ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2018
The increase in posterior tibial slope provides a positive biomechanical effect in posterior-stabilized total knee arthroplasty.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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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.
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Who cites it
28 citing papers in PubMed, 47 citations in OpenAlex.
- 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
- Systemic Cobalt Toxicity Secondary to Tibial Component Malpositioning in Bilateral Primary Total Knee Arthroplasties.Arthroplasty today · 2026Article
- Beyond the coronal plane in robotic total knee arthroplasty-Part 2: Combined flexion does not affect outcomes.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Effect of tibial rotational alignment and posterior slope on joint biomechanics in posterior-stabilized total knee arthroplasty: a finite element study.European journal of medical research · 2025Article
- Sagittal accuracy and functional impact of tibial slope in imageless robotic-assisted Total Knee Arthroplasty.International orthopaedics · 2025Article
- The Effects of Biomechanical Loading on the Tibial Insert After Primary Total Knee Arthroplasty: A Systematic Review.Journal of clinical medicine · 2025Review
- 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
- Posterior tibial slope influences joint mechanics and soft tissue loading after total knee arthroplasty.Frontiers in bioengineering and biotechnology · 2024Article
- No influence of posterior tibial slope change on outcomes after cruciate-retaining total knee arthroplasty: a prospective cohort study.Archives of orthopaedic and trauma surgery · 2023Article
- A lower starting point for the medial cut increases the posterior slope in opening-wedge high tibial osteotomy: a cadaveric study.Journal of experimental orthopaedics · 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
- Posterior Tibial Slope in Patients With Torn ACL Reconstruction Grafts Compared With Primary Tear or Native ACL: A Systematic Review and Meta-analysis.Orthopaedic journal of sports medicine · 2022Review
- High inter- and intraindividual differences in medial and lateral posterior tibial slope are not reproduced accurately by conventional TKA alignment techniques.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- The influence of posterior tibial slope on the mid-term clinical effect of medial-pivot knee prosthesis.Journal of orthopaedic surgery and research · 2021Article
- The accelerometer-based navigation system demonstrated superior radiological outcomes in restoring mechanical alignment and component sagittal positioning in total knee arthroplasty.BMC musculoskeletal disorders · 2021Article
- Effects of different prosthetic instrumentations on tibial bone resection in total knee arthroplasty.Scientific reports · 2021Article
- Tibiofemoral subluxation in the coronal plane does not affect WOMAC and KOOS after total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- The use of an asymmetrical tibial tray in TKA optimises tibial rotation when fitted to the posterior tibial plateau border.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Article
- A real 3D measurement technique for the tibial slope: differentiation between different articular surfaces and comparison to radiographic slope measurement.BMC musculoskeletal disorders · 2020Article
- The biomechanical effect of different posterior tibial slopes on the tibiofemoral joint after posterior-stabilized total knee arthroplasty.Journal of orthopaedic surgery and research · 2020Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis study aims to clarify the influence of the posterior tibial slope (PTS) on knee joint biomechanics after posterior-stabilized (PS) total knee arthroplasty (TKA) using a computer simulation.
methodsA validated TKA computational model was used to evaluate and quantify the effects of an increased PTS. In order to conduct a squat simulation, models with a - 3° to 15° PTS using increments of 3° were developed. Forces on the quadriceps and collateral ligament, a tibial posterior translation, contact point on a polyethylene (PE) insert, and contact stress on the patellofemoral (PF) joint and post in a PE insert were compared.
resultsThe maximum force on the quadriceps and the PF contact stress decreased with increases in the PTS. The kinematics on the tibiofemoral (TF) joint translated in an increasingly posterior manner, and the medial and lateral contact points on a PE insert were located in posterior regions with increases in the PTS. Additionally, increases in the PTS decreased the force on the collateral ligament and increased the contact stress on the post in a PE insert. A higher force on the quadriceps is required when the PTS decreases with an equivalent flexion angle.
conclusionsA surgeon should be prudent in terms of determining the PTS because an excessive increase in the PTS may lead to the progressive loosening of the TF joint due to a reduction in collateral ligament tension and failure of the post in a PE insert. Thus, we support a more individualized approach of optimal PTS determination given the findings of the study.
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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.