ReviewAnnals of translational medicine2017
Is "symmetric" gap balancing still the gold standard in primary total knee arthroplasty?
Review in Annals of translational medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Relationship between outcome scores and knee laxity following total knee arthroplasty: a systematic review.Acta orthopaedica · 2019Pooled it
- Intentional asymmetric balancing in robotic-assisted valgus TKA: Early outcomes and intraoperative laxity changes.Journal of experimental orthopaedics · 2026Article
- The P Balasubramaniam Award-2024 Singapore Orthopaedic Association Annual Scientific Meeting Award: Novel artificial intelligence algorithm for soft tissue balancing and bone cuts in robotic total knee arthroplasty improves accuracy and surgical durationArthroplasty (London, England) · 2025Article
- Survivorship in robotic total knee arthroplasty compared with conventional total knee arthroplasty: A systematic review and meta-analysis.Arthroplasty (London, England) · 2025Article
- The Restoration of the Prearthritic Joint Line Does Not Guarantee the Natural Knee Kinematics: A Gait Analysis Evaluation Following Primary Total Knee Arthroplasty.Arthroplasty today · 2024Article
- Asymmetric gap balancing improves knee kinematic following primary total knee arthroplasty.Arthroplasty (London, England) · 2024Article
- Large Osteophytes over 10 mm at Posterior Medial Femoral Condyle Can Lead to Asymmetric Extension Gap Following Bony Resection in Robotic Arm-Assisted Total Knee Arthroplasty with Pre-Resection Gap Balancing.Journal of clinical medicine · 2023Article
- Fluctuation of visual analog scale pain scores and opioid consumption before and after total hip arthroplasty.World journal of orthopedics · 2022Article
- Kinetic Sensors for Ligament Balance and Kinematic Evaluation in Anatomic Bi-Cruciate Stabilized Total Knee Arthroplasty.Sensors (Basel, Switzerland) · 2021Article
- Is It the Surgeon, the Patient, or the Device? A Comprehensive Clinical and Radiological Evaluation of Factors Influencing Patient Satisfaction in 648 Total Knee Arthroplasties.Journal of clinical medicine · 2021Article
- Kinematic Comparison between Medially Congruent and Posterior-Stabilized Third-Generation TKA Designs.Journal of functional morphology and kinesiology · 2021Article
- Sensor-Assisted Total Knee Arthroplasty: A Narrative Review.Clinics in orthopedic surgery · 2021Review
- Medio-Lateral and Flexion-Extension Gap Imbalances in Mechanically Aligned Total Knee Arthroplasty Using Measured Resection Technique in Korean Patients: 3D Simulation.Journal of clinical medicine · 2021Article
- Small soft tissue tension changes do not affect patient-reported outcomes one year after primary TKA.International orthopaedics · 2021Article
- Individualized surgery in primary total knee arthroplasty.EFORT open reviews · 2020Review
- Load imbalances existed as determined by a sensor after conventional gap balancing with a tensiometer in total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Article
- Medial Pivot in Total Knee Arthroplasty: Literature Review and Our First Experience.Clinical medicine insights. Arthritis and musculoskeletal disorders · 2018Review
- Combining kinematic alignment and medial stabilized design in total knee arthroplasty: Basic rationale and preliminary clinical evidences.Journal of orthopaedicsArticle
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
A rectangular and symmetrical gap in flexion as well as in extension is mandatory to achieve good outcomes and good long-term results in total knee arthroplasty (TKA) using classical designs. Recently, as showed in several fluoroscopic studies, different modern designs (medial congruent or sagittally stable implants) have been demonstrated to better reproduce the more physiological medial pivoting (MP) biomechanics of the normal knee when compared to classical postero-stabilized (PS) and cruciate-retaining (CR) designs. These modern designs, characterized by different level of conformity, might require adopting a different surgical technique in terms of soft tissue balancing technique for primary TKA. In such cases, the current authors suggest to reproduce a slightly asymmetric extension and flexion gaps with a tighter medial then lateral compartment to re-establish the MP kinematics of the normal knee.
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Registered trials
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.