ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2017
Influence of mediolateral tibial baseplate position in TKA on knee kinematics and retropatellar pressure.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 19 citations in OpenAlex.
- Methodology for biomechanical investigation of implant malpositioning in total knee arthroplasty using a six degree of freedom joint simulator.Arthroplasty (London, England) · 2025Article
- The Ripple Effect: How Hallux Valgus Deformity Influences Ankle and Knee Joint Kinematics During Gait.Bioengineering (Basel, Switzerland) · 2025Article
- Lateralized position of femoral and tibial components during posterior-stabilized total knee arthroplasty leads to better functional outcomes.Knee surgery & related research · 2025Article
- Pre-Planning the Surgical Target for Optimal Implant Positioning in Robotic-Assisted Total Knee Arthroplasty.Bioengineering (Basel, Switzerland) · 2023Article
- Does Posterior Tibial Slope Influence Knee Kinematics in Medial Stabilized TKA?Journal of clinical medicine · 2022Article
- Isolated effects of patellar resurfacing in total knee arthroplasty and their relation to native patellar geometry.Scientific reports · 2022Article
- Tibial baseplate position and posterior cruciate ligament status impact patient-reported outcomes in conforming dual-pivot bearing total knee arthroplasty.Arthroplasty today · 2021Article
- [Realistic preclinical finite element simulation in knee and hip replacements].Der Orthopade · 2020Review
- The tibial cut influences the patellofemoral knee kinematics and pressure distribution in total knee arthroplasty with constitutional varus alignment.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Article
- Literature review of the causes of pain following total knee replacement surgery: prosthesis, inflammation and arthrofibrosis.EFORT open reviews · 2020Review
- Musculoskeletal Multibody Simulation Analysis on the Impact of Patellar Component Design and Positioning on Joint Dynamics after Unconstrained Total Knee Arthroplasty.Materials (Basel, Switzerland) · 2020Article
- Kinematically aligned total knee arthroplasty reproduces native patellofemoral biomechanics during deep knee flexion.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019Article
- Medial stabilized and posterior stabilized TKA affect patellofemoral kinematics and retropatellar pressure distribution differently.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2018Article
- Increase in the Tibial Slope in Unicondylar Knee Replacement: Analysis of the Effect on the Kinematics and Ligaments in a Weight-Bearing Finite Element Model.BioMed research international · 2018Article
- Mediolateral femoral component position in TKA significantly alters patella shift and femoral roll-back.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2017Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeAnterior knee pain is a major reason for unsatisfied patients after total knee arthroplasty (TKA). Since malposition and increased retropatellar peak pressure are supposed to contribute to pain, we conducted this in vitro study to analyse the influence of mediolateral tibial component position on tibiofemoral and patella kinematics as well as retropatellar pressure.
methodsEight fresh frozen cadaver specimens were tested after a fixed-bearing TKA. To evaluate the influence of mediolateral tibial component position, special inlays with 3 mm of medialization and lateralization were constructed. For the analysis, a weight-bearing knee rig under a loaded squat from 20° to 120° of flexion was used. Tibiofemoral and patella kinematics were measured with an ultrasonic-based three-dimensional motion analysis system. Additionally, retropatellar pressure distribution was registered with a pressure-sensitive film.
resultsAlteration of mediolateral tibial component position by 3 mm did not reveal a significant influence on retropatellar peak pressure (7.5 ± 2.5 vs. 7.2 ± 2.6 MPa). Regarding tibiofemoral kinematics, 3-mm medialization of the tibial baseplate significantly increased lateral femoral rollback and femorotibial external rotation. Medialization of 3 mm also significantly increased the relative medial patella shift and decreased lateral patella tilt. DISCUSSION: Medialization of the tibial baseplate came along with more lateral rollback and external femorotibial rotation. For the positioning of the tibial baseplate, rotational alignment seems to be more important than mediolateral orientation. Since retropatellar peak pressure remained rather unchanged, the tibial baseplate should be placed by the surgeon looking for a maximal tibial coverage without overhang.
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