Evidence map›Paper›PMID 30229233›Full record

ArticleJB & JS open access2018

Total Knee Arthroplasty in a Low-Income Country: Short-Term Outcomes from a National Joint Registry.

Simon Matthew Graham, Chipiliro Moffat, Nicholas Lubega, Nyengo Mkandawire, David Burgess, William J Harrison

Abstract read
In one paragraph

Article in JB & JS open access, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

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

  1. Pooled it
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  4. 2050: An Arthroplasty Odyssey.Healthcare (Basel, Switzerland) · 2025
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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.

Simon Matthew GrahamLiverpool School of Tropical Medicine, Liverpool, United Kingdom.
Chipiliro MoffatBeit CURE International Hospital, Blantyre, Malawi.
Nicholas LubegaBeit CURE International Hospital, Blantyre, Malawi.
Nyengo MkandawireBeit CURE International Hospital, Blantyre, Malawi.
David BurgessBeit CURE International Hospital, Blantyre, Malawi.
William J HarrisonCountess of Chester Hospital, Chester, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe describe our 10-year experience with total knee arthroplasty in patients who are included in the Malawi National Joint Registry.

methodsA total of 127 patients underwent 153 total knee arthroplasties (TKAs) between 2005 and 2015. The mean duration of follow-up was 4 years and 3 months (range, 6 months to 10 years and 6 months). The study group included 98 women and 29 men with a mean age of 65.3 years (range, 24 to 84 years). Nine patients were human immunodeficiency virus (HIV)-positive.

resultsThe primary indication for surgery was osteoarthritis (150 knees), and the mean preoperative and postoperative Oxford Knee Scores were 16.81 (range, 4 to 36) and 45.61 (range, 29 to 48), respectively. Four knees (2.6%) were revised because of early periprosthetic joint infection (1 knee), aseptic loosening (1 knee), and late periprosthetic joint infection (2 knees). There were no perioperative deaths. In the group of 9 patients who were HIV-positive, there were no early or late complications and the mean Oxford Knee Score was 47 (range, 42 to 48) at the time of the latest follow-up.

conclusionsThis study demonstrated good short-term results following 153 primary TKAs performed in a low-income country. LEVEL OF EVIDENCE: Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.

Identifiers

PMID30229233
PMCPMC6132907

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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.