Evidence map›Paper›PMID 34824707›Full record

ReviewIndian journal of orthopaedics2021

Comparison of Functional Outcomes, Femoral Rollback and Sagittal Stability of Anterior-Stabilized Versus Posterior-Stabilized Total Knee Arthroplasty: A Systematic Review and Meta-analysis of Randomized Controlled Trials.

Balgovind S Raja, Aditya K S Gowda, Sajid Ansari, Arghya Kundu Choudhury, Roop Bhushan Kalia

Open access · greenAbstract readReview
In one paragraph

Review in Indian journal of orthopaedics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

1 citing paper in PubMed, 6 citations in OpenAlex.

  1. 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

5 authors at 1 institution in 1 country.

Balgovind S RajaDepartment of Orthopaedics, All India Institute of Medical Sciences, Rishikesh, Uttarakhand 249203 India.ORCID https://orcid.org/0000-0002-6279-0015
Aditya K S GowdaDepartment of Orthopaedics, All India Institute of Medical Sciences, Rishikesh, Uttarakhand 249203 India.ORCID https://orcid.org/0000-0003-4630-1741
Sajid AnsariDepartment of Orthopaedics, All India Institute of Medical Sciences, Rishikesh, Uttarakhand 249203 India.ORCID https://orcid.org/0000-0001-6935-4999
Arghya Kundu ChoudhuryDepartment of Orthopaedics, All India Institute of Medical Sciences, Rishikesh, Uttarakhand 249203 India.ORCID https://orcid.org/0000-0002-8829-1206
Roop Bhushan KaliaDepartment of Orthopaedics, All India Institute of Medical Sciences, Rishikesh, Uttarakhand 249203 India.ORCID 0000-0002-3418-5942
All India Institute of Medical Sciences Rishikesh · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTotal knee arthroplasty (TKA) has improved leaps and bounds in terms of design to improve clinical outcomes and achieve better rehabilitation of the patients. Ultra-congruent inserts (UC) were designed to replace the need for posterior stabilized (PS) implants. The purpose of this review was to evaluate clinical outcomes, femoral rollback, functional scores, range of motion, sagittal laxity, complication rates, and isokinetic performance between UC and PS TKA among RCTs.

methodsElectronic databases such as PubMed, Scopus, opengrey, and Cochrane were searched from date of inception up to mid-April 2021, and meta-analysis was performed following PRISMA guidelines. This study analyzed outcomes, femoral rollback, tibial sagittal laxity and isokinetic performance.

resultsTen RCTs identified 852 knees, of which 420 underwent UC TKAs and 432 underwent PS TKA. Compared to UC TKA, a significantly better sagittal stability (

conclusionsWe conclude with the current meta-analysis that there are no added benefits for UC over PS inserts and these inserts have a higher sagittal laxity and less femoral roll back in cruciate sacrificing UC knee. But since there are no long-term wear data, UC inserts with CS technique should be used cautiously and may be used only when the PCL cannot be balanced adequately. There is no evidence or only a few to support the superiority of the AS TKA in terms of clinical outcomes or isokinetic performance or femoral external rotation over PS TKA. LEVEL OF EVIDENCE: Level I, Systematic review and meta-analysis of RCTs.

Indexed as

Femoral rollbackFunctional joint scoresIsokinetic performancePosterior stabilizedSagittal stabilityTotal knee arthroplastyUltra-congruent

Identifiers

PMID34824707
PMCPMC8586404
OpenAlexW3194564400

What OpenQuestion holds

Textmetadata
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.