ArticleBone & joint research2017
The effects of kinematically aligned total knee arthroplasty on stress at the medial tibia: A case study for varus knee.
Article in Bone & joint research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.
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Who cites it
42 citing papers in PubMed.
- Restoring the constitutional alignment with a restrictive kinematic protocol improves quantitative soft-tissue balance in total knee arthroplasty: a randomized controlled trial.The bone & joint journal · 2020Trial
- The Effect of the Coronal Alignment of Extension Stem on Component Displacement and Stress During Total Knee Arthroplasty: A Finite Element Study.Orthopaedic surgery · 2026Article
- Personalized Robotic-Assisted Total Knee Arthroplasty with Anatomo-Functional Implant Positioning for Varus Knees: A Minimum Follow-Up of 5 Years.Journal of personalized medicine · 2025Article
- Kinematic alignment doesn't tell the whole story: It's time for kinetic alignment.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Increased varus deformity requires greater personalisation of alignment: A finite element biomechanical study.Journal of experimental orthopaedics · 2025Article
- Kinematic alignment without femoral cartilage-wear compensation for apex-distal joint line obliquity: Effects on component alignment.Journal of experimental orthopaedics · 2025Article
- Imageless robotic-assisted total knee arthroplasty allows intra-articular correction of severe extra-articular deformities using functional alignment and desired under-correction.International orthopaedics · 2025Article
- Lateralized position of femoral and tibial components during posterior-stabilized total knee arthroplasty leads to better functional outcomes.Knee surgery & related research · 2025Article
- Novel technique for achieving the under-correction of native tibial varus in calipered restricted kinematically aligned total knee arthroplasty - A validation study.Journal of clinical orthopaedics and trauma · 2024Article
- Effect of tibiofemoral alignment on simulated knee contact forces during gait in mechanically and kinematically aligned total knee arthroplasty patients.Scientific reports · 2024Article
- Alignment strategy for different types of varus knee with generic instruments: Mechanical alignment or kinematic alignment?Journal of orthopaedic surgery and research · 2023Article
- The modification of bone cut angle and joint line obliquity did not change the tibiofemoral kinematics and stability of knee joint after total knee arthroplasty.Archives of orthopaedic and trauma surgery · 2023Article
- Internal Rotation, Varus, and Anterior Femoral Component Malalignments Adversely Affect Patellofemoral Joint Kinematics in Patellofemoral Arthroplasty.Arthroplasty today · 2023Article
- Imageless robotic-assisted total knee arthroplasty is accurate in vivo: a retrospective study to measure the postoperative bone resection and alignment.Archives of orthopaedic and trauma surgery · 2023Article
- An anatomo-functional implant positioning technique with robotic assistance for primary TKA allows the restoration of the native knee alignment and a natural functional ligament pattern, with a faster recovery at 6 months compared to an adjusted mechanical technique.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Application strategy of finite element analysis in artificial knee arthroplasty.Frontiers in bioengineering and biotechnology · 2023Review
- Kinematic Alignment in Total Knee Arthroplasty Reduces Polyethylene Contact Pressure by Increasing the Contact Area, When Compared to Mechanical Alignment-A Finite Element Analysis.Journal of personalized medicine · 2022Article
- Kinematically Aligned Total Knee Arthroplasty Using Medial Pivot Knee Prosthesis Enhances Medial Pivot Motion: A Comparative Kinematic Study With Mechanically Aligned Total Knee Arthroplasty.Arthroplasty today · 2022Article
- Total and partial knee arthroplasty implants that maintain native load transfer in the tibia.Bone & joint research · 2022Article
- Slight femoral under-correction versus neutral alignment in total knee arthroplasty with preoperative varus knees: a comparative study.Arthroplasty (London, England) · 2022Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesLittle biomechanical information is available about kinematically aligned (KA) total knee arthroplasty (TKA). The purpose of this study was to simulate the kinematics and kinetics after KA TKA and mechanically aligned (MA) TKA with four different limb alignments. MATERIALS AND
methodsBone models were constructed from one volunteer (normal) and three patients with three different knee deformities (slight, moderate and severe varus). A dynamic musculoskeletal modelling system was used to analyse the kinematics and the tibiofemoral contact force. The contact stress on the tibial insert, and the stress to the resection surface and medial tibial cortex were examined by using finite element analysis.
resultsIn all bone models, posterior translation on the lateral side and external rotation in the KA TKA models were greater than in the MA TKA models. The tibiofemoral force at the medial side was increased in the moderate and severe varus models with KA TKA. In the severe varus model with KA TKA, the contact stress on the tibial insert and the stress to the resection surface and to the medial tibial cortex were increased by 41.5%, 32.2% and 53.7%, respectively, compared with MA TKA, and the bone strain at the medial side was highest among all models.
conclusionNear normal kinematics was observed in KA TKA. However, KA TKA increased the contact force, stress and bone strain at the medial side for moderate and severe varus knee models. The application of KA TKA for severe varus knees may be inadequate.Cite this article: S. Nakamura, Y. Tian, Y. Tanaka, S. Kuriyama, H. Ito, M. Furu, S. Matsuda. The effects of kinematically aligned total knee arthroplasty on stress at the medial tibia: A case study for varus knee. Bone Joint Res 2017;6:43-51. DOI: 10.1302/2046-3758.61.BJR-2016-0090.R1.
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