Evidence map›Paper›PMID 32471226›Full record

ArticleJournal of clinical medicine2020

Proximal Tibiofibular Dislocation in a Closing-Wedge High Tibial Osteotomy Causes Lateral Radiological Gapping of the Knee: A Prospective Randomized Study.

Raúl Torres-Claramunt, Juan Francisco Sánchez-Soler, Pedro Hinarejos, Aleix Sala-Pujals, Joan Leal-Blanquet, Joan Carles Monllau

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Article in Journal of clinical medicine, 2020. 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
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1 · What the graph read from it

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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.

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3 · Its place in the literature

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4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Raúl Torres-ClaramuntOrthopaedic Department, Hospital del Mar, Universitat Autònoma Barcelona, 08003 Barcelona, Spain.
Juan Francisco Sánchez-SolerOrthopaedic Department, Hospital del Mar, Universitat Autònoma Barcelona, 08003 Barcelona, Spain.
Pedro HinarejosOrthopaedic Department, Hospital del Mar, Universitat Autònoma Barcelona, 08003 Barcelona, Spain.
Aleix Sala-PujalsOrthopaedic Department, Hospital del Mar, Universitat Autònoma Barcelona, 08003 Barcelona, Spain.
Joan Leal-BlanquetOrthopaedic Department, Hospital de Igualada, Consorci Sanitari de l'Anoia, 08700 Barcelona, Spain.
Joan Carles MonllauOrthopaedic Department, Hospital del Mar, Universitat Autònoma Barcelona, 08003 Barcelona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo determine whether a proximal tibiofibular joint dislocation (TFJD) increases lateral compartment gapping more than a fibular head osteotomy (FHO) during a closing-wedge high tibial osteotomy (CWHTO). The second objective was to determine whether lateral compartment gapping affects clinical outcomes.

methodsA prospective randomized clinical study was carried out that included 18 patients in Group 1 (FHO) and 18 in Group 2 (TFJD). Varus-stress radiographs of all the patients with both knees at full extension and at 30 ° of flexion were studied pre-operatively and 12 months post-operatively. Lateral compartment gapping was measured in millimeters. The Knee Society Score (KSS) was used to assess clinical stability.

resultsThe difference between the pre- and post-operative measurements relative to gapping in the lateral knee compartment at 0 ° of knee flexion was 1.3 mm (SD 1.8) in Group 1 and 4.5 mm (SD 2.4) in Group 2 (

conclusionsIn patients who have undergone a CWHTO, TFJ dislocation increases knee lateral compartment gapping when compared to an FHO at 0 ° and 30 ° of knee flexion. However, this fact seems to have no repercussion on the functional status of the knees as measured with the KSS at the one-year follow-up.

Indexed as

closing-wedge osteotomyhigh tibial osteotomykneeknee stabilitystress radiology

Identifiers

PMID32471226
PMCPMC7355442

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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.