Evidence map›Paper›PMID 36166094›Full record

Trial reportEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2023

Comparison of postoperative alignment using fixed angle versus variable angle distal femoral resection in uncomplicated total knee replacement.

Kehinde Adesola Alatishe, Wakeel Olaide Lawal, Michael Ebiyon Ugbeye, Ranti Oladimeji Babalola

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report 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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

  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

4 authors.

Kehinde Adesola AlatisheArthroplasty Unit, Orthopaedic and Trauma Department, National Orthopaedic Hospital, 120/124 Ikorodu road, Lagos, Nigeria. kehinde.alatishe@npmcn.edu.ng.ORCID http://orcid.org/0000-0002-9564-249X
Wakeel Olaide LawalArthroplasty Unit, Orthopaedic and Trauma Department, National Orthopaedic Hospital, 120/124 Ikorodu road, Lagos, Nigeria.
Michael Ebiyon UgbeyeArthroplasty Unit, Orthopaedic and Trauma Department, National Orthopaedic Hospital, 120/124 Ikorodu road, Lagos, Nigeria.
Ranti Oladimeji BabalolaArthroscopy and Sport Medicine Department, National Orthopaedic Hospital, 120/124 Ikorodu road, Igbobi, Lagos, Nigeria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to compare the postoperative alignment of the lower limbs using fixed angle versus variable valgus angle distal femur resection in uncomplicated total knee replacement (TKR) and to determine the mean valgus correction angle (VCA) in the study population.

methodsThis was a prospective comparative study conducted between July 2018 and December 2019 in patients with osteoarthritic knees who underwent primary TKR. Forty-nine patients with 54 knees completed the study. They were randomized into fixed valgus angle (group A) and variable valgus angle (group B) groups. Twenty-four patients with 26 knees were in group A who had distal femur resection with 5-degree valgus correction, while 25 patients with 28 knees were in group B who had distal femur resection with individualized valgus correction angle calculated from hip-knee-ankle scanogram.

resultsThe demographic data were comparable in the two groups. There was no statistically significant difference between the groups in the mean preoperative mechanical femorotibial angle (MFTA). The fixed angle group had a mean postoperative MFTA of 2.0 ± 2.8°, while variable angle group had a mean of 1.6 ± 2.4°. However, the difference between the groups did not reach statistical significance (p = 0.60). The mean VCA in the study population was 5.8 ± 1.2° (Range 4-9°).

conclusionOur study has shown that the use of variable valgus angle for distal femur resection in uncomplicated TKR did not significantly improve the accuracy of restoring the postoperative coronal alignment within 0 ± 3°.

Indexed as

Arthroplasty, Replacement, KneeOsteoarthritis, KneeFemurHumansKnee JointProspective StudiesRetrospective StudiesDistal femoral resectionFixed valgus angleMechanical femorotibial angle (MFTA)Total knee replacementVariable valgus angle

Identifiers

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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.