Evidence map›Paper›PMID 29085981›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2018

Arthroscopic posterior bone block stabilization-early results of an effective procedure for the recurrent posterior instability.

Mathias Wellmann, Marc-Frederic Pastor, Max Ettinger, Konstantin Koester, Tomas Smith

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Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–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

15 citing papers in PubMed.

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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

5 authors.

Mathias WellmannDepartment of Orthopaedic Surgery, Medical School Hannover, Anna-von-Borries Straße 1-7, 30625, Hanover, Germany.
Marc-Frederic PastorDepartment of Orthopaedic Surgery, Medical School Hannover, Anna-von-Borries Straße 1-7, 30625, Hanover, Germany.
Max EttingerDepartment of Orthopaedic Surgery, Medical School Hannover, Anna-von-Borries Straße 1-7, 30625, Hanover, Germany.
Konstantin KoesterMedical School Hannover, Hanover, Germany.
Tomas SmithDepartment of Orthopaedic Surgery, Medical School Hannover, Anna-von-Borries Straße 1-7, 30625, Hanover, Germany. Tomas.Smith@diakovere.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn the current study the clinical outcome of an arthroscopic posterior bone block augmentation in combination with a posterior capsular repair was investigated.

methodsTwenty-four shoulders (18 patients) with unidirectional posterior shoulder instability were treated with an arthroscopic posterior bone block and capsular reconstruction. The mean follow up period was 26 months. The patients were examined pre- and postoperatively using the Constant-Murley score, the Rowe score, Walch-Duplay score and Western Ontario Shoulder index.

resultsAt the follow up examination 21 shoulders were classified to be stable, while one patient reported a single redislocation and two further patients reported recurrent posterior subluxation or posterior apprehension. Thus, the recurrence rate was defined to be 12.5%. The Rowe-Score significantly improved from 50 points preoperatively to 75 points postoperatively (p = 0.0003). The WOSI-score significantly improved from 37% preoperatively to 66% postoperatively (p = 0.0001). Revision surgery commonly was required for screw removal.

conclusionThe early clinical results of this arthroscopic bone block augmentation and capsular repair are promising. LEVEL OF EVIDENCE: IV.

Indexed as

AdolescentAdultArthroscopyBone TransplantationFemaleFollow-Up StudiesHumansJoint CapsuleJoint InstabilityMaleMiddle AgedProspective StudiesShoulder JointTreatment OutcomeYoung AdultBone block stabilizationCapsule repairGlenoid erosionPosterior glenoid deficiencyPosterior shoulder instability

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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.