ArticleArchives of orthopaedic and trauma surgery2012
A new method to measure ligament balancing in total knee arthroplasty: laxity measurements in 100 knees.
Article in Archives of orthopaedic and trauma surgery, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 16 papers, 1 of them a synthesis that pooled it.
What it found
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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.
In Vivo Stability of an Uncemented Total Knee Arthroplasty With Medially Stabilized Design
Ligament Balancing in Total Knee Arthroplasty - A Proof-of-Concept Study on a Systematic Approach to Bellemans Technique
Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.
- Current role of intraoperative sensing technology in total knee arthroplasty.Archives of orthopaedic and trauma surgery · 2021Pooled it
- Radiological outcomes of pinless navigation in total knee arthroplasty: a randomized controlled trial.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2015Trial
- Caliper measurements of femoral resection thickness in kinematic alignment total knee arthroplasty are accurate and reproducible.Journal of experimental orthopaedics · 2025Article
- Muscle-Driven Total Knee Replacement Stability with Virtual Ligaments.Bioengineering (Basel, Switzerland) · 2025Article
- A novel instrument for ligament balancing: a biomechanical study in human cadaveric knees.Journal of experimental orthopaedics · 2023Article
- Using a patella reduced technique while balancing a TKA results in restored physiological strain in the collateral ligaments: an ex vivo kinematic analysis.Archives of orthopaedic and trauma surgery · 2022Article
- Can the need for soft tissue release in total knee replacement be predicted pre-operatively? A study based on surgical navigation.International orthopaedics · 2022Article
- [Short-term effectiveness of novel computer navigation system assisted total knee arthroplasty].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2021Article
- Preoperative Varus-Valgus Stress Angle Difference Is Valuable for Predicting the Extent of Medial Release in Varus Deformity during Total Knee Arthroplasty.Knee surgery & related research · 2019Article
- Elongation Patterns of the Collateral Ligaments After Total Knee Arthroplasty Are Dominated by the Knee Flexion Angle.Frontiers in bioengineering and biotechnology · 2019Article
- No detrimental effect of ligament balancing on functional outcome after total knee arthroplasty: a prospective cohort study on 129 mechanically aligned knees with 3 years' follow-up.Acta orthopaedica · 2018Article
- Intraoperative ligament laxity influences functional outcome 1 year after total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2015Article
- [Ligament-controlled positioning of the knee prosthesis components].Der Orthopade · 2015Article
- Lack of evidence to support present medial release methods in total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2014Review
- Extension gap needs more than 1-mm laxity after implantation to avoid post-operative flexion contracture in total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2014Article
- No difference in accuracy between pinless and conventional computer-assisted surgery in total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2014Article
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 at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLigament balancing is considered a prerequisite for good function and survival in total knee arthroplasty (TKA). However, there is no consensus on how to measure ligament balance intra-operatively and the degree of stability obtained after different balancing techniques is not clarified. PURPOSE: This study presents a new method to measure ligament balancing in TKA and reports on the results of a try-out of this method and its inter-observer reliability.
methodsAfter the implantation of the prosthesis, spatulas of different thickness were used to measure medial and lateral condylar lift-off in flexion and extension in 70 ligament-balanced knees and in 30 knees were ligament balancing was considered unnecessary. Inter-observer reliability for the new method was estimated and the degree of medial-lateral symmetry in extension and in flexion, and the equality of the extension gaps and flexion gaps were calculated.
resultsThe method was feasible in all operated knees, and found to be very reliable (intraclass correlation coefficient = 0.88). We found no statistically significant difference in condylar lift-off between the ligament-balanced and the non ligament-balanced group, however, there was a tendency to more outliers in flexion in the ligament-balanced group.
conclusionsOur method for measuring ligament balance is reliable and provides valuable information in assessing laxity intra-operatively. This method may be a useful tool in further research on the relationship between ligament balance, function and survival of TKA.
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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.