ReviewJournal of clinical orthopaedics and trauma
Intraoperative load-sensing drives the level of constraint in primary total knee arthroplasty: Surgical technique and review of the literature.
Review in Journal of clinical orthopaedics and trauma. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Current role of intraoperative sensing technology in total knee arthroplasty.Archives of orthopaedic and trauma surgery · 2021Pooled it
- An intraoperative load sensor did not improve the early postoperative results of posterior-stabilized TKA for osteoarthritis with varus deformities.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019Trial
- From empirical to analytical: Soft-tissue tension gauging in total knee arthroplasty.Knee surgery & related research · 2025Review
- No evidence of mid-flexion instability after robotic-assisted total knee arthroplasty as assessed by intraoperative pressure sensors.Arthroplasty (London, England) · 2024Article
- Native knee kinematics is not reproduced after sensor guided cruciates substituting total knee arthroplasty.Journal of experimental orthopaedics · 2023Article
- Higher use of fixed-bearing over mobile-bearing and posterior-stabilized over medial pivot designs in total knee arthroplasty (TKA): a systematic comparative analysis using worldwide arthroplasty registers from England and Wales, Australia, Norway, New Zealand, Germany and Switzerland.Archives of orthopaedic and trauma surgery · 2023Article
- Posterior-stabilized total knee arthroplasty kinematics and joint laxity: A hybrid biomechanical study.Arthroplasty (London, England) · 2022Article
- Effects of the posterior cruciate ligament and tibia insert thickness on tibiofemoral joint pressure in total knee arthroplasty: a cadaveric study.Annals of translational medicine · 2022Article
- Intraoperative Load Sensing in Total Knee Arthroplasty Leads to a Functional but Not Clinical Difference: A Comparative, Gait Analysis Evaluation.Journal of functional morphology and kinesiology · 2022Article
- 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
- Accuracy of soft tissue balancing in total knee arthroplasty using surgeon-defined assessment versus a gap-balancer or electronic sensor.Journal of orthopaedic surgery and research · 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
- How to Quantitatively Balance a Total Knee? A Surgical Algorithm to Assure Balance and Control Alignment.Sensors (Basel, Switzerland) · 2021Article
- Achieving a Balanced Knee in Robotic TKA.Sensors (Basel, Switzerland) · 2021Article
- Trial Tibial Inserts May Result in Different Knee Kinematics from Final Poly Inserts in Total Knee Arthroplasty.Orthopedic research and reviews · 2021Article
- Sensor guided unicompartmental to total knee arthroplasty revision: Surgical technique.Orthopedic reviews · 2020Article
- 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
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Total knee arthroplasty is a traditional surgical procedure aimed to restore function and relief pain in patients with severe knee osteoarthritis. Recently, many medial pivot knee systems were deigned to replicate the normal knee kinematic: a highly congruent medial compartment and a less conforming lateral tibial plateau characterize these devices. A slightly asymmetric soft tissue balancing is mandatory using medial pivot designs to obtain a correct and physiological knee biomechanics leading good outcomes and long survival rates. This article describes a new surgical technique using a modern third generation TKA design combined with wireless load-sensor tibial trials to improve the correct knee load balancing with a minimal conformity of the polyethylene insert. The use of wireless load-sensing tibial trials has several benefits: it is an intraoperative, objective and dynamic tool allowing surgeons to optimize in real time soft tissue balancing. The meaning of a "truly balanced knee" is still a controversial issue in the current literature.
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Registered trials
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