Evidence map›Paper›PMID 32472245›Full record

ArticleOperative Orthopadie und Traumatologie2020

Revision arthroplasty with rotating hinge systems for total knee arthroplasty instability.

Jörg Arnholdt, Sebastian Philipp Boelch, Fatma Dogan, Maik Hoberg, Boris Michael Holzapfel, Maximilian Rudert

Abstract read
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In one paragraph

Article in Operative Orthopadie und Traumatologie, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 47% 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.

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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

6 authors at 2 institutions in 1 country.

Jörg ArnholdtDepartment of Orthopaedic Surgery, Orthopädische Klinik König-Ludwig-Haus, Julius-Maximilians-University Würzburg, Brettreichstr. 11, 97074, Würzburg, Germany. j-arnholdt.klh@uni-wuerzburg.de.
Sebastian Philipp BoelchDepartment of Orthopaedic Surgery, Orthopädische Klinik König-Ludwig-Haus, Julius-Maximilians-University Würzburg, Brettreichstr. 11, 97074, Würzburg, Germany.
Fatma DoganDepartment of Orthopaedic Surgery, Orthopädische Klinik König-Ludwig-Haus, Julius-Maximilians-University Würzburg, Brettreichstr. 11, 97074, Würzburg, Germany.
Maik HobergDepartment of Orthopaedic Surgery, Orthopädische Klinik König-Ludwig-Haus, Julius-Maximilians-University Würzburg, Brettreichstr. 11, 97074, Würzburg, Germany.
Boris Michael HolzapfelDepartment of Orthopaedic Surgery, Orthopädische Klinik König-Ludwig-Haus, Julius-Maximilians-University Würzburg, Brettreichstr. 11, 97074, Würzburg, Germany.
Maximilian RudertDepartment of Orthopaedic Surgery, Orthopädische Klinik König-Ludwig-Haus, Julius-Maximilians-University Würzburg, Brettreichstr. 11, 97074, Würzburg, Germany.
Klinik König-Ludwig Haus · DEMarienhospital Arnsberg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveRestoring stability after total knee arthroplasty (TKA) and improving joint function using a cemented rotating hinge system. INDICATIONS: Ligament instability and/or osseous defects (including Anderson Orthopaedic Research Institute [AORI] classification type II defects) after primary TKA or TKA revision surgery. CONTRAINDICATIONS: Distal femoral or proximal tibial bowing requiring implant systems that provide femoral or tibial offset stems. Persistent periprosthetic infection. Poor therapeutic compliance. AORI type III defects. SURGICAL TECHNIQUE: Medial arthrotomy. Femoral and tibial component removal with small saw blades and chisels. Intramedullary alignment for the tibial and femoral cuts. Debridement and removal of membranes and cement remnants. Reconstruction of joint line and correct TKA alignment. Trial reduction. Cement fixation. POSTOPERATIVE MANAGEMENT: Unrestricted range of motion, partial weight bearing for 4 weeks.

resultsBetween 2012 and 2013, 18 patients suffering from ligament insufficiency after TKA were revised using the described system and included in a prospective study protocol. The mean follow-up was 37 months (range 30-46 months). There was a significant improvement of the Oxford Knee Score (OKS) from 19 (range 7-29) preoperatively to 29 (range 10-45) postoperatively (p = 0.004). The Knee Society Score (KSS) knee assessment subscore improved from 35 (range 9-70) to 67 (range 35-97) (p = 0.002) and the pain score from 7 (range 0-50) to 24 (range 0-50) (p = 0.008).

Indexed as

Arthroplasty, Replacement, KneeKnee ProsthesisHumansKnee JointProspective StudiesProsthesis DesignReoperationTreatment OutcomeArthroplasty, knee replacementKnee jointLigamentsProsthesis implantationRevision

Identifiers

PMID32472245
OpenAlexW3030121911

What OpenQuestion holds

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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.