Evidence map›Paper›PMID 33385035›Full record

ArticleArthroplasty today2020

Implant Interface Debonding After Total Knee Arthroplasty: A New Cause for Concern?

Alex Sadauskas, Charles Engh, Molly Mehta, Brett Levine

Open access · goldAbstract read
In one paragraph

Article in Arthroplasty today, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.0field-weighted citation impact, top 12% 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

9 citing papers in PubMed, 17 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

4 authors at 2 institutions in 1 country.

Alex SadauskasDepartment of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA.
Charles EnghDepartment of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA.
Molly MehtaUniversity of Illinois, Champaign, IL, USA.
Brett LevineDepartment of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA.
Rush University Medical Center · USUniversity of Illinois Urbana-Champaign · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAseptic loosening has long been an associated etiology for revision total knee arthroplasty (TKA).

methodsThis case series investigates commonalities between 9 patients who underwent revision TKA and were found to have complete debonding at the cement-implant interface of a femoral and/or tibial component within the past 2 years.

resultsOnly 3 preoperative radiographs were indicative of aseptic loosening, and all patients had an infectious etiology ruled out.

conclusionsThis case series and other similar reports suggest that there may be a growing concern for debonding as a modern form of aseptic loosening. Further research through American Joint Replacement Registry and other national databases will need to be conducted to better understand if this is truly a new cause for concern after TKA and how it may be best prevented.

Indexed as

Aseptic looseningComponent failureDebondingRevisionTKA

Identifiers

PMID33385035
PMCPMC7772444
OpenAlexW3112784979

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.