Evidence map›Paper›PMID 30565177›Full record

ArticleInternational orthopaedics2019

Unicompartmental knee arthroplasty is superior to high tibial osteotomy in post-operative recovery and participation in recreational and sports activities.

Man Soo Kim, In Jun Koh, Sueen Sohn, Ji Hwan Jeong, Yong In

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In one paragraph

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 28 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 5 pooled it
6.2field-weighted citation impact, top 3% 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

28 citing papers in PubMed, 5 syntheses or guidelines pooled it, 51 citations in OpenAlex.

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  6. Review
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  10. Low central sensitisation inventory score is associated with better post-operative outcomes of osteotomy around the knee.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023
    Article
  11. Article
  12. Muti-factor analysis of sport activity level after high tibial osteotomy.Journal of orthopaedic surgery and research · 2023
    Article
  13. Article
  14. [Effect of body mass index on short-term effectiveness of high tibial osteotomy in treatment of varus knee arthritis].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2023
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  20. [Arthroscopy combined with high tibial osteotomy for the treatment of knee medial compartment osteoarthritis and its influence on cartilage injury].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2021
    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

5 authors at 3 institutions in 3 countries.

Man Soo KimDepartment of Orthopaedic Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222 Banpo-Daero, Seocho-Gu, Seoul, 06591, South Korea.
In Jun KohDepartment of Orthopaedic Surgery, St. Paul's Hospital, College of Medicine, The Catholic University of Korea, 222 Banpo-Daero, Seocho-Gu, Seoul, 06591, South Korea.
Sueen SohnDepartment of Orthopaedic Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222 Banpo-Daero, Seocho-Gu, Seoul, 06591, South Korea.
Ji Hwan JeongDepartment of Orthopaedic Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222 Banpo-Daero, Seocho-Gu, Seoul, 06591, South Korea.
Yong InDepartment of Orthopaedic Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222 Banpo-Daero, Seocho-Gu, Seoul, 06591, South Korea. iy1000@catholic.ac.kr.ORCID 0000-0002-1374-9964
The Catholic University of Korea Seoul St. Mary's Hospital · KRSt. Mary's Hospital · USSt. Paul's Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare (1) the recovery pattern of post-operative physical activity and function in the early post-operative period and (2) the difference of participation in recreational and sports activities pre- and post-operatively following unicompartmental knee arthroplasty (UKA) and high tibial osteotomy (HTO).

methodsIn this prospective comparative study, 49 HTOs (49 patients) and 42 UKAs (42 patients) performed to treat medial compartmental knee osteoarthritis (OA) were included. The pain visual analog scale (VAS), Western Ontario and McMaster Universities Osteoarthritis Index score (WOMAC), Tegner activity score, Lysholm knee score, and the University of California at Los Angeles (UCLA) activity score were evaluated pre-operatively and post-operatively at three, six, 12, and 24 months. Participation in recreational and sports activities was also assessed pre-operatively and 24 months post-operatively.

resultsPre-operatively, although there were no differences in VAS, WOMAC, and Lysholm scores between the two groups, the UKA group had inferior Tegner and UCLA scores (p < 0.05). At post-operative three and six months, the UKA group showed superior VAS, WOMAC, and Lysholm scores (p < 0.05 for all). However, at 12 and 24 months post-operatively, both groups had similar outcome scores (p > 0.05 for all). When all the baseline scores were adjusted for the mean changes, the UKA group showed a significantly better UCLA score than the HTO group until 12 months after the operation (p = 0.008). The rate of return to sports activity was 94.1% in the UKA group and 75.0% in the HTO group at 24 months post-operatively (p = 0.031).

conclusionThese findings indicate that UKA had better short-term functional outcomes and return to recreational and sports activities than did HTO in patients with medial OA.

Indexed as

Arthroplasty, Replacement, KneeOsteotomyAdultAgedFemaleHumansKnee JointMaleMiddle AgedOsteoarthritisPostoperative PeriodProspective StudiesRecovery of FunctionSportsTreatment OutcomeHigh tibial osteotomyRecoveryRecreational activitiesSports activitiesUnicompartmental knee arthroplasty

Identifiers

PMID30565177
OpenAlexW2904842170

What OpenQuestion holds

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Read underepoch 390

Registered trials

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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.