Evidence map›Paper›PMID 30157591›Full record

ArticleKnee surgery & related research2018

Redislocation after Bearing Exchange for the Treatment of Mobile Bearing Dislocation in Medial Unicompartmental Knee Arthroplasty.

Sang-Gyun Kim, Hyun-Gon Kim, Seung-Yup Lee, Hong-Chul Lim, Ji-Hoon Bae

Abstract 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 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 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

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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

6 citing papers in PubMed, 2 syntheses or guidelines 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

5 authors.

Sang-Gyun KimDepartment of Orthopaedic Surgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea.
Hyun-Gon KimDepartment of Orthopaedic Surgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea.
Seung-Yup LeeDepartment of Orthopaedic Surgery, Seoul Barunsesang Hospital, Seoul, Korea.
Hong-Chul LimDepartment of Orthopaedic Surgery, Seoul Barunsesang Hospital, Seoul, Korea.
Ji-Hoon BaeDepartment of Orthopaedic Surgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study was conducted to investigate the outcomes of bearing exchange for the treatment of mobile bearing dislocation in medial unicompartmental knee arthroplasty (UKA). MATERIALS AND

methodsWe retrospectively reviewed 18 patients (15 females and 3 males, mean age of 65 years) treated with bearing exchange following mobile bearing dislocation in medial UKA. The occurrence of bearing redislocation, the Oxford Knee Score, and radiographic changes at the last follow-up were investigated.

resultsBearing redislocation after bearing exchange occurred in 9 of 18 patients (50%). Of these 9 patients, 7 underwent conversion to total knee arthroplasty after bearing redislocation. The 9 patients without bearing redislocation showed good to excellent clinical outcomes at a mean follow-up of 55 months after bearing exchange. The non-redislocation group had a higher percentage of posterior dislocation of the bearing than the redislocation group (55.5% vs. 22.2%, p=0.040). Univariate logistic regression analysis showed no significant risk factors for bearing redislocation.

conclusionsThis study showed a high rate of bearing redislocation after isolated, mobile bearing exchange for bearing dislocation following medial UKA. Therefore, bearing exchange as a sole treatment should be carefully considered in selected patients with correctable causes of bearing dislocation.

Indexed as

ArthroplastyDislocationKneeUnicompartmental

Identifiers

PMID30157591
PMCPMC6122936

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