Evidence map›Paper›PMID 28302130›Full record

ArticleJournal of orthopaedic surgery and research2017

Comparison of distraction arthroplasty alone versus combined with arthroscopic microfracture in treatment of post-traumatic ankle arthritis.

Kaibin Zhang, Yiqiu Jiang, Jing Du, Tianqi Tao, Wang Li, Yang Li, Jianchao Gui

Open access · goldAbstract readComparative StudyControlled Clinical Trial
In one paragraph

Article in Journal of orthopaedic surgery and research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.6field-weighted citation impact, top 12% 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

10 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
  2. Review
  3. Ankle distraction arthroplasty (ADA): A brief review and technical pearls.Journal of clinical orthopaedics and trauma · 2022
    Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Management of Posttraumatic Ankle Arthritis: Literature Review.Current reviews in musculoskeletal medicine · 2018
    Review
  9. Article
  10. 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 at 1 institution in 1 country.

Kaibin ZhangDepartment of Orthopaedics, Nanjing First Hospital, Nanjing Medical University, ChangLe Road 68, Nanjing, 210000, Jiangsu Province, People's Republic of China.
Yiqiu JiangDepartment of Orthopaedics, Nanjing First Hospital, Nanjing Medical University, ChangLe Road 68, Nanjing, 210000, Jiangsu Province, People's Republic of China.
Jing DuDepartment of Orthopaedics, Nanjing First Hospital, Nanjing Medical University, ChangLe Road 68, Nanjing, 210000, Jiangsu Province, People's Republic of China.
Tianqi TaoDepartment of Orthopaedics, Nanjing First Hospital, Nanjing Medical University, ChangLe Road 68, Nanjing, 210000, Jiangsu Province, People's Republic of China.
Wang LiDepartment of Orthopaedics, Nanjing First Hospital, Nanjing Medical University, ChangLe Road 68, Nanjing, 210000, Jiangsu Province, People's Republic of China.
Yang LiDepartment of Orthopaedics, Nanjing First Hospital, Nanjing Medical University, ChangLe Road 68, Nanjing, 210000, Jiangsu Province, People's Republic of China.
Jianchao GuiDepartment of Orthopaedics, Nanjing First Hospital, Nanjing Medical University, ChangLe Road 68, Nanjing, 210000, Jiangsu Province, People's Republic of China. gui1997@126.com.
Nanjing Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aims to compare clinical outcomes of distraction arthroplasty alone versus combined with arthroscopic microfracture in treating post-traumatic ankle arthritis.

methodsThe study cohort consisted of 96 patients (96 ankles) who underwent distraction arthroplasty alone or combined with arthroscopic microfracture between May 2005 and April 2012. Patients were divided into the distraction group (n = 46) and the combined group (n = 50). The American Orthopaedic Foot and Ankle Society (AOFAS) score, visual analog scale (VAS), and ankle activity score (AAS) were used to compare the clinical outcomes between groups. Arthritis severity was assessed on the radiograph.

resultsAt the mean follow-up period of 30.8 ± 3.1 and 31.4 ± 3.6 months, respectively, no severe complications occurred and no further surgical interventions for symptomatic arthritis were required in both groups. The AOFAS scores improved significantly in the combined group than in the distraction group (59.0 ± 4.7 and 58.0 ± 4.9 preoperatively versus 85.0 ± 4.9 and 88.9 ± 5.4 at final visit, P < 0.001). The AAS scores were also significantly higher in the combined group (3.6 ± 1.1 and 3.3 ± 1.0 preoperatively versus 6.5 ± 1.1 and 7.1 ± 1.3 at final visit, P = 0.009). Pain was significantly alleviated in the combined group by the VAS scores (6.4 ± 0.9 and 6.7 ± 0.9 preoperatively versus 2.3 ± 0.8 and 2.0 ± 0.7 at final visit, P = 0.040). The combined group achieved better radiographic arthritis severity decrease than the distraction group (P = 0.012).

conclusionsCompared to distraction arthroplasty alone, distraction arthroplasty combined with arthroscopic microfracture can offer better functional recovery, pain relief, and ankle arthritis resolution for treating post-traumatic ankle arthritis.

Indexed as

AdultAnkle InjuriesAnkle JointArthroplastyArthroscopyFemaleHumansMaleMiddle AgedOsteoarthritisPain MeasurementRadiographyRecovery of FunctionSeverity of Illness IndexTreatment OutcomeYoung AdultAnkle arthritisArthroscopyCartilageDistraction arthroplastyMicrofracture

Identifiers

PMID28302130
PMCPMC5356353
OpenAlexW2596015145

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.