Evidence map›Paper›PMID 39963425›Full record

ArticleArthroplasty today2025

Short- and Mid-term Radiographic Outcomes of Ream-then-broaching Metaphyseal Cones During Revision Total Knee Arthroplasty.

Aria Darbandi, Andrew Schaver, Micah MacAskill, Rex Lutz, Amira Scaramella, Christian Sangio, John Shields, Alvin Ong, Matthew Bullock

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Article in Arthroplasty today, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Aria DarbandiDepartment of Orthopaedic Surgery, Marshall University, Joan C. Edwards School of Medicine, Huntington, WV, USA.
Andrew SchaverDepartment of Orthopaedic Surgery, Marshall University, Joan C. Edwards School of Medicine, Huntington, WV, USA.
Micah MacAskillDepartment of Orthopaedic Surgery, Marshall University, Joan C. Edwards School of Medicine, Huntington, WV, USA.
Rex LutzDepartment of Orthopaedic Surgery, Rothman Orthopaedic Institute, Egg Harbor Township, NJ, USA.
Amira ScaramellaDepartment of Orthopaedic Surgery, Rothman Orthopaedic Institute, Egg Harbor Township, NJ, USA.
Christian SangioDepartment of Orthopaedic Surgery, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
John ShieldsDepartment of Orthopaedic Surgery, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Alvin OngDepartment of Orthopaedic Surgery, Rothman Orthopaedic Institute, Egg Harbor Township, NJ, USA.
Matthew BullockDepartment of Orthopaedic Surgery, Marshall University, Joan C. Edwards School of Medicine, Huntington, WV, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The purpose of this study is to assess the short- and mid-term radiographic outcomes of a ream-then-broach metaphyseal cone design for revision total knee arthroplasty (rTKA). Methods: A retrospective, multicenter analysis of rTKA patients utilizing femoral and/or tibial metaphyseal cone placement from January 2017 to July 2022 was performed. Assessment of radiolucency was performed utilizing a novel "cones score" for radiolucency for tibial and femoral cones. Results: Sixty-four rTKAs (23 femoral and 59 tibial cones) with short-term follow-up (12-24 months) and 80 rTKA (24 femoral and 76 tibial cones) with mid-term follow-up (>24 months) were assessed. No intraoperative complications were reported. No cases of cone or stem aseptic loosening were observed. The cones scoring system had a significantly strong intraclass correlation between the 3 reviewers ( Conclusions: The utilization of a ream-then-broach metaphyseal cones demonstrated excellent radiographic stability at short- and mid-term follow-ups. The use of this method has minimal risk of intraoperative or short-term failures. Surgeons should be familiar with this type of cone implantation system.

Indexed as

Cones scoreMetaphyseal conesRadiographic outcomesRevision knee

Identifiers

PMID39963425
PMCPMC11830348

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