ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2016
Influence of tibial rotation in total knee arthroplasty on knee kinematics and retropatellar pressure: an in vitro study.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 3 of them syntheses that pooled it.
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Who cites it
40 citing papers in PubMed, 3 syntheses or guidelines pooled it, 56 citations in OpenAlex.
- Tibia rotational alignment in total knee arthroplasty: Delphi consensus statements from European Knee Society (EKS).Archives of orthopaedic and trauma surgery · 2025Pooled it
- Computer-assisted surgery and patient-specific instrumentation improve the accuracy of tibial baseplate rotation in total knee arthroplasty compared to conventional instrumentation: a systematic review and meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Pooled it
- Tibial internal rotation negatively affects clinical outcomes in total knee arthroplasty: a systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2018Pooled it
- Comparison of fixed and mobile-bearing total knee arthroplasty in terms of patellofemoral pain and function: a prospective, randomised, controlled trial.BMC musculoskeletal disorders · 2017Trial
- Association between abnormal native tibial torsion and poorer clinical outcomes following robotic-assisted total knee arthroplasty: follow-up of at least two years.Journal of robotic surgery · 2026Article
- Changes in kinematic behavior and collateral ligament strain after medially stabilized TKA using a novel intraoperative navigation platform: a cadaveric study.Archives of orthopaedic and trauma surgery · 2026Article
- Methodology for biomechanical investigation of implant malpositioning in total knee arthroplasty using a six degree of freedom joint simulator.Arthroplasty (London, England) · 2025Article
- Femur rotational alignment in total knee arthroplasty: Delphi consensus statements from European knee society (EKS).Archives of orthopaedic and trauma surgery · 2025Article
- The Influence of Kinematic Alignment on Patellofemoral Joint Biomechanics in Total Knee Arthroplasty.Journal of clinical medicine · 2024Article
- Anteroposterior axis of the tibia for kinematic aligned total knee arthroplasty.Journal of experimental orthopaedics · 2024Article
- Coronal Knee Alignment and Tibial Rotation in Total Knee Arthroplasty: A Prospective Cohort Study of Patients with End-Stage Osteoarthritis.Bioengineering (Basel, Switzerland) · 2024Article
- Review
- Influence of kinematic alignment on femorotibial kinematics in medial stabilized TKA design compared to mechanical alignment.Archives of orthopaedic and trauma surgery · 2023Article
- Does Posterior Tibial Slope Influence Knee Kinematics in Medial Stabilized TKA?Journal of clinical medicine · 2022Article
- Resurfacing Egg-shell Patellar Defect in a Single-staged Primary total Knee Arthroplasty - A Case Report.Journal of orthopaedic case reports · 2022Article
- Isolated effects of patellar resurfacing in total knee arthroplasty and their relation to native patellar geometry.Scientific reports · 2022Article
- Study on the morphological characteristics and rotational alignment axis of placement plane of the tibial component in total knee arthroplasty for hemophilia-related knee arthritis.Journal of orthopaedic surgery and research · 2022Article
- Impact of femoro-tibial size combinations and TKA design on kinematics.Archives of orthopaedic and trauma surgery · 2022Article
- Moderate External Rotation of Tibial Component Generates More Natural Kinematics Than Internal Rotation After Total Knee Arthroplasty.Frontiers in bioengineering and biotechnology · 2022Article
- The Influence of Mathematical Definitions on Patellar Kinematics Representations.Materials (Basel, Switzerland) · 2021Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeAlthough continuous improvements have been made, there is still a considerable amount of unsatisfied patients after total knee arthroplasty (TKA). A main reason for this high percentage is anterior knee pain, which is supposed to be provoked by post-operative increased retropatellar peak pressure. Since rotational malalignment of the implant is believed to contribute to post-operative pain, the aim of this study was to examine the influence of tibial component rotation on knee kinematics and retropatellar pressure.
methodsEight fresh-frozen knee specimens were tested in a weight-bearing knee rig after fixed-bearing TKA under a loaded squat from 20° to 120° of flexion. To examine tibial components with different rotations, special inlays with 3° internal rotation and 3° external rotation were produced and retropatellar pressure distribution was measured with a pressure-sensitive film. The kinematics of the patella and the femorotibial joint were recorded with an ultrasonic-based motion analysis system.
resultsRetropatellar peak pressure decreased significantly from 3° internal rotation to neutral position and 3° external rotation of the tibial component (8.5 ± 2.3 vs. 8.2 ± 2.4 vs. 7.8 ± 2.5 MPa). Regarding knee kinematics femorotibial rotation and anterior-posterior translation, patella rotation and tilt were altered significantly, but relative changes remained minimal.
conclusionChanging tibial rotation revealed a high in vitro influence on retropatellar peak pressure. We recommend the rotational alignment of the tibial component to the medial third of the tibial tuberosity or even more externally beyond that point to avoid anterior knee pain after TKA.
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