Evidence map›Paper›PMID 38989783›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2024

One-day surgery is safe and effective in unicompartmental knee arthroplasty: A prospective comparative study at 1 year of follow-up.

Stefano Petrillo, Claudio Lacagnina, Michele Corbella, Matteo Marullo, Marco Bargagliotti, Riccardo Giorgino, Paolo Perazzo, Sergio Romagnoli

Abstract readComparative Study
In one paragraph

Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 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. [Relationship between knee meniscus and posterior tibial slope in healthy adults and patients with anteromedial osteoarthritis in Heilongjiang province].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025
    Article
  2. Review
  3. 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

8 authors.

Stefano PetrilloDepartment of Joint Replacement, IRCCS Ospedale Galeazzi San'Ambrogio, Milan, Italy.ORCID http://orcid.org/0000-0003-0843-2273
Claudio LacagninaDepartment of Orthopaedics, Fondazione Istituto G. Giglio, Cefalù, Italy.
Michele CorbellaDepartment of Joint Replacement, IRCCS Ospedale Galeazzi San'Ambrogio, Milan, Italy.
Matteo MarulloDepartment of Joint Replacement, IRCCS Ospedale Galeazzi San'Ambrogio, Milan, Italy.
Marco BargagliottiDepartment of Joint Replacement, IRCCS Ospedale Galeazzi San'Ambrogio, Milan, Italy.
Riccardo GiorginoResidency Program in Orthopaedics and Traumatology, University of Milan, Milan, Italy.
Paolo PerazzoIntensive care Unit, IRCCS Ospedale Galeazzi Sant'Ambrogio, Milan, Italy.
Sergio RomagnoliDepartment of Joint Replacement, IRCCS Ospedale Galeazzi San'Ambrogio, Milan, Italy.

Funding

Italian Ministry of Health, 'Ricerca Corrente'
6 · The paper itself

Abstract

purposeTo compare the outcomes and complications of two perioperative protocols for the management of patients who underwent medial unicompartmental knee arthroplasty (UKA): 24 h (1-day surgery [OS]) versus 72 h (enhanced recovery after surgery [ERAS]) of the length of hospital stay (LOS). In our hypothesis, the reduction of the LOS from 3 to 1 day did not influence the outcomes and complications.

methodsA total of 42 patients (21 in each group) with isolated anteromedial knee osteoarthritis and meeting specific criteria were prospectively included in the study. Clinical outcomes included Knee Society Score (KSS) and Forgotten joint score while pain evaluation was performed using a Visual Analogue Scale (VAS). Functional outcomes were assessed measuring the knee range of motion (ROM) while radiographic outcomes were evaluated measuring the amelioration of the varus deformity through the hip-knee-ankle angle (HKA).

resultsClinical and functional outcomes did not significantly differ between the two groups. Complications occurred in 9.5% of OS and 4.7% of ERAS group patients. Significant improvements in knee ROM, VAS pain, KSS and HKA angle were observed postsurgery, with no significant differences between groups except in KSS expectations and function trends.

conclusionThe OS protocol is safe and effective and LOS, in a well-defined fast-track protocol, did not significantly impact clinical and functional outcomes. OS may lead to reduced hospitalisation costs and potential reductions in complications associated with prolonged stays, benefiting both patients and healthcare facilities. However, further research with larger sample sizes and longer follow-up periods is needed to confirm these findings. Early mobilisation and rehabilitation protocols are key components of successful patient recovery following UKA procedures. LEVEL OF EVIDENCE: Level II.

Indexed as

Arthroplasty, Replacement, KneeLength of StayOsteoarthritis, KneeRange of Motion, ArticularAgedEnhanced Recovery After SurgeryFemaleFollow-Up StudiesHumansMaleMiddle AgedPain MeasurementPostoperative ComplicationsProspective StudiesRecovery of FunctionTreatment Outcome1‐day surgery protocolanteromedial or anterolateral knee osteoarthritisearly mobilisationenhanced recovery after surgerymedial unicompartmental knee arthroplastypain management strategies

Identifiers

PMID38989783
PMCPMC11605031

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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.