Evidence map›Paper›PMID 29213219›Full record

ReviewClinical reviews in bone and mineral metabolism2017

A Review on Bone Mineral Density Loss in Total Knee Replacements Leading to Increased Fracture Risk.

M Gundry, S Hopkins, K Knapp

Registry-linked trialAbstract readReview
In one paragraph

Review in Clinical reviews in bone and mineral metabolism, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04040764 (The Tritanium Uncemented Prosthesis Versus the Cemented Triathlon Prosthesis), which is not on this map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 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.

NCT04040764 naactive not recruitingnot on this mapstarted 2019, after this paper: background citation

The Tritanium Uncemented Prosthesis Versus the Cemented Triathlon Prosthesis

TypeinterventionalSponsorRoyal Devon and Exeter NHS Foundation TrustRan2019 to 2026Enrolled60ConditionsKnee OsteoarthritisArmsTritanium uncemented Total Knee Replacement
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Osteoporosis is not associated with increased reoperation or fracture risk three years after total ankle arthroplasty: a retrospective cohort study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
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  15. Risk for hip fracture before and after total knee replacement in Sweden.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2020
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  16. DXA evaluation of femoral bone mineral density and cortical width in patients with prior total knee arthroplasty.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2019
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  17. 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

3 authors.

M GundryUniversity of Exeter Medical School, St Luke's Campus, Heavitree Road, Exeter, EX1 2LU UK.
S HopkinsUniversity of Exeter Medical School, St Luke's Campus, Heavitree Road, Exeter, EX1 2LU UK.
K KnappUniversity of Exeter Medical School, St Luke's Campus, Heavitree Road, Exeter, EX1 2LU UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The link between low bone mineral density (BMD) scores leading to greater fracture risk is well established in the literature; what is not fully understood is the impact of total knee replacements/revisions or arthroplasties on BMD levels. This literature review attempts to answer this question. Several different databases using specific key terms were searched, with additional papers retrieved via bibliographic review. Based on the available evidence, total knee replacements/revisions and arthroplasties lower BMD and thus increase fracture risk. This review also addresses the possible implications of this research and possible options to reduce this risk.

Indexed as

BMDBone mineral densityFracture riskTKRTotal knee replacement

Identifiers

PMID29213219
PMCPMC5698368

What OpenQuestion holds

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Registered trials

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.