Evidence map›Paper›PMID 38512460›Full record

ArticleArchives of orthopaedic and trauma surgery2024

Mid-term results of an anatomic total knee replacement design.

Fahd Mahmood, Fraser Rae, Sophie Rae, Alistair Ewen, Nicholas Holloway, Jon Clarke

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Article in Archives of orthopaedic and trauma surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Trial
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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.

Fahd MahmoodDepartment of Orthopaedics, Golden Jubilee University National Hospital, Agamemnon Street, Clydebank, Glasgow, G81 4DY, UK. fahdmahmood@hotmail.com.ORCID http://orcid.org/0000-0001-9644-2724
Fraser RaeDepartment of Orthopaedics, Golden Jubilee University National Hospital, Agamemnon Street, Clydebank, Glasgow, G81 4DY, UK.
Sophie RaeDepartment of Orthopaedics, Golden Jubilee University National Hospital, Agamemnon Street, Clydebank, Glasgow, G81 4DY, UK.
Alistair EwenDepartment of Orthopaedics, Golden Jubilee University National Hospital, Agamemnon Street, Clydebank, Glasgow, G81 4DY, UK.
Nicholas HollowayDepartment of Orthopaedics, Golden Jubilee University National Hospital, Agamemnon Street, Clydebank, Glasgow, G81 4DY, UK.
Jon ClarkeDepartment of Orthopaedics, Golden Jubilee University National Hospital, Agamemnon Street, Clydebank, Glasgow, G81 4DY, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionA significant proportion of patients remain dissatisfied following total knee arthroplasty (TKA) surgery. Reasons for this are unclear. Contemporary implants seek to mirror innate anatomy. Such innovations are necessarily subject to scrutiny to validate their use. The Zimmer-Biomet Persona® Personalized Knee system is such an anatomic TKA. This work seeks to establish medium term survival data and patient reported outcomes for this implant.

methodsThis was a cohort study of prospectively collected data on all patients undergoing Persona TKA at our institution. Patients were managed using a standardised protocol for intra- and post-operative care. Survivorship data were collected using our National Joint Registry and corroborated with local data. Range of motion, Oxford Knee Score (OKS) and patient satisfaction were recorded at six weeks and one year post-operatively. Hip-knee-ankle radiographs were used to record pre- and post-operative alignment.

resultsData were collected for 749 knees in 679 patients. Overall survivorship was 99.0% at a mean 5.35 years, with seven patients undergoing revision surgery during the study period. Significant improvements in the OKS (mean 20.7 points) and range of motion were observed (mean 104.6° at one year). 94.9% of patients were satisfied at one year. Mean correction was to a mechanical femoro-tibial angle of 0.8° varus.

conclusionsWe demonstrate excellent medium term survival of the Persona TKA in this large cohort, coupled with improvements in patient reported outcomes, range of motion and patient satisfaction at one year which compare favourably to other implants.

Indexed as

Arthroplasty, Replacement, KneeKnee ProsthesisPatient SatisfactionProsthesis DesignAdultAgedAged, 80 and overCohort StudiesFemaleHumansMaleMiddle AgedProspective StudiesRange of Motion, ArticularTreatment OutcomeAnatomicLower limb arthroplastyPersonaSurvivalTotal knee arthroplasty

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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.