ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2017
No correlation between coronal alignment of total knee arthroplasty and clinical outcomes: a prospective clinical study using 3D-CT.
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 30 papers, 1 of them a synthesis that pooled it.
What it found
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Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled 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
- Beyond Alignment: Static Coronal Alterations Do Not Predict Dynamic Foot Loading or Spatiotemporal Gait Patterns After Unilateral Total Knee Replacement-A Prospective Study.Bioengineering (Basel, Switzerland) · 2026Article
- Is limb overcorrection following total knee arthroplasty compromising functional outcome?Journal of orthopaedics · 2025Article
- Static Baropodometry for Assessing Short-Term Functional Outcome after Unilateral Total Knee Arthroplasty: Exploring Correlation between Static Plantar Pressure Measurements and Self-Reported Outcomes.Journal of clinical medicine · 2023Article
- Excessive femoral torsion is not associated with patellofemoral pain or instability if TKA is functionally aligned and the patella denervated.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Mechanically aligned total knee arthroplasty with the extension-first technique does not equally restore neutral knee alignment in all preoperative knee phenotypes.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Study on the correlation between early three-dimensional gait analysis and clinical efficacy after robot-assisted total knee arthroplasty.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2023Article
- The impact of postoperative inclination of the joint line on clinical outcomes in total knee arthroplasty using a prosthesis with anatomical geometry.Scientific reports · 2023Article
- Six Commonly Used Postoperative Radiographic Alignment Parameters Do Not Predict Clinical Outcome Scores after Unrestricted Caliper-Verified Kinematically Aligned TKA.Journal of personalized medicine · 2022Article
- Using short knee radiographs to predict the coronal alignment after TKA: Is it an accurate proxy for HKA on full-length images?Journal of orthopaedic surgery and research · 2022Article
- Functional Outcome Based on Mechanical Axis Alignment Following Total Knee Arthroplasty.Cureus · 2022Article
- Primary osteoarthritic knees have more varus coronal alignment of the femur compared to young non-arthritic knees in a large cohort study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Residual varus alignment can reduce joint awareness, restore joint parallelism, and preserve the soft tissue envelope during total knee arthroplasty for varus osteoarthritis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Patients with Kashin-Beck Disease Obtained Lower Functional Activities but Better Satisfaction Than Patients with Osteoarthritis After Total Knee Arthroplasty: A Retrospective Study.Clinical interventions in aging · 2022Article
- Restoration of pre-operative joint line orientation and alignment does not affect KSS and KOOS 1 year after total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- Tibial component coverage affects tibial bone resorption and patient-reported outcome measures for patients following total knee arthroplasty.Journal of orthopaedic surgery and research · 2021Article
- Usefulness of an accelerometer-based navigation system in bilateral one-stage total knee arthroplasty.BMC musculoskeletal disorders · 2021Article
- A comparative study of clinical effect of total knee arthroplasty in the treatment of primary osteoarthritis and osteoarthritis of Kashin-Beck disease.International orthopaedics · 2020Article
- Methods of intra- and post-operative determination of the position of the tibial component during total knee replacement.International orthopaedics · 2020Review
- Alignment results of infrared computer-assisted navigation of total knee arthroplasty for end-stage knee osteoarthritis.American journal of translational research · 2020Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe aim of this study was to evaluate femoral and tibial as well as whole leg coronal TKA alignment using 3D-reconstructed CTs and to assess the relationship of coronal TKA alignment and clinical outcome in a large prospective series of patients. It was hypothesized that a coronal deviation of TKA position and leg alignment from the mechanical axis is correlated with poorer patients' outcome after TKA.
methodsA total of 81 consecutive patients who underwent primary TKA were prospectively included. The patient's demographics such as age, gender and time from primary TKA were noted. All patients underwent clinical and radiological examination including standardized radiographs (anteroposterior and lateral weight-bearing, patellar skyline view) and CT as part of their postoperative follow-up. For assessment of TKA component position and orientation 3D-reconstructed CT was used. For clinical outcome scoring the Knee Society Score (KSS) was used at 1 and 2 years postoperatively. Linear and quadratic regression models were used to test for correlations between alignment variables and KSS (p < .05).
resultsThe mean Knee Society Score was 181 ± 28 (range 52-200) 2 years postoperatively, while 78% of the patients were completely pain free and 22% had some persisting pain interfering with their daily activities. The mean mechanical whole limb alignment (HKA angle), femoral component alignment and tibial component alignment were 0°, 0.1° and -0.7°, respectively. The component position parameters, as well as the whole limb alignment measurements, did not show any statistically significant correlation with the KSS, after 1 and 2 years postoperatively.
conclusionIn this prospective study, using 3D-CT to measure the component position, the postoperative outcome was not influenced by coronal TKA component position as well as the whole leg alignment. The findings challenge the current target of neutral coronal alignment and point towards a more individualized mechanical alignment target. LEVEL OF EVIDENCE: Prognostic study, Level I.
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