Evidence map›Paper›PMID 33929314›Full record

ArticleSICOT-J2021

Management of Stiffness following Total Knee Arthroplasty: International Survey on Surgeon Preferences.

Karadi Hari Sunil Kumar, Georgios Mamarelis, Matthew Pettit, Vikas Khanduja

Open access · goldAbstract read
In one paragraph

Article in SICOT-J, 2021. 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
1.3field-weighted citation impact, top 21% 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, 10 citations in OpenAlex.

  1. Review
  2. Primary Diagnoses Associated With and Outcomes of Total Knee Arthroplasty in Patients Aged 15 to 45 Years.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025
    Article
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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 3 institutions in 1 country.

Karadi Hari Sunil KumarSpecialty Registrar in Trauma & Orthopaedics, Addenbrooke's Hospital, Hills Road, Cambridge CB2 0QQ, UK.ORCID 0000-0002-9461-7946
Georgios MamarelisSpecialty Registrar in Trauma & Orthopaedics, Royal London Hospital, Whitechapel, London E1 1BB, UK.
Matthew PettitMedical Student, University of Cambridge, CB2 8PQ, UK.ORCID 0000-0002-4292-2607
Vikas KhandujaConsultant Orthopaedic Surgeon, Addenbrooke's Cambridge University Hospital, Hills Road, Cambridge CB2 0QQ, UK.ORCID 0000-0001-9454-3978
University of Cambridge · GBAddenbrooke's Hospital · GBRoyal London Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionStiffness following total knee arthroplasty (TKA) is a challenging complication and can result in a poor functional outcome. There is considerable debate concerning the definition, work-up, and optimal management of this complication. The aim of this study was to record the definition of stiffness, management practices, and expectations of outcome among surgeons from an international community using a peer-reviewed questionnaire.

methodsA 23-item peer-reviewed online questionnaire was sent to all members of SICOT to gauge and record the management practices and expectations of outcome in the management of patients with stiffness following TKA.

resultsA total of 315 surgeons completed this peer-reviewed questionnaire. Manipulation under anaesthesia (MUA) was the preferred treatment option for stiffness post-TKA, with a majority of the surgeons opting to carry out this procedure between 6 and 12 weeks following the index TKA. Physiotherapy and a continuous passive motion device were also used by the majority of surgeons following MUA, as additional treatment measures. DISCUSSION: MUA is perceived to be a safe and effective primary treatment option for stiffness following TKA. It is best performed between weeks 6 and 12 with expected gains in range of motion from 10 to 20 degrees in 75% of patients.

Indexed as

ManagementManipulation under anesthesiaOutcomesPostoperative stiffnessTotal knee arthroplasty

Identifiers

PMID33929314
PMCPMC8086424
OpenAlexW3159143199

What OpenQuestion holds

Textmetadata
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.