Evidence map›Paper›PMID 41487852›Full record

ArticleCureus2025

Clinical Outcome Improvement in Open-Wedge High Tibial Osteotomy Using the Smartphone Application mymobility®: A Case Report.

Toshiki Azuma, Kenichi Goshima, Ryosuke Hasama, Kayo Oari, Kentaro Sasaki

Abstract readCase Reports
In one paragraph

Article in Cureus, 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

5 authors.

Toshiki AzumaDepartment of Rehabilitation Medicine, Kinjo University, Hakusan, JPN.
Kenichi GoshimaDepartment of Orthopaedic Surgery, Kanazawa Munehiro Hospital, Kanazawa, JPN.
Ryosuke HasamaDepartment of Rehabilitation Medicine, Kanazawa Munehiro Hospital, Kanazawa, JPN.
Kayo OariDepartment of Rehabilitation Medicine, Kanazawa Munehiro Hospital, Kanazawa, JPN.
Kentaro SasakiDepartment of Physical Medicine and Rehabilitation, Kinjo University, Hakusan, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clinical outcomes following open-wedge high tibial osteotomy (OWHTO) are influenced by factors such as preoperative varus alignment, catastrophic thinking, metabolic syndrome-related diseases, and older age. This report evaluated the effectiveness of mymobility® (Zimmer Biomet, Warsaw, IN, USA), a smartphone application, for patient education and exercise guidance in improving clinical outcomes and catastrophic thinking in a patient exhibiting these risk factors. An 83-year-old man with Kellgren-Lawrence grade 3 knee osteoarthritis underwent OWHTO. Preoperative assessments revealed a Knee Injury and Osteoarthritis Outcome Score (KOOS) of 35 for symptoms, 36 for pain, 45 for activities of daily living (ADL), 10 for sports, and 0 for quality of life (QOL); an Oxford Knee Score (OKS) of 17; and a Pain Catastrophizing Scale (PCS) score of 52, indicating poor clinical outcomes and catastrophic thinking. His daily step count, walking speed, and walking pain on the visual analog scale (VAS) were 849 steps/day, 0.8 m/s, and 50 mm, respectively. mymobility® was used for video-based exercise guidance, compliance monitoring, and chat-based anxiety management. By postoperative day 90, his step count exceeded preoperative levels, reaching 1500-2000 steps/day by day 365. His VAS score was 10 mm, and his walking speed was 1.0 m/s. He had a KOOS of 71 for symptoms, 67 for pain, 72 for ADL, 45 for sports, and 25 for QOL; an OKS of 30; and a PCS score of 17. mymobility®-based patient education and exercise guidance suggested that mymobility® effectively improved clinical outcomes and catastrophic thinking in a patient who underwent OWHTO and was presenting with older age, catastrophic thinking, and metabolic syndrome-related diseases.

Indexed as

high tibial osteotomyknee osteoarthritis (koa)mymobilitypainpain neuroscience education (pne)patient educationpatient-reported outcome measures (proms)physical activity (pa)rehabilitationsmartphone applications

Identifiers

PMID41487852
PMCPMC12757501

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Registered trials

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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.