Evidence map›Paper›PMID 28541005›Full record

Trial reportYonsei medical journal2017

A Combined Closing Wedge Distal Femoral Osteotomy and Medial Reefing Procedure for Recurrent Patellar Dislocation with Genu Valgum.

Chong Bum Chang, Gautam M Shetty, Jong Seong Lee, Young Chan Kim, Jae Ho Kwon, Kyung Wook Nha

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Yonsei medical journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.3field-weighted citation impact, top 21% 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

7 citing papers in PubMed, 30 citations in OpenAlex.

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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 4 institutions in 2 countries.

Chong Bum ChangDepartment of Orthopedic Surgery, Seoul National University, Boramae Hospital, Seoul, Korea.
Gautam M ShettyDepartment of Orthopaedic Surgery, Breach Candy Hospital, Mumbai, India.
Jong Seong LeeDepartment of Orthopaedic Surgery, Inje University Ilsan Paik Hospital, Goyang, Korea.
Young Chan KimDepartment of Orthopaedic Surgery, Inje University Ilsan Paik Hospital, Goyang, Korea.
Jae Ho KwonDepartment of Orthopedic Surgery, Barunsesang Hospital, Seongnam, Korea.
Kyung Wook NhaDepartment of Orthopaedic Surgery, Inje University Ilsan Paik Hospital, Goyang, Korea. kwnhamj@hotmail.com.
Inje University Ilsan Paik Hospital · KRBreach Candy Hospital · INSNUH SMG-SNU Boramae Medical Center · KRYang Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeRecurrent patellar dislocation is often associated with genu valgum. The purpose of this study was to analyze the short-term results of single-incision, closing-wedge distal femoral osteotomy (CWDFO) combined with medial reefing and lateral release for recurrent patellar instability with genu valgum. MATERIALS AND

methodsCombined CWDFO/medial reefing/lateral release was performed on 10 knees. Clinical evaluation was based on pre- and postoperative Knee Society Score (KSS) and Kujala patellofemoral score. Radiographic evaluation was performed with reference to the weight-bearing line (WBL), the femorotibial angle (FTA), and the mechanical lateral distal femoral angles in the knee-standing view.

resultsAt a mean follow-up of 20±11.7 months (range, 12-42 months), KSS scores improved significantly, from 46.7±5.2 preoperatively to 87±4.4 postoperatively (p<0.001), as did the Kujala score, from 44±8 preoperatively to 86.6±6.8 postoperatively (p<0.001). The WBL decreased significantly, from 76±7% preoperatively to 41±11% postoperatively (p<0.001). The FTA was improved significantly, from 12.7±1.7° preoperatively to 4±4° postoperatively (p<0.001), as was the mLDFA, from 83±4° preoperatively to 91±1.3° postoperatively (p<0.001).

conclusionUse of single-incision CWDFO combined with medial reefing and lateral release prevents patellar dislocation, corrects deformity, and improves clinical outcomes.

Indexed as

AdultDemographyFemaleFemurFollow-Up StudiesGenu ValgumHumansMaleOsteotomyPatellar DislocationPreoperative CareTreatment OutcomeYoung Adultdistal femoral osteotomygenu valgummedial reefingPatellar instability

Identifiers

PMID28541005
PMCPMC5447123
OpenAlexW2619982410

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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.