Evidence map›Paper›PMID 31884952›Full record

ArticleBMC musculoskeletal disorders2019

Navigation-assisted suture anchor insertion for arthroscopic rotator cuff repair.

Ivan Micic, Erica Kholinne, Hanpyo Hong, Hyunseok Choi, Jae-Man Kwak, Yucheng Sun, Jaesung Hong, Kyoung-Hwan Koh, In-Ho Jeon

Open access · goldAbstract readComparative Study
In one paragraph

Article in BMC musculoskeletal disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

4 citing papers in PubMed, 9 citations in OpenAlex.

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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

9 authors at 4 institutions in 3 countries.

Ivan MicicClinic for Orthopaedic Surgery and Traumatology, Clinical Center Nis, Nis, Serbia.
Erica KholinneDepartment of Orthopedic Surgery, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, South Korea.
Hanpyo HongDepartment of Orthopedic Surgery, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, South Korea.
Hyunseok ChoiDepartment of Robotics Engineering, Daegu Gyeongbuk Institute of Science and Technology, Daegu, South Korea.
Jae-Man KwakDepartment of Orthopedic Surgery, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, South Korea.
Yucheng SunDepartment of Orthopedic Surgery, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, South Korea.
Jaesung HongDepartment of Robotics Engineering, Daegu Gyeongbuk Institute of Science and Technology, Daegu, South Korea.
Kyoung-Hwan KohDepartment of Orthopedic Surgery, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, South Korea.
In-Ho JeonDepartment of Orthopedic Surgery, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, South Korea. jeonchoi@gmail.com.ORCID https://orcid.org/0000-0002-9289-9193
Asan Medical Center · KRDaegu Gyeongbuk Institute of Science and Technology · KRNantong University · CNUniversity of Nis · RS

Funding

National Research Foundation of Korea MSIP no. 2017-0522
6 · The paper itself

Abstract

backgroundSuture anchor placement for subscapularis repair is challenging. Determining the exact location and optimum angle relative to the subscapularis tendon direction is difficult because of the mismatch between a distorted arthroscopic view and the actual anatomy of the footprint. This study aimed to compare the reliability and reproducibility of the navigation-assisted anchoring technique with conventional arthroscopic anchor fixation.

methodsArthroscopic shoulder models were tested by five surgeons. The conventional and navigation-assisted methods of suture anchoring in the subscapularis footprint on the humeral head were tested by each surgeon seven times. Angular results and anchor locations were measured and compared using the Wilcoxon signed rank test. Interobserver intraclass correlation coefficients (ICCs) were analyzed among the surgeons.

resultsThe mean angular errors of the targeted anchor fixation guide without and with navigation were 17° and 2° (p < 0.05), respectively, and the translational errors were 15 and 3 mm (p < 0.05), respectively. All participants showed a narrow range of anchor fixation angular and translational errors from the original target. Among the surgeons, the interobserver reliabilities of angular errors for ICCs of the navigation-assisted and conventional methods were 0.897 and 0.586, respectively, and the interobserver ICC reliabilities for translational error were 0.938 and 0.619, respectively.

conclusionsThe navigation system may help surgeons be more aware of the surrounding anatomy and location, providing better guidance for anchor orientation, including footprint location and anchor angle.

Indexed as

Suture AnchorsArthroscopyHumansHumeral HeadImaging, Three-DimensionalModels, AnatomicReproducibility of ResultsRotator CuffRotator Cuff InjuriesShoulder JointSurgery, Computer-AssistedSuture TechniquesTomography, X-Ray ComputedAnchorAngleArthroscopicLocationNavigationSubscapularis

Identifiers

PMID31884952
PMCPMC6935480
OpenAlexW2998388848

What OpenQuestion holds

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LicenceCC BY
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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.