Evidence map›Paper›PMID 37993611›Full record

SynthesisEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2024

Irreducible knee dislocation: improved clinical outcomes of open and arthroscopic surgical treatment. A systematic review of the literature.

Fortunato Giustra, Francesco Bosco, Virginia Masoni, Marcello Capella, Giorgio Cacciola, Salvatore Risitano, Luigi Sabatini, Lawrence Camarda, Alessandro Massè

Open access · hybridAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2024. 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 19% 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, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. 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

9 authors at 5 institutions in 1 country.

Fortunato GiustraDepartment of Orthopaedics and Traumatology, Ospedale San Giovanni Bosco di Torino - ASL Città di Torino, 10154, Turin, Italy.
Francesco BoscoDepartment of Orthopaedics and Traumatology (DiChirOnS), University of Palermo, Palermo, Italy. francesco.bosco03@unipa.it.ORCID http://orcid.org/0000-0001-8306-1869
Virginia MasoniDepartment of Orthopaedics and Traumatology, University of Turin, CTO, 10125, Turin, Italy.
Marcello CapellaDepartment of Orthopaedics and Traumatology, University of Turin, CTO, 10125, Turin, Italy.
Giorgio CacciolaDepartment of Orthopaedics and Traumatology, University of Turin, CTO, 10125, Turin, Italy.
Salvatore RisitanoDepartment of Orthopaedics and Traumatology, University of Turin, CTO, 10125, Turin, Italy.
Luigi SabatiniOrtopedia Protesica e Robotica-Humanitas Gradenigo, 10153, Turin, Italy.
Lawrence CamardaDepartment of Orthopaedics and Traumatology (DiChirOnS), University of Palermo, Palermo, Italy.
Alessandro MassèDepartment of Orthopaedics and Traumatology, University of Turin, CTO, 10125, Turin, Italy.
University of Turin · ITOspedale G.F. Ingrassia · ITOspedale Humanitas Gradenigo · ITOspedale San Giovanni Bosco · ITUniversity of Palermo · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIrreducible knee dislocations (IKDs) are a rare rotatory category of knee dislocations (KDs) characterized by medial soft tissue entrapment that requires early surgical treatment. This systematic review underlines the need for prompt surgical reduction of IKDs, either open or arthroscopically. It describes the various surgical options for ligament management following knee reduction, and it investigates their respective functional outcome scores to assist orthopedic surgeons in adequately managing this rare but harmful KD.

methodsA comprehensive search in four databases, PubMed, Scopus, Embase, and MEDLINE, was performed, and following the PRISMA guidelines, a systematic review was conducted. Strict inclusion and exclusion criteria were applied. Studies with LoE 5 were excluded, and the risk of bias was analyzed according to the ROBINS-I tool system. This systematic review was registered on PROSPERO. Descriptive statistical analysis was performed for all data extracted.

resultsFour studies were included in the qualitative analysis for a total of 49 patients enrolled. The dimple sign was present in most cases. The surgical reduction, either open or arthroscopically performed, appeared to be the only way to disengage the entrapped medial structures. After the reduction, torn ligaments were addressed in a single acute or a double-staged procedure with improved functional outcome scores and ROM.

conclusionsThis systematic review underlines the importance of promptly reducing IKDs through a surgical procedure, either open or arthroscopically. Moreover, torn ligaments should be handled with either a single acute or a double-staged procedure, leading to improved outcomes. LEVEL OF EVIDENCE: IV.

Indexed as

ArthroscopyKnee DislocationHumansLigaments, ArticularTreatment OutcomeArthroscopyIKDsIrreducible knee dislocationsReductionSurgerySystematic review

Identifiers

PMID37993611
PMCPMC10858095
OpenAlexW4388931916

What OpenQuestion holds

Textmetadata
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.