed- and mobile-bearing total knee arthroplasty (TKA).

methodsEligible patients were randomized into two groups: the first group received TKA implantation with a fixed tibial platform (group A); the second group received TKA with a mobile tibial platform (group B). Patients were followed up (2 years), and their symptoms and limitations in daily living activities were evaluated using the Knee Outcome Survey-Activities of Daily Living Scale (ADLS), in addition to pain evaluation assessed using the pain visual analogue scale (VAS).

resultsThere were no significant differences in function and symptoms in the ADLS and VAS between the study groups.

conclusionThe type of platform used in TKA (fixed vs. mobile) does not change the symptoms, function or pain of patients 2 years post-surgery. Although mobile TKAs may have better short-term results, at medium- and long-term follow-up they do not present important clinical differences compared with fixed-platform TKAs. This information is important so that surgeons can choose the most suitable implant for each patient. LEVEL OF EVIDENCE: Randomized clinical trial, Level I.

Indexed as

Activities of Daily LivingArthroplasty, Replacement, KneeKnee ProsthesisAgedDouble-Blind MethodFemaleHumansMagnetic Resonance ImagingMaleOsteoarthritis, KneePain MeasurementPostoperative PainTreatment OutcomeArthroplastyClinical trialKneePainReplacement

Identifiers

PMID27056687
OpenAlexW2313692129

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.