SynthesisActa orthopaedica2019
Relationship between outcome scores and knee laxity following total knee arthroplasty: a systematic review.
Synthesis in Acta orthopaedica, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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.
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Who cites it
13 citing papers in PubMed.
- Standardized Intraoperative Robotic Laxity Assessment in TKA Leads to No Clinically Important Improvements at 2 Years Postoperatively: A Randomized Controlled Trial.Clinical orthopaedics and related research · 2025Trial
- Full-flexion gap balancing-driven personalized preoperative planning for TKA: biomechanical evidence of improved load symmetry in an in vitro model.Arthroplasty (London, England) · 2026Article
- Patient specific variables impact sensitivity to association between joint balance and 2 Year outcomes.Journal of orthopaedics · 2025Article
- Mid-Flexion Sagittal Stability of Total Knee Arthroplasty Implanted With Kinematic Alignment: A Quantitative Radiographic Laxity Study With Single-Radius Posterior-Stabilized and Condylar-Stabilized Implants.Arthroplasty today · 2025Article
- Extension stress radiographs for coronal laxity assessment in revision TKA: high reliability and increased valgus laxity in this population.Archives of orthopaedic and trauma surgery · 2025Article
- Functional preoperative assessment of coronal knee laxity better predicts postoperative patient outcomes than intraoperative surgeon-defined laxity in total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Problems and Opportunities of a Smartphone-Based Care Management Platform: Application of the Wald Principles to a Survey-Based Analysis of Patients' Perception in a Pilot Center.Healthcare (Basel, Switzerland) · 2024Article
- Intra-operative laxity and balance impact 2-year pain outcomes in TKA: a prospective cohort study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Medial stability and lateral flexibility of the collateral ligaments during mid-range flexion in medial-pivot total knee arthroplasty patients demonstrates favorable postoperative outcomes.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Inter-Rater Reliability of Clinical Testing for Laxity After Knee Arthroplasty.The Journal of arthroplasty · 2022Article
- Correlation of quality of life with instrumented analysis of a total knee arthroplasty series at the long-term follow-up.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2021Article
- The effect of hamstring tightness on intraoperative extension gap in posterior stabilized total knee arthroplasty.Scientific reports · 2021Article
- Small soft tissue tension changes do not affect patient-reported outcomes one year after primary TKA.International orthopaedics · 2021Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background and purpose - Instability following primary total knee arthroplasty (TKA) is, according to all national registries, one of the major failure mechanisms leading to revision surgery. However, the range of soft-tissue laxity that favors both pain relief and optimal knee function following TKA remains unclear. We reviewed current evidence on the relationship between instrumented knee laxity measured postoperatively and outcome scores following primary TKA. Patients and methods - We conducted a systematic search of PubMed, Embase, and Cochrane databases to identify relevant studies, which were cross-referenced using Web of Science. Results - 14 eligible studies were identified; all were methodologically similar. Both sagittal and coronal laxity measurement were reported; 6 studies reported on measurement in both extension and flexion. In knee extension from 0° to 30° none of 11 studies could establish statistically significant association between laxity and outcome scores. In flexion from 60° to 90° 6 of 9 studies found statistically significant association. Favorable results were reported for posterior cruciate retaining (CR) knees with sagittal laxity between 5 and 10 mm at 75-80° and for knees with medial coronal laxity below 4° in 80-90° of flexion. Interpretation - In order to improve outcome following TKA careful measuring and adjusting of ligament laxity intraoperatively seems important. Future studies using newer outcome scores supplemented by performance-based scores may complement current evidence.
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