Evidence map›Paper›PMID 40291607›Full record

ArticleJournal of orthopaedics2025

Predictors of improved and decreased range of motion after medial pivot total knee arthroplasty: A multicenter retrospective analysis.

Tsuneari Takahashi, Kazuhisa Hatayama, Masahiro Nishino, Tatsuya Kubo, Hironari Hai, Yuichiro Yamada, Kosuke Suzuki, Katsushi Takeshita

Abstract read
In one paragraph

Article in Journal of orthopaedics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers 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

The trial behind it

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Tsuneari TakahashiDepartment of Orthopaedics, School of Medicine, Jichi Medical University, Shimotsuke, Japan.
Kazuhisa HatayamaDepartment of Orthopaedic Surgery, Japan Community Health Care Organization, Gunma Central Hospital, Maebashi, Japan.
Masahiro NishinoDepartment of Orthopaedic Surgery, Hokusuikai Memorial Hospital, Mito, Japan.
Tatsuya KuboDepartment of Orthopaedic Surgery, Shin Oyama City Hospital, Oyama, Japan.
Hironari HaiDepartment of Orthopaedic Surgery, Toyokawa City Hospital, Toyokawa, Japan.
Yuichiro YamadaDepartment of Orthopaedic Surgery, Nagoya Kyoritsu Hospital, Nagoya, Japan.
Kosuke SuzukiDepartment of Orthopaedic Surgery, Seirei Hamamatsu Hospital, Hamamatsu, Japan.
Katsushi TakeshitaDepartment of Orthopaedics, School of Medicine, Jichi Medical University, Shimotsuke, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: No study has identified predictors of improvement and decrease in postoperative range of motion (ROM) after medial pivot (MP) total knee arthroplasty (TKA) compared to preoperative ROM. This multicenter study aimed to identify predictors of improved postoperative range of motion (ROM) after MP-TKA. Methods: The study included 107 consecutive patients who underwent MP-TKA for knee osteoarthritis at six different centers. Data on patient age, gender, hip knee angle, and pre- and postoperative ROM in extension and flexion were collected. A 9° improvement or decrease in postoperative knee flexion was considered positive. Patients were divided into three groups according to whether knee flexion improved by more than 9° (group I; 35 patients), changed within the minimal clinically important difference (MCID) (group M; 54 patients), or decreased by more than 9° (group D; 18 patients) one year after surgery. Results: Significant differences in preoperative ROM for flexion were observed between the groups ( Discussion: The results showed that a preoperative knee flexion ROM of less than 118° was a significant positive predictor of an improvement in knee flexion ROM of MCID or greater after MP-TKA, and a knee flexion ROM of 128° or greater was a significant positive predictor of a decrease in knee flexion ROM of MCID or greater one year after surgery.

Indexed as

Knee osteoarthritisMedial pivotRange of motionTotal knee arthroplasty

Identifiers

PMID40291607
PMCPMC12032170

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