Evidence map›Paper›PMID 39512905›Full record

ReviewJournal of experimental orthopaedics2024

Old but gold: Is the Judet procedure still a viable option for posttraumatic knee stiffness in 2024? A comprehensive systematic review and meta-analysis.

Vito Gaetano Rinaldi, Iacopo Sassoli, Alberto Fogacci, Antongiulio Favero, Giada Lullini, Massimiliano Mosca, Mattia Morri, Stefano Zaffagnini, Giulio Maria Marcheggiani Muccioli

Abstract readReview
In one paragraph

Review in Journal of experimental orthopaedics, 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

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. Review
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

9 authors.

Vito Gaetano RinaldiII Clinica Ortopedica e Traumatologica, IRCCS Istituto Ortopedico Rizzoli Bologna Italy.ORCID 0000-0001-7106-6806
Iacopo SassoliII Clinica Ortopedica e Traumatologica, IRCCS Istituto Ortopedico Rizzoli Bologna Italy.ORCID 0000-0003-4750-0291
Alberto FogacciII Clinica Ortopedica e Traumatologica, IRCCS Istituto Ortopedico Rizzoli Bologna Italy.ORCID 0009-0008-7336-037X
Antongiulio FaveroII Clinica Ortopedica e Traumatologica, IRCCS Istituto Ortopedico Rizzoli Bologna Italy.ORCID 0009-0000-3047-5793
Giada LulliniUOC Medicina Riabilitativa e Neuroriabilitazione, IRCCS Istituto delle Scienze neurologiche Bologna Italy.ORCID 0000-0002-0669-298X
Massimiliano MoscaII Clinica Ortopedica e Traumatologica, IRCCS Istituto Ortopedico Rizzoli Bologna Italy.ORCID 0000-0002-3283-8735
Mattia MorriServizio di Assistenza Infermieristica, Tecnica e della Riabilitazione IRCCS Istituto Ortopedico Rizzoli Bologna Italy.ORCID 0000-0002-4429-9927
Stefano ZaffagniniII Clinica Ortopedica e Traumatologica, IRCCS Istituto Ortopedico Rizzoli Bologna Italy.ORCID 0000-0002-2941-1407
Giulio Maria Marcheggiani MuccioliII Clinica Ortopedica e Traumatologica, IRCCS Istituto Ortopedico Rizzoli Bologna Italy.ORCID https://orcid.org/0000-0002-1087-2932

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Posttraumatic extension contracture of the knee (PECK) is common after knee injury. Initial management is conservative to improve the range of motion; if it fails, surgery may be necessary. This systematic review analyses existing literature on Judet quadricepsplasty for PECK. We will assess clinical outcomes, complications, patient satisfaction and factors that may influence its success. Methods: A search was conducted on 25 November 2023, adhering to preferred reporting items for systematic reviews and meta-analyses guidelines. PubMed, Embase and Google Scholar were used. Search strings were ([Judet] OR [quadricepsplasty]) AND (knee) AND (stiffness) and ([Judet] OR [quadricepsplasty]) AND (knee). Inclusion criteria: English articles focused on PECK, published between 2003 and 2023, and a minimum follow-up of 24 months. Exclusion criteria: case reports, alternative techniques, knee stiffness cases not only due to trauma, a sample size of <10 patients and articles not reporting functional outcomes. Results: Among selected studies, 239 patients were considered. The average time between injury and Judet was 27 months. The population was predominantly male; the mean follow-up was 33 months. An average intraoperative knee range of motion improvement of 79.1 degrees (confidence interval 76.9; 81.3) compared to the average preoperative starting value of 30.7 degrees was observed. This improvement decreased by 13.5 degrees at the first postoperative check and by an additional 2.4 degrees at the follow-up, while maintaining an average value of bending above 90 degrees. Conclusion: Judet quadricepsplasty appears an effective technique for the management of PECK. The heterogeneity of included studies and the absence of standardized outcome measures limit the ability to draw definitive conclusions. Level of Evidence: Level III.

Indexed as

Judet quadricepsplastyknee injuryposttraumatic knee extension contracturerange of motion

Identifiers

PMID39512905
PMCPMC11540935

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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.