Evidence map›Paper›PMID 31293193›Full record

Trial reportActa orthopaedica2019

Equal tibial component fixation of a mobile-bearing and fixed-bearing medial unicompartmental knee arthroplasty: a randomized controlled RSA study with 2-year follow-up.

Daan Koppens, Søren Rytter, Stig Munk, Jesper Dalsgaard, Ole G Sørensen, Torben B Hansen, Maiken Stilling

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Acta orthopaedica, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Kinematic alignment of medial UKA is safe: a systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022
    Pooled it
  2. No difference in mobile and fixed bearing partial knee arthroplasty in octogenarians: a clinical trial.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023
    Trial
  3. Trial
  4. Article
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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

7 authors.

Daan KoppensDepartment of Orthopedic Surgery, University Clinic for Hand, Hip and Knee Surgery, Hospital Unit West Holstebro, Denmark.
Søren RytterDepartment of Orthopedic Surgery, University Clinic for Hand, Hip and Knee Surgery, Hospital Unit West Holstebro, Denmark.
Stig MunkDepartment of Orthopedic Surgery, University Clinic for Hand, Hip and Knee Surgery, Hospital Unit West Holstebro, Denmark.
Jesper DalsgaardDepartment of Orthopedic Surgery, University Clinic for Hand, Hip and Knee Surgery, Hospital Unit West Holstebro, Denmark.
Ole G SørensenDepartment of Orthopedic Surgery, Aarhus University Hospital, Aarhus, Denmark.
Torben B HansenDepartment of Orthopedic Surgery, University Clinic for Hand, Hip and Knee Surgery, Hospital Unit West Holstebro, Denmark.
Maiken StillingDepartment of Orthopedic Surgery, University Clinic for Hand, Hip and Knee Surgery, Hospital Unit West Holstebro, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and purpose - Differences in stress distribution in a mobile-bearing and fixed-bearing unicompartmental knee arthroplasty (UKA) design might lead to a difference in fixation of the tibial component. We compared tibial component migration of a mobile-bearing (MB) UKA and a fixed-bearing (FB) UKA using radiostereometric analysis.Patients and methods - In a randomized, patient-blinded clinical trial 62 patients received either the MB Oxford UKA or the FB Sigma UKA. The patients were followed for 24 months with radiostereometric analysis. Clinical outcome was assessed with Oxford Knee Score (OKS), RAND-36 and leg extension power.Results - Migration of the tibial components was similar between groups throughout follow-up. At 12 months, MTPM of the tibial component was 0.44 mm (95% CI 0.34-0.55) for the MB group and 0.40 mm (CI 0.31-0.50) for the FB group. Between 12 and 24 months, the tibial components migrated with a median MTPM increase of 0.03 mm (CI -0.02 to 0.08) in the MB group and 0.03 mm (CI -0.02 to 0.07) in the FB group. Continuous migration of the tibial component was found for 1 MB UKA and 2 FB UKAs. Both groups showed similar and clinically relevant improvement in clinical outcome.Interpretation - MB and FB tibial components had similar good fixation and clinical improvement until 2 years. Based on this study, a low 5- to 10-year revision rate can be expected for both implants.

Indexed as

Knee ProsthesisAgedArthroplasty, Replacement, KneeFemaleFollow-Up StudiesHumansKnee JointMaleMiddle AgedMuscle StrengthProsthesis DesignRadiostereometric Analysis

Identifiers

PMID31293193
PMCPMC6844442

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.