Evidence map›Paper›PMID 31794587›Full record

ArticlePloS one2019

Robot-assisted unicompartmental knee arthroplasty can reduce radiologic outliers compared to conventional techniques.

Kwan Kyu Park, Chang Dong Han, Ick-Hwan Yang, Woo-Suk Lee, Joo Hyung Han, Hyuck Min Kwon

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
3.1field-weighted citation impact, top 8% 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

20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 35 citations in OpenAlex.

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  19. Posterior condylar offset and posterior tibial slope targets to optimize knee flexion after unicompartmental knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022
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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

6 authors at 1 institution in 1 country.

Kwan Kyu ParkDepartment of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Korea.
Chang Dong HanDepartment of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Korea.
Ick-Hwan YangDepartment of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Korea.
Woo-Suk LeeDepartment of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Korea.
Joo Hyung HanDepartment of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Korea.
Hyuck Min KwonDepartment of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Korea.ORCID 0000-0002-2924-280X
Yonsei University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to compare the clinical and radiologic outcomes of robot-assisted unicompartmental knee arthroplasty (UKA) to those of conventional UKA in Asian patients.

methodsFifty-five patients underwent robot-assisted UKA and 57 patients underwent conventional UKA were assessed in this study. Preoperative and postoperative range of motion (ROM), American Knee Society (AKS) score, Western Ontario McMaster University Osteoarthritis Index scale score (WOMAC), and patellofemoral (PF) score values were compared between the two groups. The mechanical femorotibial angle (mFTA) and Kennedy zone were also measured. Coronal alignments of the femoral and tibial components and posterior slopes of the tibial component were compared. Additionally, polyethylene (PE) liner thicknesses were compared.

resultsThere was no significant difference between the two groups regarding postoperative ROM, AKS, WOMAC and PF score. Robot group showed fewer radiologic outliers in terms of mFTA and coronal alignment of tibial and femoral components (p = 0.022, 0.037, 0.003). The two groups showed significantly different PE liner thicknesses (8.4 ± 0.8 versus 8.8 ± 0.9, p = 0.035). Robot group was the only influencing factor for reducing radiologic outlier (postoperative mFTA) in multivariate model (odds ratio: 2.833, p = 0.037).

conclusionIn this study, robot-assisted UKA had many advantages over conventional UKA, such as its ability to achieve precise implant insertion and reduce radiologic outliers. Although the clinical outcomes of robot-assisted UKA over a short-term follow-up period were not significantly different compared to those of conventional UKA, longer follow-up period is needed to determine whether the improved radiologic accuracy of the components in robotic-assisted UKA will lead to better clinical outcomes and improved long-term survival.

Indexed as

Arthroplasty, Replacement, KneeRadiographyRobotic Surgical ProceduresAgedFemaleHumansMaleMiddle AgedOdds RatioOsteoarthritis, KneePlastic Surgery ProceduresTreatment Outcome

Identifiers

PMID31794587
PMCPMC6890211
OpenAlexW2994094073

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.