ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2019
Femoral joint line restoration is a major determinant of postoperative range of motion in revision 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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15 citing papers in PubMed, 32 citations in OpenAlex.
- Patella Baja Incidence, Risk Factors and Motion After Revision Total Knee Arthroplasty.Arthroplasty today · 2025Article
- Adductor tubercle as a reliable landmark for knee joint line determination: a comparative radiological study.Archives of orthopaedic and trauma surgery · 2025Article
- An MRI-Derived Formula for Estimating the Native Joint Line Position in the Presence of Distal Femoral Bone Loss.Cureus · 2024Article
- Isolated Polyethylene Insert Exchange for Instability after Total Knee Arthroplasty: Comparable Survival Rates and Range of Motion and Improved Clinical Scores Regardless of Hyperextension.Clinics in orthopedic surgery · 2024Article
- Article
- Incidence of patella baja and pseudopatella baja in aseptic revision total knee arthroplasty.Archives of orthopaedic and trauma surgery · 2024Article
- Maintenance of the joint line and posterior condylar offset are the most notable variables for successful outcomes of revision total knee arthroplasty.Archives of orthopaedic and trauma surgery · 2024Article
- Identification of the joint line in revision total knee arthroplasty using a multiple linear regression model: a cadaveric study.Archives of orthopaedic and trauma surgery · 2023Article
- Infection and Instability Increasing the Risk of Patella Baja and Pseudo-Patella Baja after Revision Total Knee Arthroplasty.Clinics in orthopedic surgery · 2023Article
- Nomogram in Knee Instability: 3D Gait Analysis of Knee Osteoarthritis Patients.Indian journal of orthopaedics · 2022Article
- Accuracy of joint line restoration based on three-dimensional registration of the contralateral tibial tuberosity and the fibular tip.Journal of experimental orthopaedics · 2021Article
- Individual Revision Knee Arthroplasty Is a Safe Limb Salvage Procedure.Journal of personalized medicine · 2021Article
- Factors Affecting Squatting Ability in Total Knee Arthroplasty Using High Flexion Prosthesis.Therapeutics and clinical risk management · 2021Article
- Joint line reestablishment in revision total knee arthroplasty.Arthroplasty (London, England) · 2020Article
- [Individual revision arthroplasty of the knee joint].Der Orthopade · 2020Review
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe purpose of this study was to comprehensively analyze the effects of femoral or tibial joint line elevation and patella height change on the clinical results after revision total knee arthroplasty (RTKA) and to determine which one is the significant factor that should be restored.
methodsOne hundred and sixty-six RTKA cases (144 patients) with a minimum 2-year follow-up were retrospectively analyzed. Demographic, operative, and clinical data were collected. Tibial and femoral joint line elevations were measured based on the distance from the tibial tubercle and from the adductor tubercle to the distal end of the femoral component, respectively. The patellar position was evaluated using the Insall-Salvati ratio and Blackburne-Peel index. The effects of clinical and radiological variables on the changes of range of motion (ROM) and clinical scores after RTKA were analyzed.
resultsFourteen knees (8.4%) showed a femoral joint line elevation of more than 5 mm, and 79 knees (47.6%) showed a tibial joint line elevation of more than 5 mm. Patella baja after RTKA was observed in 33 knees (19.9%), and pseudo-patella baja after RTKA was observed in 90 knees (54.2%). The linear mixed model revealed that the femoral joint line position was the only significant factor that affected the change of ROM after RTKA. No statistically significant correlation was observed between variables and postoperative clinical scores.
conclusionsRestoration of femoral joint line was the significant factor that increased postoperative ROM of the knee after RTKA. In complicated revision situations, surgeons should give priority to the restoration of distal femoral joint line to increase postoperative ROM. LEVEL OF EVIDENCE: IV.
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