Evidence map›Paper›PMID 30767068›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2019

No difference in joint awareness after TKA: a matched-pair analysis of a classic implant and its evolutional design.

Henrik Behrend, Vilijam Zdravkovic, Marco Bösch, Bettina Hochreiter

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06483178 (A Randomised Controlled Trial Comparing Gait in Fixed or Rotating Cementless Total Knee Arthroplasties), which is not on this map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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.

NCT06483178 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

A Randomised Controlled Trial Comparing Gait in Fixed or Rotating Cementless Total Knee Arthroplasties

TypeinterventionalSponsorBelfast Health and Social Care TrustRan2025 to 2027Enrolled90ConditionsTotal Knee Arthroplasty, Knee OsteoarthritisArmsAttune knee implant, Triathlon knee implant
3 · Its place in the literature

Who cites it

18 citing papers in PubMed.

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  7. Global mapping of institutional and hospital-based (Level II-IV) arthroplasty registries: a scoping review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024
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  8. Article
  9. Article
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  12. Review
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  14. Observational
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  16. No difference in radiolucent lines after TKA: a matched-pair analysis of the classic implant and its evolutional design.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020
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  17. Article
  18. 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

4 authors.

Henrik BehrendDepartment of Orthopaedic Surgery and Traumatology, Kantonsspital St. Gallen, Rorschacherstrasse 95, 9007, St. Gallen, Switzerland. henrik.behrend@kssg.ch.ORCID http://orcid.org/0000-0002-4152-0382
Vilijam ZdravkovicDepartment of Orthopaedic Surgery and Traumatology, Kantonsspital St. Gallen, Rorschacherstrasse 95, 9007, St. Gallen, Switzerland.
Marco BöschDepartment of Orthopaedic Surgery and Traumatology, Kantonsspital St. Gallen, Rorschacherstrasse 95, 9007, St. Gallen, Switzerland.
Bettina HochreiterDepartment of Orthopaedic Surgery and Traumatology, Kantonsspital St. Gallen, Rorschacherstrasse 95, 9007, St. Gallen, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTotal knee arthroplasty (TKA) designs continuously evolve with the aim of improving patient outcomes. The purpose of the current study was to compare clinical and patient-reported outcome (PRO) results of a new TKA implant to its predecessor. The hypothesis of this study was that joint awareness and range of motion (ROM) of the newer design would be better than the classic design.

methodsOne hundred patients undergoing TKA using the newer design (Attune

resultsCompared to preoperative scores, FJS-12, WOMAC and ROM improved significantly at 12 months follow-up. In the Attune group, mean FJS-12 and WOMAC at follow-up were 67.6 (SD 27.8) and 14.8 (SD 14.9) respectively, compared to 70.8 (SD 33.8) and 15 (SD 17.9) in the LCS group. Mean postoperative ROM was similar in both groups (Attune 120°, range 90°-140°, SD 10.4 and LCS 120°, range 85°-140°, SD 10.3).

conclusionThe newer TKA and the predecessor design achieved comparable joint awareness, WOMAC scores and ROM at 1-year follow-up. The benefits expected of the newer design could not be observed in early clinical and PROs. The clinical relevance of this study is that it questions the importance of implant design as the single most important factor for patient outcomes. LEVEL OF EVIDENCE: III.

Indexed as

AwarenessAgedAged, 80 and overArthroplasty, Replacement, KneeFemaleHumansKnee JointKnee ProsthesisMaleMatched-Pair AnalysisMiddle AgedPatient Reported Outcome MeasuresPostoperative PeriodProsthesis DesignRange of Motion, ArticularAttuneForgotten Joint Score-12 (FJS-12)LCSMatched-pair analysisPatient-reported outcomes (PROs)TKATotal knee arthroplasty

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Registered trials

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.