Evidence map›Paper›PMID 17029673›Full record

Trial reportClinical biomechanics (Bristol, Avon)2007

Sagittal curvature of total knee replacements predicts in vivo kinematics.

Oliver Kessler, Lutz Dürselen, Scott Banks, Henrich Mannel, Frédéric Marin

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Clinical biomechanics (Bristol, Avon), 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
–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

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Analysis of knee functional flexion axis in navigated TKA: identification and repeatability before and after implant positioning.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2014
    Trial
  3. Article
  4. Article
  5. Gender difference exists in sagittal curvature of the distal femoral condyle morphology for osteoarthritic population.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020
    Article
  6. Article
  7. Article
  8. Article
  9. 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 · 2019
    Article
  10. Article
  11. Article
  12. Change in collateral ligament length and tibiofemoral movement following joint line variation in TKA.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2016
    Article
  13. No differences in functional results and quality of life after single-radius or multiradius TKA.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2016
    Article
  14. Article
  15. Article
  16. Review
  17. Strong correlation between the morphology of the proximal femur and the geometry of the distal femoral trochlea.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2014
    Article
  18. Can TKA design affect the clinical outcome? Comparison between two guided-motion systems.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2014
    Article
  19. Design and kinematics in total knee arthroplasty.International orthopaedics · 2014
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Oliver KesslerScientific Affairs, Stryker Europe, Thalwil, Switzerland.
Lutz Dürselen
Scott Banks
Henrich Mannel
Frédéric Marin

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt is known that in vivo kinematics after total knee replacement is influenced by the design of the implant. The goal of this study was to show that the sagittal curvature of two different knee prostheses differing in geometric design predicts their in vivo motion behavior.

methodsThree-dimensional tibio-femoral displacements of two prosthesis designs (single radius vs. dual radius) were measured during knee extension under weight bearing conditions by in vivo video fluoroscopy. Finite helical axes were computed to represent the tibio-femoral motions. Angular deviation alpha and the spatial localization deviation delta were used to characterize the motions. Angular deviation is the angle between each incremental finite helical axis and the medio-lateral axis of the femoral component of the prosthesis. The spatial localization deviation is the distance between each finite helical axis and the center of the femoral component of the prosthesis. Statistical comparisons were performed using the median and the interquartile range of the angular deviation and the spatial localization deviation.

findingsThe single-radius design showed finite helical axes concentrated at a single axis near to the medio-lateral axis of the femoral component. The angular and spatial localization deviation of the dual radius design were larger compared to the single radius design, exhibiting finite helical axes varying between two axes.

interpretationVideo fluoroscopy in combination with finite helical axis analysis proved to be suitable methods to evaluate the in vivo kinematical behavior of total knee arthroplasty, which can be useful for implant designers. Knowledge of in vivo kinematics can also provide surgeons with more background information about the total knee arthroplasty models they implant.

Indexed as

Knee ProsthesisArthroplasty, Replacement, KneeBiomechanical PhenomenaEquipment DesignFemurFluoroscopyHumansKneeKnee JointModels, StatisticalProsthesis DesignRange of Motion, ArticularVideo RecordingWeight-Bearing

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.