Evidence map›Paper›PMID 32448929›Full record

SynthesisArchives of orthopaedic and trauma surgery2021

Is high flexion total knee arthroplasty a rewarding procedure? An updated meta-analysis of prospective randomized controlled trials.

Ting Lei, Hu Qian, Long Hua, Guilherme Moreira de Abreu E Silva, Yihe Hu, Pengfei Lei

Abstract readMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Archives of orthopaedic and trauma surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Trial
  2. Trial
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.

Ting Lei *Department of Orthopeadic Surgery, Xiangya Hospital Central South University, Changsha, 410008, China.
Hu Qian *Department of Orthopeadic Surgery, Xiangya Hospital Central South University, Changsha, 410008, China.
Long HuaDepartment of Orthopeadic Surgery, Xiangya Hospital Central South University, Changsha, 410008, China.
Guilherme Moreira de Abreu E SilvaFederal University of Minas Gerais, Belo Horizonte, MG, Brazil.
Yihe HuDepartment of Orthopeadic Surgery, Xiangya Hospital Central South University, Changsha, 410008, China. csuhuyihe@163.com.
Pengfei LeiDepartment of Orthopeadic Surgery, Xiangya Hospital Central South University, Changsha, 410008, China. pengfeilei@csu.edu.cn.ORCID http://orcid.org/0000-0001-9341-4568

Funding

Natural Science Foundation of Hunan Province (CN) 2018JJ3844Scientific Research Project of Health and Family Planning Commission of Hunan Province B2019188the Postdoctoral Research Program of Hunan university of TCM 194780the Postdoctoral Research Program of Xiangya Hospital Central South University 223551the Youth Science Foundation of Xiangya Hospital Central South University 2017Q07
6 · The paper itself

Abstract

introductionThe aim of this study is to provide an updated meta-analysis comparing the benefits and clinical outcomes between high flexion (HF)-TKA and standard (S)-TKA. MATERIALS AND

methodsA detailed database analysis was carried out using Web of Science, PubMed, EMBASE, Cochrane Library, MEDLINE and Clinicaltrial.gov, to identify eligible studies. The meta-analysis and sensitivity analysis were performed using Review Manager 5.3 software and STATA 12.0.

resultsTwenty-two randomized control trials (RCTs), including 2841 patients and 4268 knees, were eligible for the meta-analysis. The pooled results of subgroup analysis reveal that there was significant difference between HF-TKA and S-TKA in each subgroup in terms of postoperative ROM, with a higher degree of knee flexion for HF-TKA than S-TKA. However, no statistical difference was identified between HF-TKA and S-TKA in other clinical outcomes including various functional scores and complications.

conclusionsOn the basis of this meta-analysis, we can recommended HF-TKA as an alternative choice to S-TKA for patients requiring higher knee flexion in their daily activities.

Indexed as

Arthroplasty, Replacement, KneeHumansKneePostoperative ComplicationsProspective StudiesRandomized Controlled Trials as TopicRange of Motion, ArticularTreatment OutcomeHigh flexionMeta-analysisRandomized controlled trialsRange of motionTotal knee arthroplasty

Identifiers

PMID32448929

What OpenQuestion holds

Textmetadata
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.