ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2012
Less femorotibial rotation and AP translation in deep-dished total knee arthroplasty. An intraoperative kinematic study using navigation.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
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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
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.
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Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Posterior-stabilized inserts are preferable to cruciate-substituting ultracongruent inserts due to more favourable kinematics and stability.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2018Pooled it
- 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
- No difference in range of motion between ultracongruent and posterior stabilized design in total knee arthroplasty: a randomized controlled trial.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2017Trial
- Improved kinematics of total knee replacement following partially navigated modified gap-balancing technique.International orthopaedics · 2014Trial
- Comparing navigation-based in vivo knee kinematics pre- and postoperatively between a cruciate-retaining and a cruciate-substituting implant.International orthopaedics · 2013Trial
- Constraint of Different Knee Implant Designs Under Anterior-Posterior Shear Forces and Internal-External Rotation Moments in Human Cadaveric Knees.Bioengineering (Basel, Switzerland) · 2025Article
- Clinical Relevance of Posterior Osteophyte Formation in Ultra-congruent Total Knee Arthroplasty: Midterm Radiographic Rollback and Impingement Analysis.Clinics in orthopedic surgery · 2024Article
- Favorable outcomes of posterior cruciate-stabilized inserts over ultracongruent inserts in total knee arthroplasty.Archives of orthopaedic and trauma surgery · 2023Article
- Total Knee Arthroplasty Violates the Law of Burmester-A Biomechanical Investigation.Journal of personalized medicine · 2022Article
- Knee kinematics are variously influenced by different correction angles in high tibial osteotomy (HTO).International orthopaedics · 2022Article
- Biomechanics and Outcomes of Modern Tibial Polyethylene Inserts.Current reviews in musculoskeletal medicine · 2022Review
- Article
- Intraoperative posterior movement of the tibia at 90° of flexion predicts worse postoperative flexion angles in cruciate-substituting total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Article
- Sagittal radius of curvature, trochlea design and ultracongruent insert in total knee arthroplasty.EFORT open reviews · 2019Review
- A load-measuring device can achieve fine-tuning of mediolateral load at knee arthroplasty but may lead to a more lax knee state.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019Article
- 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
- Different intraoperative kinematics, stability, and range of motion between cruciate-substituting ultracongruent and posterior-stabilized total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2018Article
- Case series report of navigation-basedAnnals of medicine and surgery (2012) · 2017Article
- Comparison of ultra-congruent mobile- and fixed-bearing navigation-assisted total knee arthroplasty with minimum 5-year follow-up.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2016Article
- Cruciate retaining and cruciate substituting ultra-congruent insert.Annals of translational medicine · 2016Review
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeHyper-congruent inserts have been proposed as another means of posterior stabilization in total knee arthroplasty. Their kinematics, partially unexplored, is reported to be possibly erratic. The objectives of the present study were to detect whether prostheses with such a constrained design would provide antero-posterior (AP) stability without interfering with high flexion.
methodsThe kinematics of 10 knees replaced with hyper-congruent inserts was tested intra-operatively with a specially designed navigation system (Praxim, La Tronche, Isère, France), to measure AP displacements of femoro-tibial contact points at knee flexion.
resultsFemoro-tibial contact points in full extension were in a posterior position compared to their initial position before implantation (8 ± 6 mm medially, 15 ± 10 mm laterally, P < 0.004). AP displacements were different from pre-operative displacements (3 ± 4 mm vs -5 ± 2 mm for the medial condyle, P < 0.01 and -2 ± 6 mm vs -22 ± 8 mm for the lateral condyle, P < 0.001). Forward rolling persisted in four cases, with the medial condyle being involved in three of them (9, 9, and 6 mm, respectively). Post-operative flexion of 122° on average was not correlated with AP displacements.
conclusionsHyper-congruent prostheses partially stabilized femoral condyles at knee flexion. Posterior displacements were reduced with no consequence on range of flexion. Posterior stabilization was imperfect, and paradoxical displacements were detected by navigation, which could therefore help optimize knee balance. LEVEL OF EVIDENCE: Diagnostic study, Level II.
Indexed as
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22057354What 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.