Evidence map›Paper›PMID 32555089›Full record

ArticleActa bio-medica : Atenei Parmensis2020

Total knee revision arthroplasty: comparison between tibial tubercle osteotomy and quadriceps snip approach. Complication rate.

Paolo Di Benedetto, Michele Buttironi, Piero Giardini, Francesco Mancuso, Vanni Cainero, Araldo Causero

Open access · greenAbstract readComparative Study
In one paragraph

Article in Acta bio-medica : Atenei Parmensis, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 31% 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, 5 citations in OpenAlex.

  1. Article
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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

6 authors at 2 institutions in 1 country.

Paolo Di Benedettoclinic of orthopaedics, University Hospital of Udine. paolo.dibenedetto@uniud.it.
Michele ButtironiClinic of Orthopaedics, Academic Hospital of Udine, Udine, Italy. paolo.dibenedetto@uniud.it.
Piero GiardiniClinic of Orthopaedics, Academic Hospital of Udine, Udine, Italy. paolo.dibenedetto@uniud.it.
Francesco MancusoOrthopaedics and Traumatology Unit, ASUFC - Tolmezzo General Hospital, Tolmezzo (UD), Italy. paolo.dibenedetto@uniud.it.
Vanni CaineroClinic of Orthopaedics, Academic Hospital of Udine, Udine, Italy. paolo.dibenedetto@uniud.it.
Araldo CauseroClinic of Orthopaedics, Academic Hospital of Udine, Udine, Italy; DAME - University of Udine. paolo.dibenedetto@uniud.it.
University of Udine · ITAgenzia Sanitaria Regionale Abruzzo · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and aim of the workThe total knee arthroplasty (TKA) revision is not a second time of primary implant surgery but is a very complex issue for orthopedic surgeon. When local conditions make necessary a greater visualization, medial para-patellar access with quadriceps snip (QS) or the osteotomy of the tibial tuberosity (TTO) can be the solutions. This work aims to compare the quadriceps snip and the detachment of the tibial tubercle, focusing on possible complications. MATERIALS AND

methodsAt our institution, between January 2017 and February 2019 52 TKA revision for periprosthetic joint infection (PJI) or aseptic mobilization were performed. In 43 cases an extensive surgical approach was required: for patients with range of movement (ROM) < 60° was chosen TTO, while with ROM > 60° a QS was performed. Clinical and radiological follow-up was available for all the 43 cases.

resultsThe data about clinical outcome in our study show that both groups have a positive trend in KSS score over time with similar ROM results. Two partial avulsions of patellar tendon during revision surgery were reported. Clinical outcome in both groups has shown good results at the end of follow-up with no post-operative incidence of complications.

conclusionWe can assert that both QS and TTO are good approach for TKA revision. Future studies will be needed to understand if preparatory ROM is a good way to decide which surgical approach to use.(www.actabiomedica.it).

Indexed as

OsteotomyReoperationAgedArthroplasty, Replacement, KneeFemaleHumansMaleMiddle AgedQuadriceps MuscleRetrospective StudiesTibia

Identifiers

PMID32555089
PMCPMC7944827
OpenAlexW3036825390

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.