Evidence map›Paper›PMID 30893934›Full record

ArticleJournal of clinical medicine2019

Suitability of Metal Block Augmentation for Large Uncontained Bone Defect in Revision Total Knee Arthroplasty (TKA).

Kwan Su Kang, Trinh Ngoc Tien, Myung Chul Lee, Kwon-Yong Lee, Bongju Kim, Dohyung Lim

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

  1. Updates in the Treatment of Knee Osteoarthritis.Revista brasileira de ortopedia · 2024
    Article
  2. Article
  3. Article
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  5. Review
  6. Review
  7. Article
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  9. Article
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  11. Review
  12. Preoperative Evaluation of V-Y Flap Design Based on Computer-Aided Analysis.Computational and mathematical methods in medicine · 2020
    Article
  13. Complications in Total Joint Arthroplasties.Journal of clinical medicine · 2019
    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.

Kwan Su KangDepartment of Research & Development, Medical Device Development Center, OSONG Medical Innovation Foundation, Cheongju 28160, Korea. oioi1578@kbiohealth.kr.ORCID 0000-0001-5536-8804
Trinh Ngoc TienDepartment of Mechanical Engineering, Sejong University, Seoul 05006, Korea. tientrinh.ute@gmail.com.
Myung Chul LeeDepartment of Orthopedic Surgery, College of medicine, Seoul National University, Seoul 03080, Korea. leemc@snu.ac.kr.
Kwon-Yong LeeDepartment of Mechanical Engineering, Sejong University, Seoul 05006, Korea. kwonlee@sejong.ac.kr.
Bongju KimDental Life Science Research Institute, Clinical Translational Research Center for Dental Science, Seoul National University, Seoul 03080, Korea. bjkim016@gmail.com.ORCID 0000-0001-7309-5977
Dohyung LimDepartment of Mechanical Engineering, Sejong University, Seoul 05006, Korea. dli349@sejong.ac.kr.ORCID 0000-0003-3752-7079

Funding

National Research Foundation of Korea 2017M3A9E9073545
6 · The paper itself

Abstract

This study was performed to determine whether metal block augmentation is suitable for large uncontained bone defect via evaluations of differences in biomechanical characteristics among the configurations of metal block augmentations for medium or large uncontained bone defects in revision total knee arthroplasty (TKA). Three-dimensional finite element (FE) models of the proximal tibia with revision TKA were developed and analyzed considering the configurations of the metal block augmentations for medium and large uncontained bone defects. To identify differences in biomechanical characteristics according to the configurations of metal block augmentations, the stress transfer, strain distribution, and peak von Mises stresses (PVMSs) were assessed. Large and medium uncontained bone defects had similar ranges of strain below the critical bone-damage strain for the metal block augmentations, but the strain distribution characteristics differed in response to the metal block-augmentation configurations. PVMSs exceeding the yield strength of the bone cement for the single metal block-augmentation configurations were, on average, 1.4 times higher than those for double metal block-augmentation configurations for both medium and large uncontained bone defects. These findings suggest that metal block augmentation may be suitable for large uncontained bone defects (≤20 mm), compared with the results obtained for metal block augmentation used in medium uncontained bone defects (≤10 mm). If possible, double metal block augmentation is recommended for both medium and large uncontained bone defects rather than single metal block augmentation. It is also recommended that the metal block augmentation should be customized to meet the contact characteristics with the cortical bone, thereby ensuring better stress transfer and reducing the risk of the bone resorption due to stress shielding and bone-cement failure.

Indexed as

finite element analysislarge uncontained bone defectmedium uncontained bone defectmetal block-augmentation configurationrevision total knee arthroplasty

Identifiers

PMID30893934
PMCPMC6462980

What OpenQuestion holds

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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.