Evidence map›Paper›PMID 39096419›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2024

The use of a tibial stem in primary total knee arthroplasty for patients with a frontal deformity of more than ten degrees reduces the rate of postoperative pain.

Jean-Arthur Bourdier, Pierre-Alban Bouché, Jules Descamps, Pascal Bizot, Rémy Nizard, Guillaume-A Odri

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Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 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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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Jean-Arthur BourdierService de Chirurgie Orthopédique et Traumatologique, Hôpital Lariboisière, 2 rue Ambroise Paré, 75010, Paris, France.
Pierre-Alban BouchéService de Chirurgie Orthopédique et Traumatologique, Hôpital Lariboisière, 2 rue Ambroise Paré, 75010, Paris, France. pierrealban309@gmail.com.ORCID http://orcid.org/0000-0002-4117-4651
Jules DescampsService de Chirurgie Orthopédique et Traumatologique, Hôpital Lariboisière, 2 rue Ambroise Paré, 75010, Paris, France.
Pascal BizotService de Chirurgie Orthopédique et Traumatologique, Hôpital Lariboisière, 2 rue Ambroise Paré, 75010, Paris, France.
Rémy NizardService de Chirurgie Orthopédique et Traumatologique, Hôpital Lariboisière, 2 rue Ambroise Paré, 75010, Paris, France.
Guillaume-A OdriService de Chirurgie Orthopédique et Traumatologique, Hôpital Lariboisière, 2 rue Ambroise Paré, 75010, Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe use of a tibial stem for large deformities (> 10°) would reduce the incidence of pain. The aim of this study was to compare the effect of tibial stem on postoperative pain and aseptic loosening at the tibia in patients with a preoperative deformity > 10° in the frontal plane at 2 years follow-up.

methodsThis was a retrospective single-center case-control study. Ninety-eight patients with deformities greater than 10° in the frontal plane and a BMI > 30 kg/m

resultsA significant difference was found in the rate of postoperative pain at 2 years. It was higher in the group without tibial stem compared with the group with tibial stem (41.8% vs 17.3%, p = 0.0003). In the group without tibial stem, 24.4% of pain was mild, 61% moderate and no severe pain. In the tibial stem group, 47.1% of pain was mild, 41.2% moderate and no severe pain. A radiolucent line (RLL) was present at 2 years in 26.5% of prostheses in the without tibial stem group and in 9.2% of prostheses in the tibial stem group (p = 0.002). There was no difference between the two groups in terms of aseptic loosening.

conclusionThe use of a tibial stem in primary TKA in patients with frontal deformities greater than 10° reduces postoperative pain and the presence of radiolucent lines.

Indexed as

Arthroplasty, Replacement, KneeKnee ProsthesisPostoperative PainProsthesis FailureAgedCase-Control StudiesFemaleHumansMaleMiddle AgedOsteoarthritis, KneeProsthesis DesignRetrospective StudiesTibiaAseptic looseningMetaphyseal tibial stem extensionObesityOsteoarthritisPainPrimary total knee arthroplasty

Identifiers

PMID39096419

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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.