Evidence map›Paper›PMID 33040207›Full record

ArticleArchives of orthopaedic and trauma surgery2022

Total joint replacement of the hip and knee in patients with arthrogryposis multiplex congenita: a report of six joints.

Christoph Theil, Robert Roedl, Georg Gosheger, Burkhard Moellenbeck, Adrien Frommer, Ralf Dieckmann, Bjoern Vogt

Open access · hybridAbstract read
In one paragraph

Article in Archives of orthopaedic and trauma surgery, 2022. 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
0.4field-weighted citation impact, top 37% 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, 4 citations in OpenAlex.

  1. Article
  2. Management of Lower-Extremity Deformity in Arthrogryposis Multiplex Congentia: A Narrative Review.Medical science monitor : international medical journal of experimental and clinical research · 2026
    Review
  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

7 authors at 1 institution in 1 country.

Christoph TheilDepartment of Orthopaedics and Tumour Orthopaedics, Muenster University Hospital, Muenster, Albert-Schweitzer-Campus 1, 48149, Münster, Germany. christoph.theil@ukmuenster.de.ORCID http://orcid.org/0000-0003-0563-4128
Robert RoedlDivison of Children's Orthopaedics, Deformity Correction and Foot Surgery, Muenster University Hospital, Muenster, Albert-Schweitzer-Campus 1, 48149, Münster, Germany.
Georg GoshegerDepartment of Orthopaedics and Tumour Orthopaedics, Muenster University Hospital, Muenster, Albert-Schweitzer-Campus 1, 48149, Münster, Germany.
Burkhard MoellenbeckDepartment of Orthopaedics and Tumour Orthopaedics, Muenster University Hospital, Muenster, Albert-Schweitzer-Campus 1, 48149, Münster, Germany.
Adrien FrommerDepartment of Orthopaedics and Tumour Orthopaedics, Muenster University Hospital, Muenster, Albert-Schweitzer-Campus 1, 48149, Münster, Germany.
Ralf DieckmannDepartment of Orthopaedics and Tumour Orthopaedics, Muenster University Hospital, Muenster, Albert-Schweitzer-Campus 1, 48149, Münster, Germany.
Bjoern VogtDivison of Children's Orthopaedics, Deformity Correction and Foot Surgery, Muenster University Hospital, Muenster, Albert-Schweitzer-Campus 1, 48149, Münster, Germany.
University Hospital Münster · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionArthrogryposis multiplex congenita (AMC) is a rare congenital condition that leads to severe joint contractures and deformities. As painful joint dysplasia and degeneration might develop over time, total joint replacement (TJR) can be a potential treatment option for these patients. The aim of this study is to investigate functional results, implant survivorship and potential complications in patients with AMC who undergo hip or knee arthroplasty. MATERIALS AND

methodsWe retrospectively identified six TJR in three patients at a single centre performed between 2006 and 2019. The median patient age at surgery was 23 years and the median follow-up period was 69 (IQR 55-99) months. We analysed surgical technique, implant survivorship and complications as well as functional outcome determined by pain reported on the Numerical Rating Scale (NRS), patient-reported outcome scores [Oxford Hip Score (OHS), Harris Hip score (HHS), Oxford Knee Score (OKS)], range of motion and ambulatory status. Depending on data distribution means with ranges and median with interquartile range were compared with the Wilcoxon signed rank test or Student's t test. The level of significance was defined at < 0.05.

resultsIn hips, the mean range of motion in flexion/extension (52° vs. 85°, p = 0.014) and in rotation (28° vs. 68°, p = 0.02) as well as mean pain score on the NRS (8.5 vs. 0, p = 0.001), OHS (9 vs. 26, p = 0.031) and HHS (17 vs. 52, p = 0.007) significantly improved. In knees, mean range of motion (55° vs. 93°, p = 0.403), mean pain score on the NRS (0 vs. 7) and the OKS (2 vs. 21) also improved. While the ambulatory status did not change, the patients who were wheelchair dependent reported less problems with transfers to a bed or chair and the patient who ambulated reported an improved walking distance. One total knee arthroplasty (TKA) underwent revision for an acute, late infection 155 months following the initial surgery.

conclusionsTJR is a safe procedure in patients with AMC that effectively improves function and reduces pain irrespective of preoperative ambulatory status.

Indexed as

ArthrogryposisArthroplasty, Replacement, HipArthroplasty, Replacement, KneeHip JointHumansKnee JointRange of Motion, ArticularRetrospective StudiesTreatment OutcomeArthrogryposisArthroplastyTHATKA

Identifiers

PMID33040207
PMCPMC8783901
OpenAlexW3091919146

What OpenQuestion holds

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LicenceCC BY
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.