Evidence map›Paper›PMID 29769146›Full record

ArticleJournal of orthopaedic surgery and research2018

Finite element analysis of the tibial bone graft in cementless total knee arthroplasty.

Koji Totoribe, Etsuo Chosa, Go Yamako, Hiroaki Hamada, Koki Ouchi, Shutaro Yamashita, Gang Deng

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of orthopaedic surgery and research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. [Effects of elastic modulus of the metal block on the condylar-constrained knee prosthesis tibial fixation stability].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2025
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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

7 authors.

Koji TotoribeDepartment of Orthopaedic Surgery, Faculty of Medicine, University of Miyazaki, 5200 Kihara, Kiyotake, Miyazaki, 889-1692, Japan. totoribe@med.miyazaki-u.ac.jp.ORCID http://orcid.org/0000-0003-4498-1835
Etsuo ChosaDepartment of Orthopaedic Surgery, Faculty of Medicine, University of Miyazaki, 5200 Kihara, Kiyotake, Miyazaki, 889-1692, Japan.
Go YamakoDepartment of Mechanical Design Systems, Faculty of Engineering, University of Miyazaki, 1-1 Gakuen Kibana-dai-nishi, Miyazaki, 889-2192, Japan.
Hiroaki HamadaDepartment of Orthopaedic Surgery, Faculty of Medicine, University of Miyazaki, 5200 Kihara, Kiyotake, Miyazaki, 889-1692, Japan.
Koki OuchiDepartment of Mechanical Design Systems, Faculty of Engineering, University of Miyazaki, 1-1 Gakuen Kibana-dai-nishi, Miyazaki, 889-2192, Japan.
Shutaro YamashitaDepartment of Mechanical Design Systems, Faculty of Engineering, University of Miyazaki, 1-1 Gakuen Kibana-dai-nishi, Miyazaki, 889-2192, Japan.
Gang DengDepartment of Mechanical Design Systems, Faculty of Engineering, University of Miyazaki, 1-1 Gakuen Kibana-dai-nishi, Miyazaki, 889-2192, Japan.

Funding

Japan Science and Technology Agency MP27115658746
6 · The paper itself

Abstract

backgroundAchieving stability of the tibial implant is essential following cementless total knee arthroplasty with bone grafting. We investigated the effects of bone grafting on the relative micromotion of the tibial implant and stress between the tibial implant and adjacent bone in the immediate postoperative period.

methodsTibial implant models were developed using a nonlinear, three-dimensional, finite element method. On the basis of a preprepared template, several bone graft models of varying sizes and material properties were prepared.

resultsMicromotion was larger in the bone graft models than in the intact model. Maximum micromotion and excessive stress in the area adjacent to the bone graft were observed for the soft and large graft models. With hard bone grafting, increased load transfer and decreased micromotion were observed.

conclusionsAvoidance of large soft bone grafts and use of hard bone grafting effectively reduced micromotion and undue stress in the adjacent area.

Indexed as

Finite Element AnalysisModels, AnatomicAdultArthroplasty, Replacement, KneeBone TransplantationFemaleHumansImaging, Three-DimensionalTibiaBone graftFinite element analysisTotal knee arthroplasty

Identifiers

PMID29769146
PMCPMC5956944

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Registered trials

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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.