Evidence map›Paper›PMID 38551783›Full record

ArticleArchives of orthopaedic and trauma surgery2024

Severe genu varus deformity does not affect enhanced recovery after surgery total knee arthroplasty outcomes.

Wayne Yong Xiang Foo, Jerry Yongqiang Chen, Hee Nee Pang, Darren Keng Jin Tay, Seng Jin Yeo, Ming Han Lincoln Liow

Abstract read
PubMed Publisher
In one paragraph

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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 36% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Trial
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 at 1 institution in 1 country.

Wayne Yong Xiang FooDepartment of Orthopaedic Surgery, Singapore General Hospital, 20 College Road, Academia, Level 4, Bukit Merah, 169865, Singapore. yxwayne@gmail.com.ORCID http://orcid.org/0000-0001-9373-9311
Jerry Yongqiang ChenDepartment of Orthopaedic Surgery, Singapore General Hospital, 20 College Road, Academia, Level 4, Bukit Merah, 169865, Singapore.
Hee Nee PangDepartment of Orthopaedic Surgery, Singapore General Hospital, 20 College Road, Academia, Level 4, Bukit Merah, 169865, Singapore.
Darren Keng Jin TayDepartment of Orthopaedic Surgery, Singapore General Hospital, 20 College Road, Academia, Level 4, Bukit Merah, 169865, Singapore.
Seng Jin YeoDepartment of Orthopaedic Surgery, Singapore General Hospital, 20 College Road, Academia, Level 4, Bukit Merah, 169865, Singapore.
Ming Han Lincoln LiowDepartment of Orthopaedic Surgery, Singapore General Hospital, 20 College Road, Academia, Level 4, Bukit Merah, 169865, Singapore.
Singapore General Hospital · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEnhanced recovery after surgery (ERAS) has been increasingly adopted in orthopaedic surgery. Although not an exclusion criterion, patients undergoing total knee arthroplasty (TKA) with preoperative severe varus deformity may be less likely to be enrolled for ERAS. This study aimed to compare the success of ERAS TKA between patients with severe preoperative varus deformities (≥ 15° varus) and the control group (< 15° varus to 14° valgus). Our secondary aim was to compare postoperative complications and functional outcomes between the two groups. MATERIALS &

methods310 TKAs performed from August 2019 to February 2021 were analyzed with a follow-up of 6 months postoperatively. The primary outcome, ERAS TKA success, was defined as length of hospital stay of < 24 h. Other parameters included 30-day postoperative complications and clinical outcomes such as the original Oxford Knee Score (OKS), the Knee Society Knee (KSKS) and Function Score (KSFS), Visual Analog Scale for Pain (VAS-P), 36-Item Short-Form Health Survey (SF-36) Physical Component Summary (PCS) and SF-36 Mental Component Summary (MCS).

resultsThere were 119 patients in the severe deformity group and 191 patients in the control group. There were no significant differences in ERAS success between the severe deformity group and control group, with both groups achieving similarly high rates (> 90%) of ERAS success. There were also no differences in 30-day postoperative complications and 6-month postoperative clinical outcomes.

conclusionPatients with severe preoperative varus deformity undergoing ERAS TKA achieved high ERAS success rates (> 90%). Genu varum is not a contraindication for ERAS TKA.

Indexed as

Arthroplasty, Replacement, KneeEnhanced Recovery After SurgeryGenu VarumAgedFemaleHumansLength of StayMaleMiddle AgedPostoperative ComplicationsRecovery of FunctionRetrospective StudiesTreatment OutcomeEnhanced recovery after surgeryFast track arthroplastyGenu varusTotal knee arthroplastyVarus deformity

Identifiers

PMID38551783
OpenAlexW4393308868

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.