ArticleBone & joint research2019
Effect of tibial component alignment on knee kinematics and ligament tension in medial unicompartmental knee arthroplasty.
Article in Bone & joint research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.
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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
39 citing papers in PubMed, 71 citations in OpenAlex.
- Visual inspection provides precise intraoperative evaluation of tibial slope during unicompartmental knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Radiolucent lines after robotic-assisted surface-matching kinematically aligned UKA: short-term incidence and lack of association with tibial alignment.Archives of orthopaedic and trauma surgery · 2026Article
- Does the preoperative CPAK classification influence clinical outcomes after medial and lateral unicompartmental knee arthroplasty? Short-term outcomes and phenotype distribution in a retrospective series of consecutive cases.Archives of orthopaedic and trauma surgery · 2026Article
- Radiographic Posterior Tibial Slope Measurement in Medial Unicompartmental Knee Arthroplasty: A Retrospective Validation Study Using Digital Volume Tomography of Tibial Resectates.Journal of clinical medicine · 2026Article
- Tendency of Tibial Component Placement and Short-Term Outcomes in ROSA-Assisted Unicompartmental Knee Arthroplasty Using the Persona Partial Knee System.Arthroplasty today · 2026Article
- Biomechanical analysis of femoral component malalignment in medial unicompartmental knee arthroplasty.Scientific reports · 2025Article
- Conventional mobile-bearing unicompartmental knee arthroplasty effectively achieves personalised alignment: A single surgeon series of 2472 knees.Journal of orthopaedics · 2025Article
- The association between surgeon grade and radiographic implant alignment following oxford unicompartmental knee replacement.Archives of orthopaedic and trauma surgery · 2025Article
- High posterior tibial slope increases anterior cruciate ligament elongation in unicompartmental knee arthroplasty during early-flexion of lunge.BMC musculoskeletal disorders · 2025Article
- [Biomechanical effects of medial and lateral translation deviations of femoral components in unicompartmental knee arthroplasty on tibial prosthesis fixation].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2025Article
- The inclination of the tibial component has an impact on fracture stability in unicompartmental knee arthroplasty: an artificial bone study.Frontiers in bioengineering and biotechnology · 2025Article
- [Biomechanical study of knee joint based on coronal plane alignment of the knee].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024Article
- Fractures in Oxford unicompartmental knee arthroplasty are associated with a decreased medial keel-cortex distance of the tibial implant.Knee surgery & related research · 2024Article
- What effect does preoperative flexion contracture have on the component angles in unicompartmental knee arthroplasty?European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Factors predicting lower limb alignment after Oxford medial unicompartmental knee arthroplasty.Scientific reports · 2024Article
- Varus placement of the tibial component reduces the potential risk of fracture with adequate bony coverage in the Oxford unicompartmental knee arthroplasty.Scientific reports · 2024Article
- Preserving coronal knee alignment of the knee (CPAK) in unicompartmental knee arthroplasty correlates with superior patient-reported outcomes.Knee surgery & related research · 2024Article
- Knees with anteromedial osteoarthritis show a substantial phenotypic variation prior and following medial unicompartmental knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Robotic arm-assisted unicondylar knee arthroplasty resulted in superior radiological accuracy: a propensity score-matched analysis.Arthroplasty (London, England) · 2023Article
- Excessive flexed position of the femoral component causes abnormal kinematics and joint contact/ ligament forces in total knee arthroplasty.Scientific reports · 2023Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesUnicompartmental knee arthroplasty (UKA) is one surgical option for treating symptomatic medial osteoarthritis. Clinical studies have shown the functional benefits of UKA; however, the optimal alignment of the tibial component is still debated. The purpose of this study was to evaluate the effects of tibial coronal and sagittal plane alignment in UKA on knee kinematics and cruciate ligament tension, using a musculoskeletal computer simulation.
methodsThe tibial component was first aligned perpendicular to the mechanical axis of the tibia, with a 7° posterior slope (basic model). Subsequently, coronal and sagittal plane alignments were changed in a simulation programme. Kinematics and cruciate ligament tensions were simulated during weight-bearing deep knee bend and gait motions. Translation was defined as the distance between the most medial and the most lateral femoral positions throughout the cycle.
resultsThe femur was positioned more medially relative to the tibia, with increasing varus alignment of the tibial component. Medial/lateral (ML) translation was smallest in the 2° varus model. A greater posterior slope posteriorized the medial condyle and increased anterior cruciate ligament (ACL) tension. ML translation was increased in the > 7° posterior slope model and the 0° model.
conclusionThe current study suggests that the preferred tibial component alignment is between neutral and 2° varus in the coronal plane, and between 3° and 7° posterior slope in the sagittal plane. Varus > 4° or valgus alignment and excessive posterior slope caused excessive ML translation, which could be related to feelings of instability and could potentially have negative effects on clinical outcomes and implant durability.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.