ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2019
Underhang of the tibial component increases tibial bone resorption after 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 17 papers.
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Who cites it
17 citing papers in PubMed.
- Curve-on-curve technique does not improve tibial coverage in total knee arthroplasty in comparison to tibial tuberosity technique with use of anatomical implants: randomized controlled trial.Archives of orthopaedic and trauma surgery · 2023Trial
- Consequences of using poly-ether-ether-ketone versus traditional implant on tibial cement penetration and short-term clinical outcomes during total knee arthroplasty: a randomized controlled trial.Journal of orthopaedic surgery and research · 2023Trial
- Posterior Tibial Plateau Offset Is Reduced During Total Knee Arthroplasty and Is Associated with Tibial Component Malpositioning.Medical sciences (Basel, Switzerland) · 2026Article
- Article
- Virtual cutting-based morphological differences in osteoarthritic and healthy knees: Implications for total knee arthroplasty prosthesis design.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2025Observational
- Tibial morphological difference between metal augmentation and actual tibia for revision total knee arthroplasty.Knee surgery & related research · 2025Article
- Are asymmetric designs of tibial components superior to their symmetric counterparts for constrained condylar total knee arthroplasty using metal block augmentation?Arthroplasty (London, England) · 2024Article
- Appearance and evolution of radiolucent lines below the tibial implant in primary total knee arthroplasty.Archives of orthopaedic and trauma surgery · 2024Article
- Improving Image Classification of Knee Radiographs: An Automated Image Labeling Approach.Journal of digital imaging · 2023Article
- Biomechanical effect of anatomical tibial component design on load distribution of medial proximal tibial bone in total knee arthroplasty : finite element analysis indicating anatomical design prevents stress-shielding.Bone & joint research · 2022Article
- Artificial Intelligence Based Patient-Specific Preoperative Planning Algorithm for Total Knee Arthroplasty.Frontiers in robotics and AI · 2022Article
- Morphometric measurement of the proximal tibia to design the tibial component of total knee arthroplasty for the Thai population.Journal of experimental orthopaedics · 2021Article
- Lack of small tibial component size availability for females in a highly utilized total knee arthroplasty system.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- Effect of tourniquet application on cement penetration in primary total knee arthroplasty: a meta-analysis.Arthroplasty (London, England) · 2021Review
- Anatomical tibial component is related to more medial tibial stress shielding after total knee arthroplasty in Korean patients.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- Tibial component coverage affects tibial bone resorption and patient-reported outcome measures for patients following total knee arthroplasty.Journal of orthopaedic surgery and research · 2021Article
- The Effect of Tranexamic Acid and Tourniquet Use on Tibial Cement Penetration in Primary Total Knee Arthroplasties.Arthroplasty today · 2020Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeOne of the causes of aseptic loosening is marked tibial bone resorption (TR) at the tibial bone-component interface after total knee arthroplasty (TKA). It was hypothesized that insufficient coverage of the tibial component and improper cementing technique would cause increased TR after cemented TKA.
methodsOne hundred thirty-four primary TKAs in 107 patients with varus osteoarthritis were included in this study. The relationships between the TRs at 2 years after TKA and the tibial component underhang (TUH), the thickness of the cement mantle around the keel, and clinical parameters were evaluated.
resultsThe widths of TRs on anteroposterior radiographs were significantly larger on the medial side than on the lateral side (p = 0.001), whereas the difference between the anterior and posterior sides on lateral radiographs was relatively small. Multiple regression analyses showed that medial TR was positively related to medial TUH (p = 0.006), and lateral TR was positively related to a thicker distal cement mantle (p = 0.027). On the lateral view, stepwise selection indicated that postoperative knee flexion angle was the most significant risk factor (p = 0.005) for anterior TR, and posterior TUH was the strongest predictor (p = 0.001) of posterior TR.
conclusionsTo avert postoperative progressive TR, surgeons should perfectly fit a suitably sized tibial component to the medial edge of the tibia. Also, care should be taken to avoid an excessive cement mantle at the distal portion of the keel during TKA. LEVEL OF EVIDENCE: IV.
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