Evidence map›Paper›PMID 27129369›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2016

Patient-specific and intra-operatively modifiable factors assessed by computer navigation predict maximal knee flexion one year after TKA.

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

Abstract read
PubMed Publisher
In one paragraph

Article 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 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. 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.

Frank LampeResearch Center of the Orthopedic and Joint Replacement Department, Schoen Klinik Hamburg Eilbek, Dehnhaide 120, 22081, Hamburg, Germany.
Carlos J MarquesResearch Center of the Orthopedic and Joint Replacement Department, Schoen Klinik Hamburg Eilbek, Dehnhaide 120, 22081, Hamburg, Germany. cmarques@schoen-kliniken.de.
Franziska FiedlerDepartment of Orthopedics and Joint Replacement, Schoen Klinik Hamburg Eilbek, Dehnhaide 120, 22081, Hamburg, Germany.
Anusch Sufi-SiavachDepartment of Orthopedics and Joint Replacement, Schoen Klinik Hamburg Eilbek, Dehnhaide 120, 22081, Hamburg, Germany.
Ana I CaritaMathematic Methods Department, Faculty of Human Kinetics, Lisbon University, Estrada da Costa, 1499-002, Cruz Quebrada, Portugal.
Georg MatziolisOrthopaedic Department, Jena University Hospital, Campus Eisenberg, Klosterlausnitzer Straße 81, 07607, Eisenberg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThere are multiple factors affecting maximal knee flexion (MKF) after total knee arthroplasty (TKA). The aim of the study 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 MKF after TKA.

methodsData from 99 patients collected during a randomized clinical trial were used for this secondary data analysis. The MKF of the patients was measured preoperatively and 1-year post-surgery. Multiple regression analyses were performed to investigate which combination of variables would be the best to predict the 1-year MKF.

resultsWhen considering SMF alone, the combination of three factors significantly predicted the 1-year MKF (p = 0.001), explaining 22 % of its variation. When considering only PSF, the combination of pre-op MKF and BMI significantly predicted the 1-year MKF (p < 0.001), explaining 23 % of its variation. When considering both groups of potential predictors simultaneously, the combination of five SMF with two PSF significantly predicted the 1-year MKF (p = 0.001), explaining 32 % of its variation.

conclusionsComputer navigation variables alone could explain 22 % of the variance in the 1-year MKF. The larger proportion (32 %) of the 1-year MKF variation could be explained with a combination of SMF and PSF. The results of studies in this area could be used to identify patients at risk of poor outcomes. LEVEL OF EVIDENCE: Level II, Prognostic study.

Indexed as

Arthroplasty, Replacement, KneeSurgery, Computer-AssistedAgedFemaleFollow-Up StudiesHumansKnee JointMaleMiddle AgedOsteoarthritis, KneeRange of Motion, ArticularComputer-assisted surgeryJoint range of motionPrognosisTotal knee replacement

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.