Evidence map›Paper›PMID 32316973›Full record

ArticleJournal of orthopaedic surgery and research2020

Impact of surgeon handedness in manual and robot-assisted total hip arthroplasty.

Xiangpeng Kong, Minzhi Yang, Xiang Li, Ming Ni, Guoqiang Zhang, Jiying Chen, Wei Chai

Abstract read
In one paragraph

Article 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. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  16. Hand dominance and experience improve bimanual performance on arthroscopic simulator task.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

7 authors.

Xiangpeng KongDepartment of Orthopaedics, Chinese PLA General Hospital, No. 28 Fuxing Road, Haidian, Beijing, 100853, China.
Minzhi YangDepartment of Orthopaedics, Chinese PLA General Hospital, No. 28 Fuxing Road, Haidian, Beijing, 100853, China.
Xiang LiDepartment of Orthopaedics, Chinese PLA General Hospital, No. 28 Fuxing Road, Haidian, Beijing, 100853, China.
Ming NiDepartment of Orthopaedics, Chinese PLA General Hospital, No. 28 Fuxing Road, Haidian, Beijing, 100853, China.
Guoqiang ZhangDepartment of Orthopaedics, Chinese PLA General Hospital, No. 28 Fuxing Road, Haidian, Beijing, 100853, China.
Jiying ChenDepartment of Orthopaedics, Chinese PLA General Hospital, No. 28 Fuxing Road, Haidian, Beijing, 100853, China. chenjiyingjoint@sina.com.
Wei ChaiDepartment of Orthopaedics, Chinese PLA General Hospital, No. 28 Fuxing Road, Haidian, Beijing, 100853, China. chaiweiguanjie@sina.com.

Funding

Beijing Municipal Natural Science Foundation L182063
6 · The paper itself

Abstract

backgroundThe purpose of this study was to examine whether surgeon handedness could affect cup positioning in manual total hip arthroplasty (THA), and whether robot could diminish or eliminate the impact of surgeon handedness on cup positioning in robot-assisted THA.

methodsFifty-three patients who underwent bilateral robot-assisted THA and sixty-two patients who underwent bilateral manual THA between August 2018 and July 2019 in our institute were respectively analyzed in this study. When the difference between the bilateral anteversion and inclination was greater than 5°, the patient was regarded as having different cup positioning between bilateral THA. Their demographics, orientation of acetabular cup, and postoperative 3 month Harris hip score (HHS) were recorded for analysis.

resultsThere were no significant differences in the gender, age, BMI, diagnosis's composition, and preoperative and postoperative HHS between the robotic and manual group. Two left hips dislocated in the manual group. The anteversion of left hip was significantly larger than that of right hip (24.77 ± 10.44 vs 22.44 ± 8.67, p = 0.043) in the manual group. There were no significant differences of cup positioning between bilateral robot-assisted THA. The patients in manual group were significantly more likely to have different cup positioning between bilateral hips than those in robotic group (77% vs 45%, p = 0.000). More manual THA were located out of the target zone than robot-assisted THA (70% vs 48%, p = 0.001).

conclusionsSurgeon's handedness showed a trend towards an impact on cup positioning in manual THA and robot might help surgeon eliminate the adverse impact. However, the impact of handedness on the clinical outcomes still needs further observation.

Indexed as

Functional LateralitySurgeonsAdultAgedArthroplasty, Replacement, HipFemaleHumansMaleMiddle AgedRetrospective StudiesRobotic Surgical ProceduresTreatment OutcomeYoung AdultAcetabular component positionHandednessRobotic-assisted surgeryTotal hip arthroplasty

Identifiers

PMID32316973
PMCPMC7171772

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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.