Evidence map›Paper›PMID 35821926›Full record

ArticleThe Iowa orthopaedic journal2022

Surgical Management of Tibial Bone Loss in Revision Total Knee Arthroplasty: Clinical Outcomes and Radiographic Analysis of Tantalum Cones, Titanium Cones and Titanium Sleeves.

Emmanuel Gibon, Terrie Vasilopoulos, Edvinas Sipavicius, Justin T Deen, Hernan A Prieto, Chancellor F Gray, Hari K Parvataneni, Luis Pulido

Open access · greenAbstract read
PubMed Full text at PMC
In one paragraph

Article in The Iowa orthopaedic journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
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  4. Review
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

8 authors at 1 institution in 1 country.

Emmanuel GibonDepartment of Orthopaedic Surgery and Rehabilitation, University of Florida, Gainesville, Florida, USA.
Terrie VasilopoulosDepartment of Anesthesiology, University of Florida, Gainesville, Florida, USA.
Edvinas SipaviciusDepartment of Orthopaedic Surgery and Rehabilitation, University of Florida, Gainesville, Florida, USA.
Justin T DeenDepartment of Orthopaedic Surgery and Rehabilitation, University of Florida, Gainesville, Florida, USA.
Hernan A PrietoDepartment of Orthopaedic Surgery and Rehabilitation, University of Florida, Gainesville, Florida, USA.
Chancellor F GrayDepartment of Orthopaedic Surgery and Rehabilitation, University of Florida, Gainesville, Florida, USA.
Hari K ParvataneniDepartment of Orthopaedic Surgery and Rehabilitation, University of Florida, Gainesville, Florida, USA.
Luis PulidoDepartment of Orthopaedic Surgery and Rehabilitation, University of Florida, Gainesville, Florida, USA.
University of Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The use of metaphyseal cones and sleeves has improved the ability to manage tibial bone loss in revision total knee arthroplasty (TKA). The purpose of this study was to compare the outcomes of three systems used for tibial metaphyseal reconstruction in revision TKA. Methods: We performed a retrospective review of a consecutive series of 723 revision TKAs, including 145 (20%) knee revisions using tibial cones or sleeves. We compared porous tantalum (TM) cones, titanium (Ti) cones and titanium sleeves. The mean follow-up was 2.5 years. Results: The rate of revision for any reason was similar among all groups. Revision-free survival rates were similar among all systems studied at a mean follow-up of 2.5 years (TM cones 93%, Ti cones 94%, titanium sleeves 89%). Ti cones had a lower complication rate (6%) compared to TM cones (24%) and sleeves (29%). TM cones (15%) and titanium sleeves (13%) had higher reoperation rates (for any cause) than Ti cones (2%). Radiographic loosening was higher for sleeves (11%) than TM and Ti cones (2%). Conclusion: Metaphyseal reconstruction for tibial bone loss in revision TKA using tantalum cones, titanium cones and titanium sleeves showed successful and comparable early clinical outcomes at a mean follow-up of 2.5 years with higher rates of radiographic loosening for titanium sleeves.

Indexed as

Arthroplasty, Replacement, KneeKnee ProsthesisFemurHumansProsthesis DesignTantalumTitaniumTantalumTitaniumbone lossconerevision TKAsleeve

Identifiers

PMID35821926
PMCPMC9210416
OpenAlexW4285407748

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.