Evidence map›Paper›PMID 33676526›Full record

Trial reportJournal of orthopaedic surgery and research2021

Implant design affects walking and stair navigation after total knee arthroplasty: a double-blinded randomised controlled trial.

Dimitrios-Sokratis Komaris, Cheral Govind, Andrew James Murphy, Jon Clarke, Alistair Ewen, Hollie Leonard, Philip Riches

Registry-linked trialAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of orthopaedic surgery and research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02422251 (Clinical Investigation of the Functional Outcomes of High Congruency Versus Low Congruency Knee Bearings), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

NCT02422251 naunknown statusnot on this map

Clinical Investigation of the Functional Outcomes of High Congruency Versus Low Congruency Knee Bearings

TypeinterventionalSponsorGolden Jubilee National HospitalRan2015 to 2019Enrolled120ConditionsKnee ReplacementArmsMobile high congruency bearing (Columbus), Fixed high congruency bearing (Columbus)
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. 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.

Dimitrios-Sokratis KomarisTyndall National Institute, University College Cork, Lee Maltings Complex Dyke Parade, Cork, T12 R5CP, Ireland. sokratis.komaris@tyndall.ie.ORCID http://orcid.org/0000-0003-4623-9060
Cheral GovindDepartment of Biomedical Engineering, University of Strathclyde, Glasgow, Scotland.
Andrew James MurphyDepartment of Biomedical Engineering, University of Strathclyde, Glasgow, Scotland.
Jon ClarkeOrthopaedic Department, Golden Jubilee National Hospital, Clydebank, Scotland.
Alistair EwenOrthopaedic Department, Golden Jubilee National Hospital, Clydebank, Scotland.
Hollie LeonardOrthopaedic Department, Golden Jubilee National Hospital, Clydebank, Scotland.
Philip RichesDepartment of Biomedical Engineering, University of Strathclyde, Glasgow, Scotland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDissimilar total knee arthroplasty implant designs offer different functional characteristics. This is the first work in the literature to fully assess the Columbus ultra-congruent mobile (UCR) system with a rotating platform.

methodsThis is a double-blinded randomised controlled trial, comparing the functional performance of the low congruent fixed (CR DD), ultra-congruent fixed (UC) and UCR Columbus Total Knee Systems. The pre-operative and post-operative functional performance of twenty-four osteoarthritic patients was evaluated against nine control participants when carrying out everyday tasks. Spatiotemporal, kinematic and kinetic gait parameters in walking and stair navigation were extracted by means of motion capture.

resultsThe UC implant provided better post-operative function, closely followed by the UCR design. However, both the UC and UCR groups exhibited restricted post-operative sagittal RoM (walking, 52.1 ± 4.4° and 53.2 ± 6.6°, respectively), whilst patients receiving a UCR implant did not show an improvement in their tibiofemoral axial rotation despite the bearing's mobile design (walking, CR DD 13.2 ± 4.6°, UC 15.3 ± 6.7°, UCR 13.5 ± 5.4°). Patients with a CR DD fixed bearing showed a statistically significant post-operative improvement in their sagittal RoM when walking (56.8 ± 4.6°).

conclusionIt was concluded that both ultra-congruent designs in this study, the UC and UCR bearings, showed comparable functional performance and improvement after TKA surgery. The CR DD group showed the most prominent improvement in the sagittal RoM during walking.

trial registrationThe study is registered under the clinical trial registration number: NCT02422251 . Registered on April 21, 2015.

Indexed as

Knee ProsthesisProsthesis DesignAgedArthroplasty, Replacement, KneeBiomechanical PhenomenaDouble-Blind MethodFemaleHumansKineticsMaleMiddle AgedStair ClimbingWalkingFixed bearingImplant congruencyKnee prosthesisMobile bearingMotion analysisRange of motion

Identifiers

PMID33676526
PMCPMC7936496

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Registered trials

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.