ArticleInternational orthopaedics2015
Effects of patellofemoral overstuffing on knee flexion and patellar kinematics following total knee arthroplasty: a cadaveric study.
Article in International orthopaedics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 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.
The trial behind it
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Who cites it
30 citing papers in PubMed, 54 citations in OpenAlex.
- Does Circumferential Patellar Denervation Result in Decreased Knee Pain and Improved Patient-reported Outcomes in Patients Undergoing Nonresurfaced, Simultaneous Bilateral TKA?Clinical orthopaedics and related research · 2020Trial
- Overstuffing of the lateral distal condyle is associated with worse intraoperative patellar tracking and postoperative lateral patellar tilt during robotic-assisted cruciate-retaining total knee arthroplasty.Journal of robotic surgery · 2026Article
- Kinematical-aligning of femoral component decreases overstuffing of lateral distal condyle and provides better patellar tracking and postoperative outcomes in robotic-assisted total knee arthroplasty.Journal of robotic surgery · 2026Article
- Chronic Pain and Stiffness After Total Knee Arthroplasty: A Comprehensive, Phenotype-Based Review of Mechanisms, Diagnosis and Management.Journal of clinical medicine · 2026Review
- Patellofemoral alignment safe zones in robotic-assisted total knee arthroplasty do not affect outcomes but do influence patellar resurfacing rates.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Does patellar resurfacing matter in robotic-assisted total knee arthroplasty with functional alignment principles?Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- External femoral rotation of 2 degrees is associated with the lowest stuffing rates around the femur in functionally aligned TKA.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Restoration of the anterior compartment after robotic total knee arthroplasty significantly improves functional outcome and range of motion at 1 year.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Anterior femoral offset is a flawed measurement of patellofemoral overstuffing.Archives of orthopaedic and trauma surgery · 2024Article
- The Optimal Variation Range of Posterior Condylar Offset Associated with Positive Clinical Outcomes of Primary Total Knee Arthroplasty: A Retrospective Analysis.Orthopaedic surgery · 2024Article
- Surgeon-Applied Stress and a Ligament Tensor Instrument Provide a Similar Assessment of Preresection Flexion Laxity During Robotic Total Knee Arthroplasty.Arthroplasty today · 2024Article
- Effect of patellofemoral joint overstuffing following total knee arthroplasty without patella resurfacing on clinical efficacy and related factors analysis.Journal of orthopaedic surgery and research · 2024Article
- Exploration of the Advanced VIVOBioengineering (Basel, Switzerland) · 2024Article
- Maintenance of the joint line and posterior condylar offset are the most notable variables for successful outcomes of revision total knee arthroplasty.Archives of orthopaedic and trauma surgery · 2024Article
- Femoral anterior condyle height decreases as the distal anteroposterior size increases in total knee arthroplasty: A comparative study.PloS one · 2024Article
- Anterior Referencing versus Posterior Referencing in Primary Total Knee Arthroplasty: A Meta-Analysis of Randomized Controlled Trials.Journal of clinical medicine · 2023Review
- Do we need to restore patellar thickness after total knee arthroplasty with patellar resurfacing?European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- Overstuffing the patellofemoral compartment in total knee arthroplasty: a systematic review.EFORT open reviews · 2023Article
- Sub-optimal femoral fit in total knee arthroplasty, a systematic review of human femoral data vs off-the-shelf contemporary femoral components.Journal of experimental orthopaedics · 2023Article
- Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe purpose of this study was to test the hypothesis that overstuffing the patellofemoral joint during total knee arthroplasty (TKA) would decrease passive knee flexion and alter patellar kinematics during knee flexion.
methodsTen cadaveric knees were implanted with cruciate-retaining TKAs, and the patellofemoral joint was overstuffed in 2-mm increments with custom-augmented patellar prostheses (+2 mm through +8 mm). Changes to knee flexion, patellar shift, tilt and rotation were measured with an imageless optical-tracking computer navigation system.
resultsKnee flexion decreased an average 1.2° with each additional 2 mm of patellar thickness. Compared with control TKA (+0 mm), no significant decrease in knee flexion was detected until the patellofemoral joint was overstuffed with the +8-mm patellar prosthesis. Kinematic tracking data showed significantly greater lateral shift of patella with the +6- and +8-mm prostheses and significantly greater lateral tilt with the +8-mm prosthesis. Overstuffing had no appreciable effect on patellar rotation.
conclusionsPassive knee flexion after TKA is significantly reduced when overstuffing the patellofemoral joint by +8 mm, and patellofemoral kinematics are altered when overstuffing the joint by +6 mm. These results demonstrate the relatively modest effects of patellofemoral overstuffing on knee flexion and patellar tracking kinematics after TKA.
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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.