ArticleInternational orthopaedics2016
Joint line level in revision total knee replacement: assessment and functional results with an average of seven years follow-up.
Article in International orthopaedics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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20 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.
- The negative effect of joint line elevation after total knee arthroplasty on outcome.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019Pooled it
- Impact of Joint Line Displacement on Function and Quality of Life After Primary Total Knee Arthroplasty.Journal of clinical medicine · 2026Article
- Radiographic reliability of anatomical knee landmarks for joint line determination in healthy adults.BMC musculoskeletal disorders · 2025Article
- Similar kinematic patterns in posterior-stabilized and condylar constrained knee prostheses in revision knee arthroplasty: a prospective cohort study.Journal of orthopaedics · 2025Article
- Article
- Joint line position change in primary total knee arthroplasty: a radiographic analysis comparing conventional and robotic techniques.International orthopaedics · 2024Article
- Mako versus ROSA: comparing surgical accuracy in robotic total knee arthroplasty.Journal of robotic surgery · 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
- Learning curve of the 67 steps of conventional total knee replacement: an experimental study.Annals of medicine and surgery (2012) · 2023Article
- Robotic-assisted revision total knee arthroplasty: a novel surgical technique.Arthroplasty (London, England) · 2023Article
- Knee joint line related to bony landmarks of the knee: a radiologic study in a Thai population.Knee surgery & related research · 2022Article
- Individual Revision Knee Arthroplasty Is a Safe Limb Salvage Procedure.Journal of personalized medicine · 2021Article
- The reliability of adductor tubercle as an anatomical landmark for joint line restoration in revision knee arthroplasty: a systematic review.Annals of translational medicine · 2021Review
- Factors Affecting Squatting Ability in Total Knee Arthroplasty Using High Flexion Prosthesis.Therapeutics and clinical risk management · 2021Article
- Joint line reestablishment in revision total knee arthroplasty.Arthroplasty (London, England) · 2020Article
- [Individual revision arthroplasty of the knee joint].Der Orthopade · 2020Review
- Patellar complications following total knee arthroplasty: a review of the current literature.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2019Review
- Using anatomical landmarks to calculate the normal joint line position in Chinese people: an observational study.Journal of orthopaedic surgery and research · 2018Observational
- The medial and lateral epicondyle as a reliable landmark for intra-operative joint line determination in revision knee arthroplasty.Bone & joint research · 2016Article
- Revision knee surgery techniques.EFORT open reviews · 2016Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionIt has been shown that the distance between the joint line (JL) and the fibular head is constant in both knees in a given individual. We analysed the influence of the JL level difference between the revised knee and the native knee from the functional outcomes after TKR revision.
methodsThis multicentre study assessed retrospectively a consecutive series of 177 revised total knee replacements. Patients with contralateral knees that had undergone previous major surgery or trauma were excluded. The JL level difference between both knees was measured on Knee's AP standing X-rays and compared to the KSS Knee and Function scores at the final follow-up.
resultsEighty-five cases were analysed at a mean of seven years follow-up. There was a significant increase in KSS Knee and Function scores after surgery. The average elevation of the JL was 2.2 mm (s.d. 2.66 mm) compared with the healthy contralateral knee. When the JL was elevated more than 4 mm this correlated with a decreased KSS Function score and decreased post-operative knee flexion.
conclusionsPoorer functional results are significantly associated with an elevation in the JL compared to the contralateral healthy knee. In those patients with a suitable contralateral knee the JL level to restore can be assessed by the distance between the femoral condyle and the apex of the fibular head of the contralateral knee.
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