ArticleMedical journal of the Islamic Republic of Iran2026
Clinical Evaluation of Two-Stage Revision Total Knee Arthroplasty Using Silicone Mold-Based and Metal Mold-Based Antibiotic-Loaded Knee Spacers: A Comparative Study.
Article in Medical journal of the Islamic Republic of Iran, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: The gold standard for managing infection following total knee arthroplasty (TKA) is two-stage revision surgery, which entails the placement of a spacer in the knee during the initial stage. This study aimed to compare metal mold-based and silicone mold-based spacers regarding clinical evaluation and infection control in patients with infected TKAs. Methods: In this study, we assigned fourteen individuals with infected knees following arthroplasty to either the metal mold-based spacer group (control) or the silicon mold-based spacer group. The WOMAC Score, Knee Society Score (KSS), and range of motion (ROM) were utilized for clinical evaluation prior to spacer implantation and during the post-first stage of surgery follow-up. Gain score analysis (post-pre difference) was conducted to assess functional improvement over time. The Wilcoxon signed-rank test and the Mann-Whitney U test were applied for statistical analysis using SPSS software. Results: Knee infection was eliminated in all participants across both groups. Post-surgery, ROM improved from 59.28 ± 20.29° to 99.00 ± 5.65° in the control group, while the intervention group demonstrated an increase in ROM from 66.42 ± 24.78° to 101.42 ± 8.01°. Additionally, the KSS improved from 38.28 ± 23.78 to 123.71 ± 20.53 in the control group and from 35.71 ± 30.99 to 124.85 ± 27.49 in the intervention group. The WOMAC score increased from 48.71 ± 9.23 to 70.57 ± 5.28 in the control group and from 47.71 ± 12.03 to 72.57 ± 6.32 in the intervention group. There were no statistically significant differences between the two groups in terms of ROM ( Conclusion: Metal mold-based spacers and silicone mold-based spacers demonstrate no significant differences in functional assessment (ROM, KSS, and WOMAC) or infection control. These findings indicate that silicone mold-based spacers may serve as a reliable alternative to conventional metal mold-based spacers, particularly in low-income countries.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.