ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2013
Different pattern in gap balancing between the cruciate-retaining and posterior-stabilized total knee arthroplasty.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 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
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Mean distraction force applied in tension-controlled ligament-balanced total knee arthroplasty: A systematic review and meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Pooled it
- A single type of varus knee does not exist: morphotyping and gap analysis in varus OA.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- The knee position at tourniquet inflation does not affect the gap balancing during total knee arthroplasty.Archives of orthopaedic and trauma surgery · 2022Article
- Influence of Patella Position on Soft Tissue Balance and Clinical Outcomes in Patients Undergoing Minimally Invasive Total Knee Arthroplasty, a Randomized Clinical Trial.Frontiers in surgery · 2022Article
- Component gap control during posterior-stabilised total knee arthroplasty using the posterior condylar pre-cut technique.Journal of experimental orthopaedics · 2021Article
- A surgical reduction technique for posterior cruciate ligament avulsion fracture in total knee arthroplasty: a comparison study.Journal of orthopaedic surgery and research · 2020Article
- Current concepts and future perspectives in computer-assisted navigated total knee replacement.International orthopaedics · 2019Review
- Increased valgus laxity in flexion with greater tibial resection depth following total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019Article
- Assessment of the midflexion rotational laxity in posterior-stabilized total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2017Article
- Patient-related factors influence stiffness of the soft tissue complex during intraoperative gap balancing in cruciate-retaining total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2017Observational
- What Factors Are Associated With Femoral Component Internal Rotation in TKA Using the Gap Balancing Technique?Clinical orthopaedics and related research · 2017Article
- Decreased extension gap and valgus alignment after implantation of total knee prosthesis in primary varus knees.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2016Article
- The superficial medial collateral ligament is the primary medial restraint to knee laxity after cruciate-retaining or posterior-stabilised total knee arthroplasty: effects of implant type and partial release.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2016Article
- Cruciate retaining versus posterior stabilized total knee arthroplasty after previous high tibial osteotomy.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2015Article
- Does patella position influence ligament balancing in total knee arthroplasty?Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2015Article
- Control of paradoxical kinematics in posterior cruciate-retaining total knee arthroplasty by increasing posterior femoral offset.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2015Article
- Does cruciate retention primary total knee arthroplasty affect proprioception, strength and clinical outcome?Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2015Article
- Sagittal gap balancing with the concept of a single radius femoral component in posterior cruciate sacrificing total knee arthroplasty with patient-specific instrumentation.International orthopaedics · 2015Article
- Reduced operating time but not blood loss with cruciate retaining total knee arthroplasty.Journal of clinical medicine research · 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
Corrections and comments
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Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeIn order to permit soft tissue balance under more physiological conditions during total knee arthroplasties (TKAs), an offset-type tensor was developed to obtain soft tissue balancing throughout the range of motion with reduced patello-femoral (PF) and aligned tibiofemoral joints. The main purpose of the present study was to assess intra-operative soft tissue balance using a navigation system with the offset-type tensor in both cruciate-retaining (CR) and posterior-stabilized (PS) TKAs.
methodsOne hundred and twenty TKAs--80 CR and 40 PS--were performed in patients with varus-type osteoarthritis using a computed tomography-free navigation system. The offset-type TKA tensor with a reduced and repaired PF joint and femoral component in place was used with the tibia first gap technique to balance soft tissues (joint component gap and ligament balance) at 0°, 10°, 30°, 60°, 90°, and 120° of flexion. The achievement in equalized rectangular gap at extension and flexion--joint component gap within ±3 mm between extension and flexion and ligament balance within ±3° at extension and flexion--was assessed retrospectively.
resultsBoth types of implants showed similar patterns of soft tissue balance throughout the range of motion, whereas PS TKA had larger values especially at 60° or 90° of flexion than did CR TKA. In the achievement of equalized rectangular gaps at extension and flexion, CR TKA was superior to PS TKA.
conclusionUsing the tibia first gap technique with the tensor allows appropriate soft tissue balancing, especially in CR TKA. LEVEL OF EVIDENCE: Therapeutic studies, Level II.
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23322266What 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.