Evidence map›Paper›PMID 30069483›Full record

ArticleBioMed research international2018

Increase in the Tibial Slope in Unicondylar Knee Replacement: Analysis of the Effect on the Kinematics and Ligaments in a Weight-Bearing Finite Element Model.

Patrick Weber, Matthias Woiczinski, Arnd Steinbrück, Florian Schmidutz, Thomas Niethammer, Christian Schröder, Volkmar Jansson, Peter E Müller

Open access · hybridAbstract read
In one paragraph

Article in BioMed research international, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.6field-weighted citation impact, top 11% of its field
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

20 citing papers in PubMed, 30 citations in OpenAlex.

  1. Review
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  7. [Biomechanical effects of medial and lateral translation deviations of femoral components in unicompartmental knee arthroplasty on tibial prosthesis fixation].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2025
    Article
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  10. Survival of Patient-Specific Unicondylar Knee Replacement.Journal of personalized medicine · 2023
    Article
  11. Article
  12. Article
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  15. Posterior condylar offset and posterior tibial slope targets to optimize knee flexion after unicompartmental knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022
    Article
  16. [Effect of posterior tibial slope on the short-term outcome in mobile-bearing unicompartmental knee arthroplasty].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2021
    Article
  17. Weight-bearing status affects in vivo kinematics following mobile-bearing unicompartmental knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021
    Article
  18. Varus or valgus positioning of the tibial component of a unicompartmental fixed-bearing knee arthroplasty does not increase wear.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020
    Article
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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

8 authors at 2 institutions in 1 country.

Patrick WeberDepartment of Orthopedic Surgery, Physical Medicine and Rehabilitation, University Hospital, Ludwig-Maximilians-University (LMU), Campus Großhadern, Marchioninistr. 15, 81377 Munich, Germany.ORCID 0000-0002-4994-3419
Matthias WoiczinskiDepartment of Orthopedic Surgery, Physical Medicine and Rehabilitation, University Hospital, Ludwig-Maximilians-University (LMU), Campus Großhadern, Marchioninistr. 15, 81377 Munich, Germany.ORCID 0000-0002-4123-8168
Arnd SteinbrückDepartment of Orthopedic Surgery, Physical Medicine and Rehabilitation, University Hospital, Ludwig-Maximilians-University (LMU), Campus Großhadern, Marchioninistr. 15, 81377 Munich, Germany.
Florian SchmidutzDepartment of Orthopedic Surgery, Physical Medicine and Rehabilitation, University Hospital, Ludwig-Maximilians-University (LMU), Campus Großhadern, Marchioninistr. 15, 81377 Munich, Germany.
Thomas NiethammerDepartment of Orthopedic Surgery, Physical Medicine and Rehabilitation, University Hospital, Ludwig-Maximilians-University (LMU), Campus Großhadern, Marchioninistr. 15, 81377 Munich, Germany.
Christian SchröderDepartment of Orthopedic Surgery, Physical Medicine and Rehabilitation, University Hospital, Ludwig-Maximilians-University (LMU), Campus Großhadern, Marchioninistr. 15, 81377 Munich, Germany.
Volkmar JanssonDepartment of Orthopedic Surgery, Physical Medicine and Rehabilitation, University Hospital, Ludwig-Maximilians-University (LMU), Campus Großhadern, Marchioninistr. 15, 81377 Munich, Germany.
Peter E MüllerDepartment of Orthopedic Surgery, Physical Medicine and Rehabilitation, University Hospital, Ludwig-Maximilians-University (LMU), Campus Großhadern, Marchioninistr. 15, 81377 Munich, Germany.
Ludwig-Maximilians-Universität München · DEUniversity of Tübingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionUnicompartmental arthroplasty (UKA) of the knee in patients with isolated medial osteoarthritis yields adequate results; however, the survival rate is inferior to that of total knee arthroplasty (TKA). A key factor in the longevity of the implant is the positioning; however, the optimal tibial slope in UKA has not been determined. The aim of this study was to establish a finite element (FE) model and investigate the effect of the tibial slope on the strain of the ligaments, kinematics, inlay movement, and load in the nonreplaced patellofemoral compartment in a medial mobile bearing UKA. MATERIALS AND

methodsAn FE model of a leg was established with a virtual UKA implantation with three different tibial slopes (0°, 5°, and 10°). Subsequently, the knee was flexed from 14-73°. In addition, the ground reaction force and the muscles were simulated.

resultsWith a higher tibial slope, there was more external rotation of the tibia. An increased tibial slope provided a lateral shift of the patella in the trochlear groove and a more anterior position of the inlay. The ligament strains were also changed, specifically, the anterior portion of the medial collateral ligament and the posterior cruciate ligament (PCL). DISCUSSION: This study established the first model of a quasidynamic mobile bearing UKA in a leg under weight-bearing conditions. With an increasing tibial slope, there was a higher external rotation of the tibia that created different femorotibial and retropatellar kinematics and different strains in the ligaments. This knowledge adds important information for the optimal tibial slope that has to be determined individually depending on the patient's preoperative kinematics, desired postoperative kinematics, ligament status, and location of the retropatellar chondral damage.

Indexed as

Arthroplasty, Replacement, KneeBiomechanical PhenomenaFinite Element AnalysisHumansKnee JointLigamentsRange of Motion, ArticularTibiaWeight-Bearing

Identifiers

PMID30069483
PMCPMC6057393
OpenAlexW2834184933

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LicenceCC BY
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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.