Evidence map›Paper›PMID 31156764›Full record

ReviewClinics in orthopedic surgery2019

What to Know for Selecting Cruciate-Retaining or Posterior-Stabilized Total Knee Arthroplasty.

Sang Jun Song, Cheol Hee Park, Dae Kyung Bae

Abstract readReview
In one paragraph

Review in Clinics in orthopedic surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

53 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. In Vivo Kinematics for Various Robotically Performed Total Knee Arthroplasty Implant Designs.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2025
    Article
  9. Article
  10. The Effect of the Design of Polyethylene Inserts in Total Knee Arthroplasty on Patient Reported Outcomes.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. Article
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  17. Article
  18. The alignment conundrum in knee replacement: Simplifying the complexities!Journal of clinical orthopaedics and trauma · 2024
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Sang Jun SongDepartment of Orthopaedic Surgery, Kyung Hee University College of Medicine, Seoul, Korea.
Cheol Hee ParkDepartment of Medicine, Graduate School, Kyung Hee University, Seoul, Korea.
Dae Kyung BaeDepartment of Orthopaedic Surgery, Seoul Sacred Heart General Hospital, Seoul, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There has been continuing debate about the superiority of cruciate-retaining (CR) total knee arthroplasty (TKA) versus posterior-stabilized (PS) TKA for obtaining knee joint stability with functional improvement. Many surgeons tend to select the type of prosthesis on the basis of their own training and experience. However, the selection must be based on a great store of knowledge rather than on the surgeon's preconceptions or preferences. CR TKA may not be feasible in certain settings: posterior cruciate ligament insufficiency, severe deformity, and history of trauma or surgery. The risk of conversion from a CR type prosthesis to a PS type prosthesis might be high in patients with severe flexion contracture, steep posterior slope, and small femoral component size. The above factors should be carefully considered for an appropriate selection of the type of prosthesis. The surgeon should have a clear understanding on the technical differences between CR and PS TKAs. The amount of distal femoral resection, femoral component size, and tibial slope are particularly crucial for successful TKA. Unless they are meticulously determined, stiffness or instability will ensue, which can be difficult to resolve afterwards. There was no notable difference in functional outcome, range of motion, kinematics, and survival rate between CR and PS TKAs in most previous studies. Strict adherence to surgical indications and solid understanding of differences in surgical principles might be more important than the selection of either a CR or PS prosthesis.

Indexed as

Decision MakingKnee ProsthesisProsthesis DesignArthroplasty, Replacement, KneeHumansPosterior Cruciate LigamentArthroplastyCruciate retainingKneePosterior stabilized

Identifiers

PMID31156764
PMCPMC6526126

What OpenQuestion holds

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Registered trials

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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.