ArticleInternational orthopaedics2017
What mechanisms are associated with tibial component failure after kinematically-aligned total knee arthroplasty?
Article in International orthopaedics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.
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Who cites it
37 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Comparison of Kinematic Alignment and Mechanical Alignment in Total Knee Arthroplasty: A Meta-analysis of Randomized Controlled Clinical Trials.Orthopaedic surgery · 2020Pooled it
- Unrestricted kinematic alignment on the sagittal plane: Posterior tibial slope and combined flexion do not have boundaries to respect in terms of short-term clinical outcomes and safety.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Posterior tibial slope varies across functional tibial phenotypes but not CPAK categories: A radiographic analysis from the FP-UCBM Knee Study Group.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Stage-Dependent Changes in Subchondral Trabecular Bone Mechano-Structure in Primary Knee Osteoarthritis with Varus Malalignment.Journal of functional morphology and kinesiology · 2026Article
- Systemic Cobalt Toxicity Secondary to Tibial Component Malpositioning in Bilateral Primary Total Knee Arthroplasties.Arthroplasty today · 2026Article
- The 'over-the-top' technique allows for accurate and reproducible restoration of the native tibial slope in kinematically aligned total knee arthroplasty: A retrospective comparative analysis from the FP-UCBM Knee Study Group.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Beyond the coronal plane in robotic total knee arthroplasty-Part 1: Variations in tibial slope and distal femoral flexion do not affect outcomes.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- An Insert Goniometer Can Help Select the Optimal Insert Thickness When Performing Kinematically Aligned Total Knee Arthroplasty with a Medial 1:1 Ball-in-Socket and Lateral Flat Surface Insert and Posterior Cruciate Ligament Retention.Bioengineering (Basel, Switzerland) · 2024Review
- No significant clinical differences between native or reduced posterior tibial slope in kinematically aligned total knee replacement with posterior cruciate-retaining.Journal of orthopaedics · 2024Article
- Phenotype-considered kinematically aligned total knee arthroplasty for windswept-deformity-associated osteoarthritis: surgical strategy and clinical outcomes.Knee surgery & related research · 2024Article
- Clinical and Functional Outcomes of Kinematic Aligned Total Knee Arthroplasty with a Medial Pivot Design: Two-Year Follow-Up.Journal of clinical medicine · 2023Article
- Infection and Instability Increasing the Risk of Patella Baja and Pseudo-Patella Baja after Revision Total Knee Arthroplasty.Clinics in orthopedic surgery · 2023Article
- Alignment options and robotics in total knee arthroplasty.Frontiers in surgery · 2023Review
- The Trochlear Groove of a Femoral Component Designed for Kinematic Alignment Is Lateral to the Quadriceps Line of Force and Better Laterally Covers the Anterior Femoral Resection Than a Mechanical Alignment Design.Journal of personalized medicine · 2022Article
- 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
- [Future implications of navigation in total knee arthroplasty].Orthopadie (Heidelberg, Germany) · 2022Review
- Measurement of Tibial Orientation Helps Select the Optimal Insert Thickness to Personalize PCL Tension in a Medial Ball-in-Socket TKA.Journal of personalized medicine · 2022Article
- Excessive Sagittal Slope of the Tibia Component during Kinematic Alignment-Safety and Functionality at a Minimum 2-Year Follow-Up.Journal of personalized medicine · 2022Article
- Catastrophic Failure of the Tibial Component After Total Knee Arthroplasty: Fracture and Dissociation Between the Baseplate and Stem.Arthroplasty today · 2022Article
- Higher satisfaction after total knee arthroplasty using restricted inverse kinematic alignment compared to adjusted mechanical alignment.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeEight patients treated with kinematically-aligned (KA) total knee arthroplasty (TKA) presented with tibial component failure. We determined whether radiographic measurements and clinical characteristics are different between patients with and without tibial component failure to identify mechanisms of failure and strategies to reduce the risk.
methodsOut of 3,212 primary TKAs (2,725 TKAs with a two-year minimum follow up), of which all were performed with KA, eight patients presented with tibial component failure. Radiographic measurements, clinical characteristics (e.g. age, gender, BMI, etc.), revision surgical records, and Oxford knee scores were compared to control cohort patients matched 1:3.
resultsTibial component failure presented at an average of 28 ± 15 months after primary TKA. Patients with tibial component failure had a 6 kg/m
conclusionsThe incidence of tibial component failure after KA TKA was 0.3% and was caused by posterior subsidence or posterior edge wear and not varus subsidence. The strategy for lowering the risk of tibial component failure when performing KA is to set the tibial component parallel to the flexion-extension plane (slope) and varus-valgus plane of the native joint line.
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