Evidence map›Paper›PMID 29896542›Full record

ArticleArthroplasty today2018

Tibial tray fracture in a modern prosthesis with retrieval analysis.

John J Callaghan, David E DeMik, Nicholas A Bedard, Andrew N Odland, William M Kane, Steven M Kurtz

Open access · goldAbstract readCase Reports
In one paragraph

Article in Arthroplasty today, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 25% 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

4 citing papers in PubMed, 12 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 3 institutions in 1 country.

John J CallaghanDepartment of Orthopedics and Rehabilitation, University of Iowa, Iowa City, IA, USA.
David E DeMikDepartment of Orthopedics and Rehabilitation, University of Iowa, Iowa City, IA, USA.
Nicholas A BedardDepartment of Orthopedics and Rehabilitation, University of Iowa, Iowa City, IA, USA.
Andrew N OdlandMayo Clinic, Rochester, MN, USA.
William M KaneExponent, Inc., PA, USA.
Steven M KurtzExponent, Inc., PA, USA.
University of Iowa · USExponent (United States) · USMayo Clinic in Arizona · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fracture of the tibial tray is a rarely observed complication of total knee arthroplasty (TKA), predominately in implants placed greater than a decade ago. This case highlights a case of baseplate fracture in a contemporary prosthesis. The patient presented 1 year after TKA with medial knee pain consistent with pes bursitis. The implant-cement-bone construct was intact and she was managed with corticosteroids. She had persistent pain, acutely developed new varus deformity, and presented with a tibial tray fracture. Retrieval analysis suggested fatigue fracture as the likely mechanism. At time of revision, necrotic bone was found at the medial plateau, which likely caused cantilever bending relative to the well-supported portion of the tray and resultant failure. The patient continues to do well 5 years after revision TKA.

Indexed as

ComplicationProsthesis failureTibial componentTotal knee arthroplasty

Identifiers

PMID29896542
PMCPMC5994603
OpenAlexW2792263827

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.