Evidence map›Paper›PMID 32401391›Full record

ArticleJournal of orthopaedic research : official publication of the Orthopaedic Research Society2020

Proximal-distal shift of the center of rotation in a total wrist arthroplasty is more than twice of the healthy wrist.

Bardiya Akhbari, Amy M Morton, Kalpit N Shah, Janine Molino, Douglas C Moore, Arnold-Peter C Weiss, Scott W Wolfe, Joseph J Crisco

Abstract read
In one paragraph

Article in Journal of orthopaedic research : official publication of the Orthopaedic Research Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–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

17 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. An accuracy assessment of SlicerAutoscoperJournal of biomechanics · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. A Guide to Inverse Kinematic Marker-Guided Rotoscoping Using IK Solvers.Integrative organismal biology (Oxford, England) · 2022
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. A Practical Guide to MeasuringIntegrative organismal biology (Oxford, England) · 2020
    Article
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

8 authors.

Bardiya AkhbariCenter for Biomedical Engineering and School of Engineering, Brown University, Providence, Rhode Island.ORCID 0000-0003-1874-7551
Amy M MortonBioengineering Laboratory, Department of Orthopedics, The Warren Alpert Medical School of Brown University and Rhode Island Hospital, Providence, Rhode Island.ORCID 0000-0003-4513-1699
Kalpit N ShahBioengineering Laboratory, Department of Orthopedics, The Warren Alpert Medical School of Brown University and Rhode Island Hospital, Providence, Rhode Island.ORCID 0000-0003-0883-1426
Janine MolinoBioengineering Laboratory, Department of Orthopedics, The Warren Alpert Medical School of Brown University and Rhode Island Hospital, Providence, Rhode Island.ORCID 0000-0002-6258-3913
Douglas C MooreBioengineering Laboratory, Department of Orthopedics, The Warren Alpert Medical School of Brown University and Rhode Island Hospital, Providence, Rhode Island.ORCID 0000-0002-7649-695X
Arnold-Peter C WeissDivision of Hand, Upper Extremity and Microvascular Surgery, Department of Orthopaedics, The Warren Alpert Medical School of Brown University and Rhode Island Hospital, Providence, Rhode Island.ORCID 0000-0003-4036-6130
Scott W WolfeHand and Upper Extremity Center, Hospital for Special Surgery, New York, New York.ORCID 0000-0002-2881-5573
Joseph J CriscoCenter for Biomedical Engineering and School of Engineering, Brown University, Providence, Rhode Island.ORCID 0000-0002-8786-0905

Funding

Pilot Projects ProgramP30GM122732 · NIGMS · RHODE ISLAND HOSPITAL · PI CHEN, QIAN · 2017 to 2021
$6.6M
NIGMS NIH HHS P30 GM122732
6 · The paper itself

Abstract

Reproduction of healthy wrist biomechanics should minimize the abnormal joint forces that could potentially result in the failure of a total wrist arthroplasty (TWA). To date, the in vivo kinematics of TWA have not been measured and it is unknown if TWA preserves healthy wrist kinematics. Therefore, the purpose of this in vivo study was to determine the center of rotation (COR) for a current TWA design and to compare its location to the healthy wrist. The wrist COR for six patients with TWA and 10 healthy subjects were calculated using biplane videoradiography as the subjects performed various range-of-motion and functional tasks that included coupled wrist motions. An open-source registration software, Autoscoper, was used for model-based tracking and kinematics analysis. It was demonstrated that the COR was located near the centers of curvatures of the carpal component for the anatomical motions of flexion-extension and radial-ulnar deviation. When compared to healthy wrists, the COR of TWAs was located more distal in both pure radial deviation (P < .0001) and pure ulnar deviation (P = .07), while there was no difference in its location in pure flexion or extension (P = .99). Across all coupled motions, the TWA's COR shifted more than two times that of the healthy wrists in the proximal-distal direction (17.1 vs 7.2 mm). We postulate that the mismatch in the COR location and behavior may be associated with increased loading of the TWA components, leading to an increase in the risk of component and/or interface failure.

Indexed as

Arthroplasty, ReplacementAgedAged, 80 and overCase-Control StudiesFemaleHumansMaleRotationWrist Jointcenter of rotationkinematicsreplaced wristtotal wrist arthroplastywrist

Identifiers

PMID32401391
PMCPMC7336861

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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.