ArticleInternational orthopaedics2012
Anterolateral approach using tibial tubercle osteotomy for total knee arthroplasty: can we predict failure?
Article in International orthopaedics, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 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.
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Who cites it
4 citing papers in PubMed, 12 citations in OpenAlex.
- Anterior tibial tubercle osteotomy using cerclage wire fixation in total knee replacement: a modification of the usual technique.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2017Article
- Total knee replacement with tibial tubercle osteotomy in rheumatoid patients with stiff knee.International orthopaedics · 2016Article
- Equivalent results of medial and lateral parapatellar approach for total knee arthroplasty in mild valgus deformities.International orthopaedics · 2016Article
- Lateral subvastus approach with tibial tubercle osteotomy for primary total knee arthroplasty: clinical outcome and complications compared to medial parapatellar approach.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2016Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe purpose of this study was to identify predictive factors for the occurrence of complications in a consecutive series of patients who underwent step-cut tibial tubercle osteotomy (TTO) and subsequent screw refixation in primary total knee arthroplasty (TKA).
methodsUsing standardised conventional radiographs, critical parameters including TTO length and depth, proximal abutment width (OT), and orientation and placement of fixation screws were measured in 422 patients (mean age of 71 years and a follow-up time range of one to five years) with two screw fixations.
resultsMedial spatial orientation in the distal screw (11 %, p=0.046), the TTO length (<55.4 mm, p=0.013), the OT width (<14 mm, p=0.002) and the distance of the distal refixation screw from the TKA (<51.7 mm, p=0.003) were significant factors for the occurrence of complications.
conclusionsAge, gender, comorbidities, height, weight and/or the body mass index had no significant influence on the occurrence of complications. The TTO-related complication rate was 3 %. Consideration of these key surgical factors leads to improved outcomes.
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