Evidence map›Paper›PMID 32847561›Full record

ArticleBMC musculoskeletal disorders2020

Application of the Ilizarov technique for knee joint arthrodesis as a treatment for end-stage tuberculosis of the knee.

Jiachen Sun, Qiang Li, Feng Gao, Zhou Xiang, Qi Huang, Lang Li

Open access · goldAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.0field-weighted citation impact, top 23% 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

7 citing papers in PubMed, 11 citations in OpenAlex.

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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.

Jiachen SunDepartment of Orthopedics, West China Hospital, Sichuan University, Guoxue Lane 37, Chengdu, 610041, Sichuan Province, People's Republic of China.
Qiang LiDepartment of Orthopaedics, Hospital of Chengdu Office of People's Government of Tibetan Autonomous Region, NO.20 Ximianqiao Cross Street, Chengdu, 610041, Sichuan, People's Republic of China.
Feng GaoDepartment of Orthopaedics, Hospital of Chengdu Office of People's Government of Tibetan Autonomous Region, NO.20 Ximianqiao Cross Street, Chengdu, 610041, Sichuan, People's Republic of China.
Zhou XiangDepartment of Orthopedics, West China Hospital, Sichuan University, Guoxue Lane 37, Chengdu, 610041, Sichuan Province, People's Republic of China.
Qi HuangDepartment of Orthopaedics, Hospital of Chengdu Office of People's Government of Tibetan Autonomous Region, NO.20 Ximianqiao Cross Street, Chengdu, 610041, Sichuan, People's Republic of China. cbyxy123@163.com.
Lang LiDepartment of Orthopaedics, Hospital of Chengdu Office of People's Government of Tibetan Autonomous Region, NO.20 Ximianqiao Cross Street, Chengdu, 610041, Sichuan, People's Republic of China. lilang84@126.com.
Tibet Autonomous Region People's Hospital · CNWest China Hospital of Sichuan University · CN

Funding

Youth innovative Scientific Research Project of Sichuan Medical Association Q19014
6 · The paper itself

Abstract

backgroundWith the global determination to eliminate tuberculosis (TB), the treatment for end-stage TB of the knee joint is still a great clinical challenge. This study aims to retrospectively determine the clinical and radiographic outcomes after use of the Ilizarov technique for knee joint arthrodesis as a treatment for end-stage knee TB.

methodsTwenty-six patients with end-stage knee TB treated by external fixation with the Ilizarov fixator between 2012 and 2017 were examined. Anti-TB drugs were administered preoperatively, intraoperatively, and postoperatively. Clinical and radiologic examinations were performed for comprehensive evaluations, and these include C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), flexion and valgus angle of the knee, leg-length discrepancy, and Lysholm score.

resultsTwenty-four patients were followed up for an average of 5.8 years (2.2-7 years). All patients achieved bone fusion within a mean of 6.4 months (4-16 months). The ESR and CRP concentrations were observed to return to normal within 5.1 ± 1.1 months postoperatively. There was no recurrence of TB. At last follow-up, the mean leg-length discrepancy was 2.7 ± 1.4 cm, and the mean alignment was 8.7 ± 2.6° flexion and 5.3 ± 1.0° valgus. No patient had a significant rotational deformity. The average Lysholm score was seen to improve significantly from 36.8 ± 18.4 preoperatively to 79.5 ± 5.9 at final follow-up (p < 0.0001).

conclusionThis study has demonstrated that the Ilizarov technique for knee joint arthrodesis as a treatment of end-stage knee TB achieved promising outcomes with minimal complications.

Indexed as

Ilizarov TechniqueTuberculosisArthrodesisHumansKnee JointRetrospective StudiesTreatment OutcomeAnti-tuberculosis drugsArthrodesisEnd-stage tuberculosis of the kneeIlizarov technique

Identifiers

PMID32847561
PMCPMC7447600
OpenAlexW3080373673

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LicenceCC BY
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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.