Evidence map›Paper›PMID 32059737›Full record

SynthesisJournal of orthopaedic surgery and research2020

Should compression bandage be performed after total knee arthroplasty? A meta-analysis of randomized controlled trials.

Pei Liu, Xiaohong Mu, Qidong Zhang, Zhaohui Liu, Weiguo Wang, Wanshou Guo

Registry-linked trialOpen access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of orthopaedic surgery and research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04841356 (Swelling Management After Total Knee Arthroplasty), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.4field-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.

NCT04841356 nacompletednot on this mapstarted 2021, after this paper: background citation

Swelling Management After Total Knee Arthroplasty

TypeinterventionalSponsorUniversity of Colorado, DenverRan2021 to 2022Enrolled21ConditionsTotal Knee ArthroplastyArmsImmediate Compression Garment
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 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

6 authors at 3 institutions in 1 country.

Pei LiuBeijing University of Chinese Medicine, Yinghuadong Road, Chaoyang District, Beijing, China.
Xiaohong MuDepartment Orthopedics 4, Beijing University of Chinese Medicine, Dongzhimen Hospital, Beijing, China.
Qidong ZhangDepartment of Orthopaedic Surgery, Beijing Key Lab Immune-Mediated Inflammatory Diseases, China-Japan Friendship Hospital, Yinghuadong Road, Chaoyang District, Beijing, China.
Zhaohui LiuDepartment of Orthopaedic Surgery, Beijing Key Lab Immune-Mediated Inflammatory Diseases, China-Japan Friendship Hospital, Yinghuadong Road, Chaoyang District, Beijing, China.
Weiguo WangDepartment of Orthopaedic Surgery, Beijing Key Lab Immune-Mediated Inflammatory Diseases, China-Japan Friendship Hospital, Yinghuadong Road, Chaoyang District, Beijing, China. wangweiguo@zryhyy.com.cn.
Wanshou GuoDepartment of Orthopaedic Surgery, Beijing Key Lab Immune-Mediated Inflammatory Diseases, China-Japan Friendship Hospital, Yinghuadong Road, Chaoyang District, Beijing, China. wanshoug@sina.com.ORCID http://orcid.org/0000-0002-6830-3521
China-Japan Friendship Hospital · CNBeijing University of Chinese Medicine · CNDongzhimen Hospital Affiliated to Beijing University of Chinese Medicine · CN

Funding

Beijing municipal science and technology commission Z171100001017209Capital Health Research and Development of Special 2016-2-4062National Key Research and Development Program of China 2017YFC0108102National Natural Science Foundation of China 81673776National Natural Science Foundation of China 81703896
6 · The paper itself

Abstract

backgroundCompression bandage often is used after total knee arthroplasty (TKA) to alleviate pain, ameliorate swelling, and reduce bleeding. However, there is controversy about its application due to conflicting clinical outcomes and potential compression-related complications. This meta-analysis aimed to answer the question of if compression bandage should be implemented routinely after TKA.

methodsRelevant randomized controlled trials (RCTs) on compression bandage were comprehensively retrieved utilizing search engines such as PubMed, EMBASE, Web of Science, and the Cochrane Library, up to September 2019. Studies included in the meta-analysis were those that compared post-operative pain score, swelling, total blood loss, pre- and post-operative hematocrit levels differences, range of motion (ROM), and complications, using Review Manager 5.3.0.

resultsIncluded were seven RCTs, which reported on 511 knees. The pooled results showed the compression bandage group was associated with a greater post-operative pain score during ambulation at 48 h (WMD = 0.70, 95% CI 0.07 to 1.34, P = 0.03), compared with the non-compression bandage group. No statistically significant differences were found between the groups in post-operative pain scores at the other times, swelling, blood loss, ROM, or other complications (P > 0.05).

conclusionsThe current evidence is unable to conclude that compression bandage is necessary after primary TKA. Surgeons routinely undertaking compression bandage should deliberate whether there is enough clinical evidence.

Indexed as

Arthroplasty, Replacement, KneeCompression BandagesHumansPostoperative PainRandomized Controlled Trials as TopicRange of Motion, ArticularTreatment OutcomeCompression bandageMeta-analysisTotal knee arthroplasty

Identifiers

PMID32059737
PMCPMC7023752
OpenAlexW3012387410

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.