Evidence map›Paper›PMID 35119488›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2023

The effect of gender, age, BMI and Kellgren-Lawrence grade on functional outcome after Physica ZUK medial unicompartmental knee replacement.

Jef Mast, Frederique Vanermen, Arne Van de Vyver, Paul Nicolai

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Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 29% 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

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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

2 citing papers in PubMed, 4 citations in OpenAlex.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors at 3 institutions in 2 countries.

Jef MastDepartment of Orthopaedic Surgery, University Hospitals Leuven, Leuven, Belgium.
Frederique VanermenDepartment of Orthopaedic Surgery, West Suffolk Trust Hospital, Suffolk, IP33 2QZ, UK. frederique.vanermen@gmail.com.ORCID http://orcid.org/0000-0001-7899-0671
Arne Van de VyverDepartment of Orthopaedic Surgery, Antwerp University Hospital (UZA), Antwerp, Belgium.
Paul NicolaiDepartment of Orthopaedic Surgery, West Suffolk Trust Hospital, Suffolk, IP33 2QZ, UK.
West Suffolk Hospital · GBAntwerp University Hospital · BEKU Leuven · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSeveral factors influence the outcome of unicompartmental knee replacements. This study investigates the correlation of specific preoperative patient variables with postoperative functional outcomes-measured with the American Knee Society Knee (KS-KS) and Function Scores (KS-FS), as well as the difference in knee flexion pre- and postoperatively.

methodsIn a retrospective study of 242 patients who underwent a medial Physica ZUK unicompartmental knee replacement (UKR), the American KS-KS, KS-FS as well as knee flexion were analyzed preoperatively and at 2-year follow-up. The absolute scores and improvement in scores were calculated per subgroup for gender, age, body mass index (BMI) and Kellgren-Lawrence (KL) radiological grade and compared between the subgroups.

resultsAll groups had a significant improvement in range of flexion, KS-KS and KS-FS. Female patients had lower preoperative scores and significantly larger improvement in knee flexion and KS-FS. Age does not seem to be associated with the postoperative functional outcome. Patients with a BMI of 30 or higher had a lower postoperative KS-KS and KS-FS as well as knee flexion. Patients with KL grade IV changes had larger gain in KS-KS compared to patients with grade III.

conclusionOverall, KS-KS, KS-FS and knee flexion improve significantly 2 years following a Physica ZUK UKR in all groups. Although excellent results were found in patients with a BMI of 30 or higher, a decrease in BMI was associated with an increase in functional outcome. KL IV grade preoperatively was associated with a better KS-KS improvement compared to the KL III group 2 years postoperatively. This information can aid surgeons in patient selection and to counsel patients on outcomes. EVIDENCE LEVEL: III.

Indexed as

Arthroplasty, Replacement, KneeKnee ProsthesisOsteoarthritis, KneeBody Mass IndexFemaleHumansKnee JointRetrospective StudiesTreatment OutcomeAgeBMIFunctional outcomeGenderKellgren–Lawrence criteriaKnee arthroplastyUnicompartmental knee replacement

Identifiers

PMID35119488
OpenAlexW4210648809

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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.