SynthesisJournal of orthopaedic surgery and research2025
Effects of previous arthroscopic knee surgery on the outcomes of primary total knee arthroplasty: a systematic review and PRISMA-compliant meta-analysis.
Synthesis in Journal of orthopaedic surgery and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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.
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.
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Who cites it
3 citing papers in PubMed.
- Bridging the gap in OA therapeutics: Bioengineered strategies to target osteoclast-chondrocyte crosstalk.Bioengineering & translational medicine · 2026Review
- Dual-center study on AI-driven multi-label deep learning for X-ray screening of knee abnormalities.Scientific reports · 2025Article
- Arthroscopic Arthrolysis of the Knee Joint Following Total Knee Arthroplasty.Journal of clinical medicine · 2025Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectiveThe aim of this study was to evaluate the potential adverse effects of prior arthroscopic knee surgery on the prognosis of primary total knee arthroplasty (TKA).
methodsThis review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A comprehensive literature search was performed in the PubMed, Embase, Cochrane Library, and other relevant databases up to October 2024. Cohort studies comparing the outcomes of patients with and without previous arthroscopic knee surgery were retrieved. Meta-analysis was performed to assess the differences in postoperative function, complications, and revision rates between the arthroscopy and primary TKA groups.
resultsThe analysis included 11 cohort studies comprising a total of 194,367 patients; 13,086 of these patients had a history of knee arthroscopy. The meta-analysis results revealed no significant differences in postoperative range of motion, functional improvement, stiffness, periprosthetic fracture, venous thromboembolism (VTE), and other complications between the groups. However, the arthroscopic group showed a higher risk of postoperative prosthetic joint infection (PJI) and manipulation under anaesthesia (MUA). The revision rate was also higher in the arthroscopic group (Relative Risk (RR) 1.423, 95% Confidence Interval (CI) 1.280 to 1.583). Subgroup analysis revealed an increased PJI risk within one year of arthroscopic TKA (RR 1.314, 95% CI 1.156 to 1.493). Sensitivity analysis confirmed the stability of the results, and Egger's test showed no publication bias.
conclusionPrior arthroscopic surgery was not found to have significant impacts on the functional outcomes of TKA but was found to increase the risks of postoperative infection and revision.
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