Evidence map›Paper›PMID 30157590›Full record

ArticleKnee surgery & related research2018

Prophylactic Tibial Stem Fixation in the Obese: Comparative Early Results in Primary Total Knee Arthroplasty.

Joshua T Steere, Michael C Sobieraj, Christopher J DeFrancesco, Craig L Israelite, Charles L Nelson, Atul F Kamath

Open access · diamondAbstract read
In one paragraph

Article in Knee surgery & related research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 13% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. A comparative prospective study between stemmed versus an unstemmed tibial component in total knee arthroplasty in obese patients.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2021
    Article
  17. Increased survival rate in extension stemmed TKA in obese patients at minimum 2 years follow-up.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020
    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

6 authors at 3 institutions in 1 country.

Joshua T SteereDepartment of Orthopedic Surgery, Pennsylvania Hospital, University of Pennsylvania Health System, Philadelphia, PA, USA.
Michael C SobierajDepartment of Orthopedic Surgery, Pennsylvania Hospital, University of Pennsylvania Health System, Philadelphia, PA, USA.
Christopher J DeFrancescoPerelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Craig L IsraeliteDepartment of Orthopedic Surgery, Pennsylvania Hospital, University of Pennsylvania Health System, Philadelphia, PA, USA.
Charles L NelsonDepartment of Orthopedic Surgery, Pennsylvania Hospital, University of Pennsylvania Health System, Philadelphia, PA, USA.
Atul F KamathDepartment of Orthopedic Surgery, Pennsylvania Hospital, University of Pennsylvania Health System, Philadelphia, PA, USA.
Pennsylvania Hospital · USUniversity of Pennsylvania · USUniversity of Pennsylvania Health System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeObesity is a risk factor for aseptic loosening after total knee arthroplasty (TKA). Prophylactic use of tibial stems may enhance tibial fixation in obese patients. The aim of this study was to determine whether a tibial stem extension decreases rates of early failure in obese patients. MATERIALS AND

methodsThis study included 178 consecutive primary TKAs (143 patients) with a body mass index ≥35 kg/m

resultsAverage follow-up was 34 months (range, 24 to 46 months). No failures for aseptic loosening occurred. The occurrence of secondary procedures was not significantly different between groups. Quantification of RLLs revealed no difference between groups.

conclusionsAt early follow-up, no difference was measured in revision rates, need for subsequent procedures, or RLLs between groups.

Indexed as

ArthroplastyKneeObesityStem

Identifiers

PMID30157590
PMCPMC6122940
OpenAlexW2889317786

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.