ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2019
Flexed femoral component improves kinematics and biomechanical effect in posterior stabilized total knee arthroplasty.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Enhancing total knee arthroplasty outcomes: the role of individualized femoral sagittal alignment in robotic-assisted surgery - A randomized controlled trial.Journal of orthopaedic surgery and research · 2024Trial
- Beyond the coronal plane in robotic total knee arthroplasty-Part 1: Variations in tibial slope and distal femoral flexion do not affect outcomes.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- A Three-dimensional Comparison of Pre- and Post-component Position in a Series of Off-label Robotic-assisted Revision Total Knee Arthroplasties.Arthroplasty today · 2024Article
- Robotic-assisted total knee arthroplasty improves implant position and early functional recovery for the knee with severe varus/valgus deformity.BMC musculoskeletal disorders · 2024Article
- Higher Pelvic Incidence Was Associated with a Higher Risk of Sagittal Malposition of Femoral Component and Poor Outcomes of Primary Total Knee Arthroplasty: A Retrospective Cohort Analysis.The journal of knee surgery · 2023Article
- Excessive flexed position of the femoral component causes abnormal kinematics and joint contact/ ligament forces in total knee arthroplasty.Scientific reports · 2023Article
- Personalized alignment™ for total knee arthroplasty using the ROSAFrontiers in surgery · 2022Article
- Correlation between component alignment and short-term clinical outcomes after total knee arthroplasty.Frontiers in surgery · 2022Article
- Notching is less, if femoral component sagittal positioning is planned perpendicular to distal femur anterior cortex axis, in navigated TKA.Knee surgery & related research · 2021Article
- [Research progress of anterior femoral notching in total knee arthroplasty].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2021Article
- Gender-Based Quantitative Analysis of the Grand Piano Sign in Mechanically Aligned Total Knee Arthroplasty in Asians.Journal of clinical medicine · 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
- Restoration of normal knee kinematics with respect to tibial insert design in mobile bearing lateral unicompartmental arthroplasty using computational simulation.Bone & joint research · 2020Article
- Anatomy-mimetic design preserves natural kinematics of knee joint in patient-specific mobile-bearing unicompartmental knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Article
- Patellar osteolysis after total knee arthroplasty with patellar resurfacing: a potentially underappreciated problem.Arthroplasty today · 2019Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe kinematics and biomechanics of the knee joint are important in ensuring patient satisfaction and functional ability after total knee arthroplasty (TKA). There has been no study on knee joint mechanics with regard to the sagittal alignment of the femoral component. The objective of this study is to determine the extent of the impact of the femoral component's sagittal alignment on kinematics and biomechanics.
methodsA validated computational TKA model was used. The femoral component was simulated at - 3°, 0°, 5°, and 7° of flexion in the sagittal plane. This study evaluated the tibiofemoral (TF) joint kinematics, contact point, quadriceps force, and contact stress on the patellofemoral (PF) joint under a deep-knee-bend condition.
resultsThe kinematics of the TF joint in the posterior direction increased with the flexion of the femoral component position. For all tasks, the overall posterior locations of the TF contact points were observed in the medial and lateral compartments as the femoral component flexion angle increased. The quadriceps force and contact stress on the PF joint decreased with the femoral component flexion.
conclusionThis study found that the femoral component sagittal position is an important factor in knee joint mechanics. In this study, the flexion of femoral component showed a stable reconstruction of the knee extensors' mechanism. Surgeons may consider neutral-to-mild flexed femoral component position, without concerns of anterior notching of the femoral cortex.
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