Evidence map›Paper›PMID 26820967›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2016

Changes in sagittal component alignment alters patellar kinematics in TKA: an in vitro study.

Armin Keshmiri, Hans Robert Springorum, Clemens Baier, Florian Zeman, Joachim Grifka, Günther Maderbacher

Abstract read
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In one paragraph

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 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

  1. Article
  2. [Patellar tracking in knee arthroplasty].Orthopadie (Heidelberg, Germany) · 2024
    Review
  3. Wide variation in tibial slopes and trochlear angles in the arthritic knee: a CT evaluation of 4116 pre-operative knees.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022
    Observational
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Native rotational knee kinematics are lost in bicruciate-retaining total knee arthroplasty when the tibial component is replaced.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2018
    Article
  11. Rotation of intramedullary alignment rods affects distal femoral cutting plane in total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2018
    Article
  12. Article
  13. Article
  14. 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 · 2017
    Article
  15. Mediolateral femoral component position in TKA significantly alters patella shift and femoral roll-back.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2017
    Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Armin KeshmiriDepartment of Orthopaedic Surgery, University of Regensburg, Kaiser-Karl-V Allee 3, 93077, Bad Abbach, Germany. keshmiri_armin@yahoo.de.
Hans Robert SpringorumDepartment of Orthopaedic Surgery, University of Regensburg, Kaiser-Karl-V Allee 3, 93077, Bad Abbach, Germany.
Clemens BaierDepartment of Orthopaedic Surgery, University of Regensburg, Kaiser-Karl-V Allee 3, 93077, Bad Abbach, Germany.
Florian ZemanCentre for Clinical Studies, Franz-Josef-Strauß-Allee 11, 93053, Regensburg, Germany.
Joachim GrifkaDepartment of Orthopaedic Surgery, University of Regensburg, Kaiser-Karl-V Allee 3, 93077, Bad Abbach, Germany.
Günther MaderbacherDepartment of Orthopaedic Surgery, University of Regensburg, Kaiser-Karl-V Allee 3, 93077, Bad Abbach, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePatellar maltracking due to incorrect component alignment is considered as a main reason for anterior knee pain after total knee arthroplasty (TKA). In contrast to coronal and axial component placement, the influence of sagittal component alignment on patellar kinematics has not been investigated so far.

methodsIn ten lower cadaveric limbs, TKAs were implanted using a commercial computer navigation system. In six knees, the femoral component was aligned in 5° and in four knees in 0° of flexion, respectively. Patellar kinematics were registered by means of a computer navigation system using an additional patella tracking array and correlated with femoral and tibial sagittal component alignment.

resultsSagittal component alignment significantly altered patellar mediolateral shift (p < 0.05). In contrast, patellar epicondylar distance, rotation and tilt were not significantly influenced.

conclusionsSagittal component alignment in TKA has a major impact on patellar kinematics and should therefore be considered while addressing tibiofemoral kinematics intraoperatively.

Indexed as

Arthroplasty, Replacement, KneeKnee ProsthesisProsthesis FittingBiomechanical PhenomenaCadaverHumansLinear ModelsPatellaSurgery, Computer-AssistedComputer navigation systemPatellar kinematicsPatellar trackingSagittal component alignmentTotal knee arthroplasty

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Registered trials

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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.