ArticleActa orthopaedica2019
Predicting individual knee range of motion, knee pain, and walking limitation outcomes following total knee arthroplasty.
Article in Acta orthopaedica, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06086860 (Effects of Mulligan Mobilization With and Without Dry Needling in Runner's Knee), which is not on this map. Cited by 47 papers, 6 of them syntheses that pooled it.
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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.
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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.
Effects of Mulligan Mobilization With and Without Dry Needling in Runner's Knee
Who cites it
47 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Evaluating methodological quality of prognostic prediction models on patient-reported outcome measurements after total hip and total knee arthroplasty : a systematic review.Bone & joint open · 2026Pooled it
- Identification of Metabolic Factors and Inflammatory Markers Predictive of Outcome after Total Knee Arthroplasty in Patients with Knee Osteoarthritis: A Systematic Review.International journal of environmental research and public health · 2023Pooled it
- Factors correlated with pain after total knee arthroplasty: A systematic review and meta-analysis.PloS one · 2023Pooled it
- Factors Correlated With Physical Function 1 Year After Total Knee Arthroplasty in Patients With Knee Osteoarthritis: A Systematic Review and Meta-analysis.JAMA network open · 2022Pooled it
- Can minimal clinically important differences in patient reported outcome measures be predicted by machine learning in patients with total knee or hip arthroplasty? A systematic review.BMC medical informatics and decision making · 2022Pooled it
- Pooled it
- The effect of immediate post-operative knee range of motion photographs on post-operative range of motion after total knee arthroplasty : An assessor-blinded randomized controlled clinical trial in sixty patients.International orthopaedics · 2021Trial
- Effect of short-term early postoperative gait-training using a lightweight hip-assist device on walking-speed recovery after total knee arthroplasty: a pilot study.Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2026Article
- Preoperative flexion contracture does not impair outcomes or early revision rates following robotic total knee arthroplasty with functional alignment.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Effect of Kinesiophobia on Early Functional Outcome Following Total Knee Arthroplasty.Annals of African medicine · 2026Article
- Total Knee Arthroplasty Rehabilitation Strategies for Avoiding Arthrofibrosis and Other Complications with the Goal of Return to Recreational Activities and Active Lifestyle.International journal of sports physical therapy · 2026Article
- Primary healthcare professionals' perspectives on mobility limitation assessment and predictive model optimization for community-dwelling older adults: a qualitative research.Frontiers in public health · 2026Article
- Anatomically-designed bicruciate-retaining total knee arthroplasty demonstrates good two-year survivorship and improvements in patient-reported outcomes: A prospective multicenter single-arm study.Journal of experimental orthopaedics · 2025Article
- No long-term effect of 7-day computer-assisted cryotherapy treatment after total knee arthroplasty: A randomized controlled trial with 1-year follow-up.Journal of experimental orthopaedics · 2025Review
- A development of machine learning models to preoperatively predict insufficient clinical improvement after total knee arthroplasty.Journal of orthopaedic surgery and research · 2025Article
- Preoperative range of motion as a predictor of postoperative outcomes in total knee arthroplasty under enhanced recovery after surgery protocols: Defining clinically relevant cut-offs.Journal of orthopaedics · 2025Article
- Revision of Well-Fixed Mechanically-Aligned Total Knee Arthroplasty Using Kinematic Alignment for the Restoration of Joint Line Obliquity: Report of a Surgical Technique.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025Article
- Mediating role of pain sensitization in preoperative and postoperative pain in knee osteoarthritis patients.European journal of medical research · 2025Article
- Coronal Plane Alignment of the Knee (CPAK) distribution in a diverse Asian population: Influence of ethnicity, sex and bilaterality.Journal of experimental orthopaedics · 2025Article
- Load-bearing optimization for customized exoskeleton design based on kinematic gait reconstruction.Medical & biological engineering & computing · 2025Article
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background and purpose - Up to 20% of patients are dissatisfied after total knee arthroplasty (TKA), mainly because of pain and restricted physical function. We developed a prediction model for 6-month knee range of motion, knee pain, and walking limitations in patients undergoing TKA surgery. Patients and methods - We performed a prospective cohort study of 4,026 patients who underwent elective, primary TKA between July 2013 and July 2017. Candidate predictors included demographic, clinical, psychosocial, and preoperative outcome measures. The outcomes of interest were (i) knee extension and flexion range of motion, (ii) knee pain rated on a 5-point ordinal scale, and (iii) self-reported maximum walk time at 6 months post TKA. For each outcome, we fitted a multivariable proportional odds regression model with bootstrap internal validation. Results - At 6 months post TKA, around 5% to 20% of patients had a flexion contracture ³ 10°, range of motion < 90°, moderate to severe knee pain, or a maximum walk time £ 15 minutes. The model c-indices (the probabilities to correctly discriminate between 2 patients with different levels of follow-up TKA outcomes) when evaluating these patients were 0.71, 0.79, 0.65, and 0.76, respectively. Each postoperative outcome was strongly influenced by the same outcome measure obtained preoperatively (all p-values < 0.001). Additional statistically significant predictors were age, sex, race, education level, diabetes mellitus, preoperative use of gait aids, contralateral knee pain, and psychological distress (all p-values < 0.001). Interpretation - We have developed models to predict, for individual patients, their likely post-TKA levels of knee extension and flexion range of motion, knee pain, and walking limitations. After external validation, they can potentially be used preoperatively to identify at-risk patients and to help patients set more realistic expectations about surgical outcomes.
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