ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2014
Tibial internal rotation is affected by lateral laxity in cruciate-retaining total knee arthroplasty: an intraoperative kinematic study using a navigation system and offset-type tensor.
Article 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 20 papers, 2 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines 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
- Clinical assessment of antero-medial rotational knee laxity: a systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2017Pooled it
- Different intraoperative kinematics with comparable clinical outcomes of ultracongruent and posterior stabilized mobile-bearing total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2016Trial
- Impact of implant positions in total knee arthroplasty on the postoperative knee kinematics of tibial rotation.Journal of orthopaedics · 2024Article
- Mobile bearing shows larger rollback motion than fixed bearing in total knee arthroplasty using a medial stabilising technique with a navigation system.Journal of experimental orthopaedics · 2024Article
- The knee position at tourniquet inflation does not affect the gap balancing during total knee arthroplasty.Archives of orthopaedic and trauma surgery · 2022Article
- An insert with less than spherical medial conformity causes a loss of passive internal rotation after calipered kinematically aligned TKA.Archives of orthopaedic and trauma surgery · 2021Article
- Both intraoperative medial and lateral soft tissue balances influence intraoperative rotational knee kinematics in bi-cruciate stabilized total knee arthroplasty: A retrospective investigation.BMC musculoskeletal disorders · 2021Article
- Varus femoral and tibial coronal alignments result in different kinematics and kinetics after total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2017Article
- Influence of soft tissue balancing and distal femoral resection on flexion contracture in navigated total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2017Article
- Influence of mediolateral tibial baseplate position in TKA on knee kinematics and retropatellar pressure.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2017Article
- The contribution of intraoperative medial compartment stability to post-operative knee flexion angle in unicompartmental knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 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
- Intraoperative factors affecting conversion from cruciate retaining to cruciate substituting in total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2016Article
- Navigation-based tibial rotation at 90° of flexion is associated with better range of motion in navigated total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2016Article
- Influence of tibial rotation in total knee arthroplasty on knee kinematics and retropatellar pressure: an in vitro study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2016Article
- No condylar lift-off occurs because of excessive lateral soft tissue laxity in neutrally aligned total knee arthroplasty: a computer simulation study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2016Article
- Navigation-based femorotibial rotation pattern correlated with flexion angle after total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2016Article
- Factors affecting intraoperative kinematic patterns and flexion angles in navigated total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2015Article
- Three different cruciate-sacrificing TKA designs: minor intraoperative kinematic differences and negligible clinical differences.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2014Article
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe purpose of this study was to test the hypothesis that intraoperative soft-tissue balance assessed by an offset-type tensor influences post-operative knee kinematics after cruciate-retaining (CR) total knee arthroplasty (TKA).
methodsThe influence of intraoperative soft-tissue balance on knee kinematics in CR-TKA was retrospectively analysed in 30 patients. Intraoperative soft-tissue balance parameters such as varus angle (varus ligament balance), joint component gap (centre gap), and medial and lateral compartment gaps were measured in the navigation system while applying 40-lb joint distraction force at 0°, 10°, 30°, 60°, 90°, and 120° of knee flexion using an offset-type tensor with the patella reduced. Tibial internal rotation and tibial anterior translation were measured as the differences between the values at 60° and 120° of flexion using the navigation system. Correlations between the soft-tissue parameters and post-operative knee kinematics were analysed.
resultsThe varus ligament balance was positively correlated with tibial internal rotation at 60° and 90° of flexion (R = 0.54, P < 0.05; R = 0.60, P < 0.01, respectively). Furthermore, the joint component gap was positively correlated with tibial internal rotation at 90° of flexion (R = 0.44, P < 0.05), and the lateral compartment gap was positively correlated with tibial internal rotation at 60°, 90°, and 120° of knee flexion.
conclusionsThe intraoperative varus ligament balance and joint component gap values were factors that predicted post-operative knee kinematics after CR-TKA. Lateral laxity at mid-to-deep knee flexion plays a significant role in tibial internal rotation. LEVEL OF EVIDENCE: III.
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