ArticleKnee surgery & related research2018
Comparison of Clinical Results and Risk of Patellar Injury between Attune and PFC Sigma Knee Systems.
Article in Knee surgery & related research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Modern implants in total knee arthroplasty are more patellofemoral joint friendly compared to their traditional design: a systematic review and meta-analysis.Archives of orthopaedic and trauma surgery · 2023Pooled it
- Trial
- Mid-term results show no significant difference in postoperative clinical outcome, pain and range of motion between a well-established total knee arthroplasty design and its successor: a prospective, randomized, controlled trial.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Trial
- Comparison of Patellofemoral Degeneration After Three Types of High Tibial Osteotomy: Retrotuberosity Biplane Open-Wedge, Supratuberosity Biplane Open-Wedge, and Closed-Wedge Techniques.Orthopaedic journal of sports medicine · 2026Article
- The incidence of radiolucent lines in cemented attune total knee arthroplasty- a retrospective clinical and radiological study.Archives of orthopaedic and trauma surgery · 2025Article
- Medial tibial bone resorption following total knee arthroplasty comparing a traditional with a kinematic design.Archives of orthopaedic and trauma surgery · 2023Article
- Central Sensitization Is Associated with Inferior Patient-Reported Outcomes and Increased Osteotomy Site Pain in Patients Undergoing Medial Opening-Wedge High Tibial Osteotomy.Medicina (Kaunas, Lithuania) · 2022Article
- Long-term survival of fully cemented stem in re-revision total knee arthroplasty performed on femur with diaphyseal deformation due to implant loosening.International orthopaedics · 2022Article
- Centrally sensitized patients undergoing total knee arthroplasty have higher expectations than do non-centrally sensitized patients.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Observational
- Long-term outcomes were similar between hybrid and cemented TKAs performed on paired knees at a minimum 15 years of follow-up.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 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
- Design and rationale of the ATtune Knee Outcome Study (ATKOS): multicenter prospective evaluation of a novel uncemented rotating platform knee system.BMC musculoskeletal disorders · 2021Observational
- Midterm functional recovery of Total knee arthroplasty patients compared between the ATTUNE knee system and the press fit condylar (PFC) SIGMA knee system.BMC musculoskeletal disorders · 2021Article
- Recommendations for Patients with High Return to Sports Expectations after TKA Remain Controversial.Journal of clinical medicine · 2020Article
- Mid-term lifetime survivals of octogenarians following primary and revision total knee arthroplasties were satisfactory: a retrospective single center study in contemporary period.Knee surgery & related research · 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
- Early experience with the ATTUNE Total Knee Replacement System.Acta bio-medica : Atenei Parmensis · 2019Article
- Early Functional Outcomes After Evolutionary Total Knee Arthroplasty: A Randomized Controlled Trial. Is New Always Better?JB & JS open accessArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe purposes of this study were to compare clinical results after total knee arthroplasty (TKA) using the Attune and PFC Sigma knee designs and to investigate whether the use of the Attune prosthesis increased the risk of patellar injury in Asian patients. MATERIALS AND
methodsThree hundred knees that underwent TKA using Attune (group A) were compared to 300 knees that underwent TKA using PFC Sigma (group B). The Knee Society Knee Score (KS) and Function Score (FS), and range of motion (ROM) were compared. The residual patellar thickness was compared to evaluate the risk of patellar injury.
resultsThe postoperative KS and ROM of group A were better than those of group B (93.1 vs. 88.8, p<0.001 and 131.4° vs. 129.0°, p=0.008, respectively). The postoperative FS did not differ significantly between the two groups (80.9 vs. 78.7, p=0.427). The residual patella was thinner in group A (14.8 mm vs. 15.7 mm, p=0.003), which made up a higher proportion of the high-risk group for patellar fractures with a residual thickness of <12 mm (7.5% vs. 2.1%, p=0.003).
conclusionsTKA using the Attune prosthesis provided more favorable clinical results than TKA using PFC Sigma. However, the risk of injury in the residual patella was increased with use of the Attune prosthesis in Asian patients.
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