Evidence map›Paper›PMID 38600536›Full record

SynthesisBMC musculoskeletal disorders2024

A systematic review and meta-analysis of hybrid vs. cemented stems - which method is more optimal for revision total knee arthroplasty?

Yogen Thever, Sir Young James Loh, Raghuraman Raghavan, Rong Chuin Toh, Ing How Moo

Abstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMC musculoskeletal disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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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. Review
  2. 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

5 authors.

Yogen TheverDepartment of Orthopaedic Surgery, Changi General Hospital, 2 Simei St 3, Simei, 529889, Singapore. yogenthever@gmail.com.
Sir Young James LohDepartment of Orthopaedic Surgery, Changi General Hospital, 2 Simei St 3, Simei, 529889, Singapore.
Raghuraman RaghavanDepartment of Orthopaedic Surgery, Changi General Hospital, 2 Simei St 3, Simei, 529889, Singapore.
Rong Chuin TohDepartment of Orthopaedic Surgery, Changi General Hospital, 2 Simei St 3, Simei, 529889, Singapore.
Ing How MooDepartment of Orthopaedic Surgery, Changi General Hospital, 2 Simei St 3, Simei, 529889, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe number of primary and revision Total Knee Arthroplasty (TKA) cases are expected to increase in future. There are various advantages and disadvantage to employing either of the two main types of stem fixation methods - cemented or hybrid technique. This review aimed to study the most optimal fixation method for revision TKAs by comparing radiological outcomes and re-revision rates.

methodsA systematic review and meta-analysis was performed using PubMed and Cochrane Library from 2010 to identify studies explicitly comparing outcomes between cemented against hybrid fixation revision TKA techniques, with a minimum follow up of at least 24 months. A total of 8 studies was included in this review. Egger's test and visual inspection of the funnel plot did not reveal publication bias.

resultsThere was no statistically significant difference in radiological failure and loosening (OR 0.79, CI 0.37-1.66, I

conclusionDespite a trend favouring hybrid stems in revision TKA, current evidence revealed that radiological outcomes and re-revision rates are largely similar between cemented and hybrid fixation techniques.

Indexed as

Arthroplasty, Replacement, KneeKnee ProsthesisBone CementsHumansPhysical ExaminationProsthesis DesignProsthesis FailureReoperationTreatment OutcomeBone CementsCemented fixationHybrid fixationLooseningRe-revisionRevision TKA

Identifiers

PMID38600536
PMCPMC11005209

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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.