Evidence map›Paper›PMID 29881173›Full record

ReviewJournal of orthopaedics2018

Leg length correction in computer assisted primary total hip arthroplasty: A collective review of the literature.

Jitesh Rajpaul, Mahomed Noor Rasool

Abstract readReview
In one paragraph

Review in Journal of orthopaedics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

2 authors.

Jitesh RajpaulDepartment of Orthopaedic Surgery, King Edward VIII Hospital, Durban, KwaZulu-Natal, South Africa.
Mahomed Noor RasoolNelson R Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe aim of this study was to determine whether computer assisted surgery (CAS) can provide a more accurate, reproducible technique to achieve equal leg lengths in total hip arthroplasty (THA) and to compare the clinical outcome with conventional on table judgement of leg lengths in unilateral total hip replacement.

methodsA collective review of the literature was undertaken utilizing applicable databases. Research criteria were the following: (1) Developing and developed country studies, (2) level II, III, IV and V studies, (3) human subjects only, (4) period of study from 1996 to 2017 - English text only. The identified publications were assessed for their relevance and methodology and 20 articles were selected.

resultsThe overall evaluation of the results demonstrates that CAS provides a more accurate reproduction of limb length in THA compared to conventional freehand THA. Short to medium-term studies have demonstrated no benefit in clinical outcome scores. There is a high degree of correlation between measurements provided by CAS intraoperatively and radiographic measurements postoperatively.

conclusionCAS provides a more accurate, reproducible technique to achieve limb length equality in THA compared to conventional freehand THA, however more intensive long-term studies are required to establish the effect on implant longevity and revision surgery rates in the two groups.

Indexed as

Computer assisted surgeryComputer navigated surgeryLeg length correctionLeg length discrepancyTotal hip arthroplasty

Identifiers

PMID29881173
PMCPMC5990211

What OpenQuestion holds

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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.