Trial reportKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2005
Assessment of posterior stability in total knee replacement by stress radiographs: prospective comparison of two different types of mobile bearing implants.
Trial report in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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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.
The trial behind it
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Who cites it
13 citing papers in PubMed, 38 citations in OpenAlex.
- Anterior-stabilized TKA is inferior to posterior-stabilized TKA in terms of postoperative posterior stability and knee flexion in osteoarthritic knees: a prospective randomized controlled trial with bilateral TKA.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Trial
- Are kneeling stress radiography and the posterior sag sign associated with subjective flexion instability after posterior-stabilized total knee arthroplasty?Archives of orthopaedic and trauma surgery · 2026Article
- Outcomes After Posterior Cruciate Ligament Reconstruction With Suture Tape Augmentation and an Accelerated Rehabilitation Protocol: A Retrospective Cohort Study.Orthopaedic journal of sports medicine · 2025Article
- Retention of the posterior cruciate ligament stabilizes the medial femoral condyle during kneeling using a tibial insert with ball-in-socket medial conformity.International orthopaedics · 2024Article
- Kneeling Stress Radiography: A Forgotten Yet Dependable Tool for Postero-lateral Knee Instability.Indian journal of orthopaedics · 2022Article
- Comparison of Functional Outcomes, Femoral Rollback and Sagittal Stability of Anterior-Stabilized Versus Posterior-Stabilized Total Knee Arthroplasty: A Systematic Review and Meta-analysis of Randomized Controlled Trials.Indian journal of orthopaedics · 2021Review
- Clinically Reliable Knee Flexion Angle Measured on Stress Radiography for Quantifying Posterior Instability in Posterior Cruciate Ligament Injury.Orthopaedic journal of sports medicine · 2021Article
- Motion type and knee articular conformity influenced mid-flexion stability of a single radius knee prosthesis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019Article
- Assessment of the midflexion rotational laxity in posterior-stabilized total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2017Article
- Deep-dished highly congruent tibial insert in CR-TKA does not prevent patellar tendon angle increase and patellar anterior translation.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2015Article
- Less femorotibial rotation and AP translation in deep-dished total knee arthroplasty. An intraoperative kinematic study using navigation.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2012Article
- Role of high tibial osteotomy in chronic injuries of posterior cruciate ligament and posterolateral corner.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2011Review
- Stress radiography to measure posterior cruciate ligament insufficiency: a comparison of five different techniques.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2006Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The aim of this study was to assess the posterior stability of two different designs of total knee replacement (TKR) with deep-dished mobile bearing (MB) implants using stress X-rays. In a prospective non-randomized consecutive study, 34 patients with primary osteoarthritis of the knee underwent TKR. In group A (17 knees), they received a MB insert with a Duracon prosthesis and in group B (18 knees), a Genesis prosthesis. In all cases the posterior cruciate ligament (PCL) was resected. All patients had pre- and post-operative kneeling X-rays and were clinically evaluated with the Knee Society Score. Measurements on the radiographs were taken by tracing a line along the posterior cortex of the tibia and then measuring the perpendicular distance to a point marked at the posterior corner of Blumensaat's line. The average follow up was 10.7 months for group A and 5.4 months for group B. No statistical difference could be found in terms of clinical results and pre- and post-operative kneeling X-rays between the two groups. In each group, all knees demonstrated a significant posterior tibial translation postoperatively compare to their pre-operative status (p<0.0001). There are advantages in resecting the PCL in TKR: mobile flexion gap, correction of fixed deformity, more flexibility to adjust the joint line. The use of a deep dished polyethylene (PE) insert provides stability and use of MB insert reduces PE wear whilst retaining congruity. Two designs of deep-dished MB inserts showed significant posterior tibial translation on stress X-rays. It remains to be determined what amount of laxity is optimal for clinical function and polyethylene longevity.
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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.