Trial reportKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2014
Intraoperative fluoroscopy improves surgical precision in conventional TKA.
Trial report in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
4 citing papers in PubMed, 6 citations in OpenAlex.
- Iatrogenic coronal-sagittal coupling driven by a 12.4° rotational mismatch in manual total knee arthroplasty and precise decoupling with robotic assistance: a radiographic retrospective cohort study.Arthroplasty (London, England) · 2026Article
- Mechanical Versus Restrictive Kinematic Alignment in Robotic-Assisted Total Knee Arthroplasty: A Randomized Controlled Trial.Diagnostics (Basel, Switzerland) · 2025Article
- From Data to Decision: A Comprehensive Review of Real-Time Analytics and Smart Technologies in the Surgical Suite.Methodist DeBakey cardiovascular journal · 2025Review
- Evaluation of intraoperative radioscopy on the coronal alignment of the tibial component in primary knee arthroplasty.Revista brasileira de ortopediaArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe purpose of this study was to assess whether intraoperative fluoroscopy assists in the restoration of the coronal limb alignment target in conventional total knee arthroplasty (TKA).
methodsOne hundred and six patients undergoing conventional cemented TKA were randomly assigned to be operated on with or without intraoperative fluoroscopy. The image intensifier, together with customized manual instrumentation, was used for separately measuring the frontal alignment of the femoral and tibial resection surfaces. The surgeon adjusted the resection surfaces when a mechanical axis deviation error angle of ≥ 0.5° was observed on the fluoroscopic image. Coronal alignment was measured on standing long-leg digital radiographs.
resultsPatients operated with fluoroscopy assistance had (1) a lower risk of malalignment at the threshold of >3° (risk ratio, 0.7; 95 % CI, 0.13-1.2), (2) a mean fluoroscopic time of 3 s, and (3) a longer operative time (69 vs. 60 min, p < 0.001). The American Knee Society Score was not different between the two groups at 1-year follow-up.
conclusionThis new surgical intervention appears to offer an effective means for improving the precision of TKA alignment in the coronal plane.
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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.