Evidence map›Paper›PMID 30280217›Full record

ArticleInternational orthopaedics2019

Computed tomography evaluation of total knee arthroplasty implants position after two different surgical methods of implantation.

Francesco Benazzo, Stefano Marco Paolo Rossi, Gianmarco Danesino, Catherine Klersy, Simone Perelli, Matteo Ghiara

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Article in International orthopaedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–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

12 citing papers in PubMed.

  1. Trial
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  6. Review
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  9. In vivo kinematics of cruciate-retaining total knee arthroplasty after a change of polyethylene insert configuration.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2021
    Article
  10. Review
  11. The history of Italian Orthopaedics.International orthopaedics · 2019
    Article
  12. 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.

Francesco BenazzoDepartment of Clinical-Surgical Sciences, Diagnostics and Pediatrics, University of Pavia, Operative Unit of Orthopaedics and Traumatology, Fondazione IRCCS Policlinico San Matteo, Via Golgi, 19, 27100, Pavia, Italy.
Stefano Marco Paolo RossiDepartment of Clinical-Surgical Sciences, Diagnostics and Pediatrics, University of Pavia, Operative Unit of Orthopaedics and Traumatology, Fondazione IRCCS Policlinico San Matteo, Via Golgi, 19, 27100, Pavia, Italy.
Gianmarco DanesinoInterventional and Diagnostic Radiology and Neuroradiology, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Catherine KlersyClinical Epidemiology and Biometry, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Simone PerelliDepartment of Clinical-Surgical Sciences, Diagnostics and Pediatrics, University of Pavia, Operative Unit of Orthopaedics and Traumatology, Fondazione IRCCS Policlinico San Matteo, Via Golgi, 19, 27100, Pavia, Italy.
Matteo GhiaraDepartment of Clinical-Surgical Sciences, Diagnostics and Pediatrics, University of Pavia, Operative Unit of Orthopaedics and Traumatology, Fondazione IRCCS Policlinico San Matteo, Via Golgi, 19, 27100, Pavia, Italy. ghiaram@libero.it.ORCID http://orcid.org/0000-0003-4404-8850

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe objectives of this study were to determine the reliability of a novel method of measuring the rotational alignment of an anatomical tibial tray, the difference in the rotational alignment of the femoral and tibial component according to pure measured resection or blended technique with tensor, and, finally, the difference in terms of clinical results according to the two different methods. PATIENTS AND

methodsWe performed a total of 60 consecutive TKAs: 30 according to pure measured resection and 30 according to blended technique with tensor (FuZion®). Clinical scores and CT scan were done at six months to measure patient's outcome and prosthetic components rotation.

resultsThe method of measurement of tibial tray had high agreement between different radiological observers. Mean external rotation alignment of the femur was 2.7° in standard group and 0.5° in the FuZion® group. For all clinical indices, we observed a large and significant improvement at follow-up, better in blended technique group, but without a clear superiority, and no statistically significant difference was evident between the two groups. At follow-up, HSS was to 89.7 in the FuZion® group and 89.0 in the standard group, KSS (clinical) was 92.6 in and 91.3 respectively, and KSS (Functional) was 91.0 in the FuZion® group and 87.6 in the standard group.

conclusionsOur CT measurement method is reliable and reproducible. All patients operated with this personalized knee system design obtained excellent results; the customization of femoral rotation with a blended technique is, probably, the key to optimize the outcomes and achieve the state of forgotten knee.

Indexed as

Tomography, X-Ray ComputedAgedArthroplasty, Replacement, KneeFemaleFemurHumansKnee JointKnee ProsthesisMaleMiddle AgedOsteoarthritis, KneeProspective StudiesReproducibility of ResultsRotationTibiaBlended technique with tensorCT measurement TKA rotationMeasured resection and gap balancingPersonalized TKA design

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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.