Copyright: ©Author(s) 2026.
World J Orthop. Apr 18, 2026; 17(4): 115881
Published online Apr 18, 2026. doi: 10.5312/wjo.v17.i4.115881
Published online Apr 18, 2026. doi: 10.5312/wjo.v17.i4.115881
Table 5 Grading of recommendations assessment, development and evaluation system of the evidence certainty level
| Outcome | Number of studies | Study design | Risk of bias | Inconsistency | Indirectness | Imprecision | Certainty |
| Functional outcomes (KSS) | 12 | 10 case series + 2 cohorts | Serious | Not serious | Not serious | Serious | ⊕◯◯◯: Very low |
| Range of motion (knee flexion) | 12 | 10 case series + 2 cohorts | Serious | Not serious | Not serious | Serious | ⊕◯◯◯: Very low |
| Complications (overall) | 14 | 10 case series + 2 cohorts | Serious | Serious | Not serious | Serious | ⊕◯◯◯: Very low |
| Revision rate | 14 | 10 case series + 2 cohorts | Serious | Not serious | Not serious | Very serious | ⊕◯◯◯: Very low |
| Radiological alignment | 5 | All were case series | Serious | Serious | Not serious | Very serious | ⊕◯◯◯: Very low |
- Citation: Khalifa AA, Altahir A, AL-Harbi AM, Althaqafi RMM. Acute total knee arthroplasty for traumatic proximal tibial fractures: A systematic review. World J Orthop 2026; 17(4): 115881
- URL: https://www.wjgnet.com/2218-5836/full/v17/i4/115881.htm
- DOI: https://dx.doi.org/10.5312/wjo.v17.i4.115881