Evidence map›Paper›PMID 39008074›Full record

ArticleArchives of orthopaedic and trauma surgery2024

Intra- and inter-operator reliability of three-dimensional preoperative planning in total knee arthroplasty.

Killian Cosendey, Kevin Moerenhout, Julien Stanovici, Brigitte M Jolles, Julien Favre

Abstract read
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
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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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

1 citing paper in PubMed.

  1. Article
4 · The record

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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.

Killian CosendeyDepartment of Musculoskeletal Medicine (DAL), Lausanne University Hospital and University of Lausanne (CHUV-UNIL), Avenue Pierre-Decker 4, Lausanne, CH-1005, Switzerland. Killian.cosendey@chuv.ch.ORCID http://orcid.org/0000-0003-3997-1616
Kevin MoerenhoutDepartment of Musculoskeletal Medicine (DAL), Lausanne University Hospital and University of Lausanne (CHUV-UNIL), Avenue Pierre-Decker 4, Lausanne, CH-1005, Switzerland.
Julien StanoviciDepartment of Musculoskeletal Medicine (DAL), Lausanne University Hospital and University of Lausanne (CHUV-UNIL), Avenue Pierre-Decker 4, Lausanne, CH-1005, Switzerland.
Brigitte M JollesDepartment of Musculoskeletal Medicine (DAL), Lausanne University Hospital and University of Lausanne (CHUV-UNIL), Avenue Pierre-Decker 4, Lausanne, CH-1005, Switzerland.
Julien FavreDepartment of Musculoskeletal Medicine (DAL), Lausanne University Hospital and University of Lausanne (CHUV-UNIL), Avenue Pierre-Decker 4, Lausanne, CH-1005, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo characterize the intra- and inter-operator reliability of a CT-based 3D preoperative planning software. MATERIALS AND

methodsThis study analyzed 30 CT scans of de-identified knees with osteoarthritis. For each scan, a case planner segmented the bones and pre-planned the TKA. Three orthopedic surgeons then reviewed each pre-planning three times at least one week apart, in a blinded manner. During the reviews, the surgeons modified the pre-plannings until they felt the plannings matched the objectives defined collegially at the beginning of the study. Reliability was assessed using the Intraclass Correlation Coefficient (ICC) and the Standard Error of Measurement (SEM).

resultsThe intra- and inter-operator reliabilities for implant size selection were almost perfect (ICC between 0.97 and 0.99). Implants of same sizes were selected in 67.1-90.0% of cases. For implant placements, almost perfect intra- and inter-operator reliability was observed in all degrees-of-freedom (ICC between 0.81 and 1.00), except in flexion-extension for the femur (intra-operator ICC between: 0.76 and 0.99; inter-operator ICC of 0.61) and the tibia (intra-operator ICC between 0.12 and 1.00; inter-operator ICC of 0.03). All implant placements SEM were below 1.3 mm or 1.7°.

conclusionsThis study showed high intra- and inter-operator reliability for implant size selection and, in most of the degrees-of-freedom, also for implant placements. Further research is needed to evaluate the benefit of developing more precise means of describing the objectives of the surgical planning as well as to evaluate the possibility and relevance of adding features in the planning software to assist the operators.

Indexed as

Arthroplasty, Replacement, KneeImaging, Three-DimensionalTomography, X-Ray ComputedAgedFemaleHumansMaleMiddle AgedObserver VariationOsteoarthritis, KneePreoperative CareReproducibility of ResultsImplant placementImplant size selectionPreoperative planningReliabilityTotal knee arthroplasty

Identifiers

PMID39008074
PMCPMC11417049

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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.