Evidence map›Paper›PMID 28262455›Full record

ArticleThe Journal of arthroplasty2017

Are Instrumented Knee Forces Representative of a Larger Population of Cruciate-Retaining Total Knee Arthroplasties?

Ryan D Freed, Jacqueline C Simon, Christopher B Knowlton, Diego A Orozco Villaseñor, Markus A Wimmer, Hannah J Lundberg

Abstract readComparative Study
In one paragraph

Article in The Journal of arthroplasty, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.0field-weighted citation impact, top 24% of its field
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

2 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Finite element evaluation of the newest ISO testing standard for polyethylene total knee replacement liners.Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine · 2018
    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 at 1 institution in 1 country.

Ryan D FreedDepartment of Orthopedic Surgery, Rush University Medical Center, Chicago, Illinois.
Jacqueline C SimonDepartment of Orthopedic Surgery, Rush University Medical Center, Chicago, Illinois.
Christopher B KnowltonDepartment of Orthopedic Surgery, Rush University Medical Center, Chicago, Illinois; Department of Bioengineering, University of Illinois at Chicago, Chicago, Illinois.
Diego A Orozco VillaseñorDepartment of Orthopedic Surgery, Rush University Medical Center, Chicago, Illinois; Department of Bioengineering, University of Illinois at Chicago, Chicago, Illinois.
Markus A WimmerDepartment of Orthopedic Surgery, Rush University Medical Center, Chicago, Illinois.
Hannah J LundbergDepartment of Orthopedic Surgery, Rush University Medical Center, Chicago, Illinois.
Rush University Medical Center · US

Funding

Wear Testing for Enhanced Prediction of TKR Clinical PerformanceR01AR059843 · NIAMS · RUSH UNIVERSITY MEDICAL CENTER · PI WIMMER, MARKUS ANTON · 2011 to 2014
$1.4M
Daily Activity of TKR Patients as Input for Wear TestingR03AR052039 · NIAMS · RUSH UNIVERSITY MEDICAL CENTER · PI WIMMER, MARKUS ANTON · 2006 to 2008
$216k
Calculation of Total Joint Replacement Contact Forces During Level WalkingF32AR057297 · NIAMS · RUSH UNIVERSITY MEDICAL CENTER · PI LUNDBERG, HANNAH JEAN · 2009 to 2010
$67k
NIAMS NIH HHS F32 AR057297NIAMS NIH HHS R01 AR059843NIAMS NIH HHS R03 AR052039
6 · The paper itself

Abstract

backgroundIt is not known if the loads and motions reported for instrumented knees are generalizable to a larger population of total knee arthroplasty (TKA) patients. The purpose of this study is to (1) report axial implant force data for chair and stair activities for a population of cruciate-retaining TKA patients and (2) compare the population forces to those measured with instrumented TKAs.

methodsTwenty-three subjects with a cruciate-retaining TKA underwent motion analysis during stair ascending, stair descending, chair sitting, and chair rising activities after informed consent in this institutional review board approved study. Axial TKA forces were calculated using a previously validated computational model. Differences between the mean and variability of population instrumented TKA peak forces and force impulses were tested using t tests and Levene test.

resultsPeak axial forces were 3.06, 2.74, 2.65, and 2.60 kN for stair ascent, stair descent, chair rising, and chair sitting, respectively. Force impulses were 123.3, 123.4, 153.5, and 154.0 kN*% activity cycle for stair ascent, stair descent, chair sitting, and chair rising, respectively. Population TKA and instrumented TKA peak forces were different for stair ascent (P = .03) and stair descent (P = .03) in the second half of the activity cycles. The variability of the peak forces and impulses were not different (P = .106 to P = .99).

conclusionThe forces and motions presented in this study represent cruciate-retaining TKA patients and could be used for displacement-driven knee wear testing. The forces are similar to those in the literature from instrumented prostheses of an ultracongruent cruciate-sacrificing TKA.

Indexed as

Arthroplasty, Replacement, KneeAgedBiomechanical PhenomenaComputer SimulationHumansKneeKnee JointKnee ProsthesisMiddle AgedReference ValuesStair ClimbingWeight-Bearingaxial forceinstrumented kneemusculoskeletal modelstair and chair activitiestotal knee arthroplasty

Identifiers

PMID28262455
PMCPMC5469705
OpenAlexW2587316780

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.