Evidence map›Paper›PMID 33768277›Full record

ArticleArchives of orthopaedic and trauma surgery2022

High range of motion in the first ten postoperative days after TKA does not predict superior outcome in the long run.

Paul Köglberger, Alexander Wurm, Débora Coraça-Huber, Martin Krismer, Wilhelm Oberaigner, Michael Liebensteiner

Abstract 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 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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.

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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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.

Paul KöglbergerMedical University of Innsbruck, Innsbruck, Austria.
Alexander WurmDepartment of Orthopaedics and Traumatology, Medical University of Innsbruck, Innsbruck, Austria. alexander.wurm@i-med.ac.at.
Débora Coraça-HuberDepartment of Experimental Orthopaedics, Medical University of Innsbruck, Innsbruck, Austria.
Martin KrismerDepartment of Orthopaedics and Traumatology, Medical University of Innsbruck, Innsbruck, Austria.
Wilhelm OberaignerDepartment of Clinical Epidemiology, Tyrolean Federal Institute for Integrated Care, Tirol Kliniken GmbH, Innsbruck, Austria.
Michael LiebensteinerDepartment of Orthopaedics and Traumatology, Medical University of Innsbruck, Innsbruck, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTo retrospectively investigate the early postoperative range of motion (ROM) (days 4, 7, 10) after total knee arthroplasty (TKA) and to test for associations (a) with long-term outcome in terms of ROM and (b) with a disease-specific knee score. MATERIALS AND

methodsA retrospective analysis was performed in patients with previous primary TKA. Data taken from the medical records were ROM from preoperative and postoperative days 4, 7 and 10 and 1 year. As patient-reported outcome the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC Score) was taken from preoperative and one year after TKA.

results316 patients (330 knees) were available. Only negligible correlations were determined between ROM at twelve months postoperative and ROM in the early postoperative days (days 4, 7, 10). Similarly, only negligible correlations were determined between ROM in the early postoperative days (days 4, 7, 10) and the 1-year WOMAC.

conclusionFrom the main findings it would seem that steepness of ROM ascent in the early postoperative days is of minor importance for (a) long-term ROM and (b) long-term knee score outcome after TKA.

Indexed as

Arthroplasty, Replacement, KneeOsteoarthritis, KneeHumansKnee JointRange of Motion, ArticularRetrospective StudiesTreatment OutcomeFast trackKnee replacementRange of motionRapid recoveryTotal knee arthroplasty

Identifiers

PMID33768277
PMCPMC9474334

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