Evidence map›Paper›PMID 35246182›Full record

ArticleJournal of orthopaedic surgery and research2022

Long-term outcomes of one single-design varus valgus constrained versus one single-design rotating hinge in revision knee arthroplasty after over 10-year follow-up.

Pablo Sanz-Ruiz, Víctor Estuardo León-Román, José Antonio Matas-Diez, Manuel Villanueva-Martínez, Javier Vaquero

Open access · goldAbstract read
In one paragraph

Article in Journal of orthopaedic surgery and research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 13% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
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  5. 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 2 institutions in 1 country.

Pablo Sanz-RuizDepartment of Traumatology and Orthopaedic Surgery, General University Hospital Gregorio Marañón, Calle Doctor Esquerdo nº 46, 28007, Madrid, Spain. pablo.sanzruiz@gmail.com.ORCID http://orcid.org/0000-0002-7588-1880
Víctor Estuardo León-RománDepartment of Traumatology and Orthopaedic Surgery, Villalba Hospital, Carretera de Alpedrete a Moralzarzal M-608 Km 41, 28400, Collado Villalba, Spain.
José Antonio Matas-DiezDepartment of Traumatology and Orthopaedic Surgery, General University Hospital Gregorio Marañón, Calle Doctor Esquerdo nº 46, 28007, Madrid, Spain.
Manuel Villanueva-MartínezAvanfi Institute, Orense 32, 28020, Madrid, Spain.
Javier VaqueroDepartment of Traumatology and Orthopaedic Surgery, General University Hospital Gregorio Marañón, Calle Doctor Esquerdo nº 46, 28007, Madrid, Spain.
Universidad Complutense de Madrid · ESHospital General Universitario Gregorio Marañón · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe appropriate degree of constraint in knee prosthetic revision is unknown, necessitating the use of the lowest possible constraint. This study aimed to compare the long-term clinical and survival results of revision with rotation hinge knee (RHK) VS constrained condylar constrained knee (CCK) implants.

methodsOverall, 117 revision case were prospectively reviewed and dividing into two groups based on the degree of constraint used, using only one prosthetic model in each group (61 CCK vs 56 RHK). All implants were evaluated for a minimum of 10 years. Survival of both implants at the end of follow-up, free from revision for any cause, aseptic loosening, and septic cause was compared.

resultsBetter results were seen with use of the RHK in joint ranges of (p = 0.023), KSCS (p = 0.015), KSFS (p = 0.043), and KOOS (p = 0.031). About 22.2% of the cases required repeat surgery (11.7% RHK vs 29.6% CCK, p = 0.023). Constrained condylar implants had a significantly lower survival rates than rotating hinge implants (p = 0.005), due to a higher aseptic loosening rate (p = 0.031).

conclusionUsing a specific RHK design with less rotational constraint has better clinical and survival outcomes than implants with greater rotational constraint, such as one specific CCK.

Indexed as

Knee ProsthesisReoperationAgedAged, 80 and overArthroplasty, Replacement, KneeBiomechanical PhenomenaFemaleFollow-Up StudiesHumansJoint InstabilityKnee JointMaleProsthesis DesignProsthesis FailureRetrospective StudiesTreatment OutcomeCondylar constrained kneeInstabilityRevision kneeRotating hinge

Identifiers

PMID35246182
PMCPMC8896104
OpenAlexW4214848103

What OpenQuestion holds

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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.