Evidence map›Paper›PMID 40029097›Full record

ArticleActa orthopaedica2025

Patient-reported outcome 1 to 4 years after periprosthetic knee fracture: a nationwide cross-sectional matched study.

Stefan Kastalag Risager, Bjarke Viberg, Charlotte Skov Abrahamsen, Kristine Bollerup Arndt, Anders Odgaard, Martin Lindberg-Larsen

Abstract read
In one paragraph

Article in Acta orthopaedica, 2025. 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. Article
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

6 authors.

Stefan Kastalag RisagerDepartment of Orthopaedic Surgery and Traumatology, Odense University Hospital, Odense; Department of Clinical Research, University of Southern Denmark, Odense, Denmark. Stefan.kastalag.risager@rsyd.dk.ORCID 0000-0001-8157-7001
Bjarke VibergDepartment of Orthopaedic Surgery and Traumatology, Odense University Hospital, Odense; Department of Clinical Research, University of Southern Denmark, Odense, Denmark.ORCID 0000-0001-5169-4282
Charlotte Skov AbrahamsenDepartment of Orthopedic Surgery and Traumatology, Hospital Lillebaelt, University Hospital of Southern Denmark, Kolding; Department of Regional Health Research, University of Southern Denmark, Odense, Denmark.
Kristine Bollerup ArndtDepartment of Orthopedic Surgery and Traumatology, Hospital Lillebaelt, University Hospital of Southern Denmark, Kolding, Denmark.ORCID 0000-0001-8258-7922
Anders OdgaardDepartment of Orthopaedic Surgery and Traumatology, Rigshospitalet, Copenhagen; Faculty of Health and Medical Sciences, Copenhagen University, Copenhagen, Denmark.ORCID 0000-0002-4841-518X
Martin Lindberg-LarsenDepartment of Orthopaedic Surgery and Traumatology, Odense University Hospital, Odense; Department of Clinical Research, University of Southern Denmark, Odense, Denmark.ORCID 0000-0002-4483-677X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposePeriprosthetic knee fractures (PPKFs) can be a serious complication after total knee arthroplasty (TKA). We aimed to compare patient-reported outcome (PRO) scores reported between 1 and 4 years after PPKF with a matched uncomplicated TKA control group.

methodsThis nationwide cross-sectional matched cohort study included 372 TKA patients with a PPKF occurring from 2019 to 2022 and a control group of 878 uncomplicated TKA patients matched by age, time since TKA, and sex. The study population was derived from the Danish National Patient Register. The patients received questionnaires regarding knee function, quality of life, pain and satisfaction in 2023. The questionnaires included Oxford Knee Score (OKS), the Forgotten Joint Score (FJS), and the EQ-5D-5L Index.

resultsThe response rate was 48%. Mean OKS was 7 (confidence interval [CI] 5-9) points lower after a PPKF with a score of 30 (standard deviation [SD] 11) in the PPKF group vs 37 (SD 11) in the control group. The FJS was 13 (CI 7-19) points lower after a PPKF with a score of 50 (SD 30) in the PPKF group vs 63 (SD 30) in the control group. Mean EQ-5D-5L Index scores were 0.17 (CI 0.12-0.22) lower after a PPKF with a score of 0.68 (SD 0.25) in the PPKF group vs 0.85 (SD 0.25) in the control group. Additional analysis of patients who completed PROMs 1-2 years compared with 3-4 years after PPKF showed better PRO scores after 3-4 years with an OKS of 32 (SD 12) vs 27 (SD 12), FJS 55 (SD 32) vs 43 (SD 32), and EQ-5D-5L Index of 0.74 (SD 0.34) vs 0.60 (SD 0.34).

conclusionFollowing PPKF, patients reported worse knee function, more pain, lower satisfaction, and poorer quality of life than those with uncomplicated TKAs.

Indexed as

Arthroplasty, Replacement, KneePatient Reported Outcome MeasuresPeriprosthetic FracturesPostoperative ComplicationsAgedAged, 80 and overCross-Sectional StudiesDenmarkFemaleHumansKnee FracturesMaleMiddle AgedPatient SatisfactionQuality of LifeTime Factors

Identifiers

PMID40029097
PMCPMC11868926

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.