Evidence map›Paper›PMID 36435822›Full record

Trial reportBMC musculoskeletal disorders2022

Clinical efficacy and feasibility of laser correction technology with an ordinary laser pen and surgical instrument box in open-wedge high tibial osteotomy.

Zhe Xu, Guang Tian, Ruguo Zhang, Zhanyu Wu, Chen Liu, Chuan Ye

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC musculoskeletal disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

6 authors.

Zhe XuDepartment of Orthopedics, Guihang Guiyang 300 Hospital, Guiyang, 550004, China.
Guang TianDepartment of Orthopedics, Guihang Guiyang 300 Hospital, Guiyang, 550004, China.
Ruguo ZhangDepartment of Orthopedics, Guihang Guiyang 300 Hospital, Guiyang, 550004, China.
Zhanyu WuNational-Local Joint Engineering Laboratory of Cell Engineering and Biomedicine, Guiyang, 550004, China.
Chen LiuDepartment of Orthopedics, Guihang Guiyang 300 Hospital, Guiyang, 550004, China.
Chuan YeNational-Local Joint Engineering Laboratory of Cell Engineering and Biomedicine, Guiyang, 550004, China. 657841341@qq.com.

Funding

This study was supported by Science and Technology Fund of Guizhou Provincial Health Commission. gzwkj2021-248
6 · The paper itself

Abstract

backgroundThe clinical outcomes of open-wedge high tibial osteotomy (OWHTO) for medial knee osteoarthritis primarily depend on the corrective precision. The present study aimed to determine the efficacy and feasibility of laser correction technology with an ordinary laser pen and surgical instrument box.

methodsThis prospective and randomized trial included 71 patients randomly divided into laser (n = 36) and traditional groups (n = 35). In the laser group, the hip centre, knee (Fujisawa point), and ankle centre were located preoperatively using the surgical instrument box lid. The leg was aligned with an ordinary laser pen. In the traditional group, the lower limb alignment was corrected by a metal cable. Radiation exposure, operative time, and rate of outliers (lower limb force line does not pass through 62-66% of the lateral tibial plateau) were evaluated. The visual analogue scale (VAS) and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores were recorded. After 24 months, the femoral tibial angle (FTA), medial proximal tibial angle (MPTA), and posterior slope angle (PSA), were recorded. The Kaplan-Meier method was used to evaluate the survival time of affected knees, and postoperative complications were recorded.

resultsThe radiation exposure, operative time and rate of outliers were lower in the laser correction group (P < 0.05). Six months postoperatively, the VAS and WOMAC scores were significantly improved in both groups (P < 0.001). At 24 months, the FTA, MPTA, and PSA were corrected in both groups (P < 0.001). There were no differences in the postoperative knee survival time from OWHTO to knee arthroplasty between the groups or postoperative complications (P = 0.53; P = 0.61).

conclusionsLaser correction technology can effectively reduce radiation exposure, the operative time, and the rate of outliers (trial identification number (retrospectively registered): ChiCTR2200060480; date of register: 03/06/2022).

Indexed as

LasersOsteotomyFeasibility StudiesHumansPostoperative ComplicationsProspective StudiesSurgical InstrumentsTechnologyTreatment OutcomeFemoral tibial angleLaser navigationLeg alignmentOpen-wedge high-tibial osteotomy (OWHTO)

Identifiers

PMID36435822
PMCPMC9701429

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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.