Observational studyAnnals of biomedical engineering2020
Length-Change Patterns of the Collateral Ligaments During Functional Activities After Total Knee Arthroplasty.
Observational study in Annals of biomedical engineering, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 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.
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.
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Who cites it
12 citing papers in PubMed, 20 citations in OpenAlex.
- Intraoperative Analysis of Collateral Ligament Elongation Patterns by Coronal Plane Alignment of the Knee Classification Using Augmented Reality Navigation in Japanese Osteoarthritic Knees.Arthroplasty today · 2026Article
- Patellar thickness can critically impact knee joint biomechanics after total knee arthroplasty.Bone & joint research · 2026Article
- Clinical technique for augmented reality-guided tibial resection in kinematic alignment total knee arthroplasty: Real-time ligament elongation enables personalised soft tissue balance.Journal of experimental orthopaedics · 2026Article
- On the consequences of intra-operative release versus over-tensioning of the posterior cruciate ligament in total knee arthroplasty.Journal of the Royal Society, Interface · 2024Article
- Posterior tibial slope influences joint mechanics and soft tissue loading after total knee arthroplasty.Frontiers in bioengineering and biotechnology · 2024Article
- 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
- From fibre to function: are we accurately representing muscle architecture and performance?Biological reviews of the Cambridge Philosophical Society · 2022Review
- Dynamic Knee Joint Line Orientation Is Not Predictive of Tibio-Femoral Load Distribution During Walking.Frontiers in bioengineering and biotechnology · 2021Article
- Techniques for In Vivo Measurement of Ligament and Tendon Strain: A Review.Annals of biomedical engineering · 2021Review
- Elongation Patterns of the Posterior Cruciate Ligament after Total Knee Arthroplasty.Journal of clinical medicine · 2020Article
- A geometric ratio to predict the flexion gap in total knee arthroplasty.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2020Article
- The effect of increasing heel height on lower limb symmetry during the back squat in trained and novice lifters.BMC sports science, medicine & rehabilitation · 2020Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 2 countries.
Funding
Abstract
This study aimed to quantify the elongation patterns of the collateral ligaments following TKA during functional activities of daily living. Using mobile video-fluoroscopy to capture radiographic images of the knee in a group of six patients, each with an ultra-congruent knee implant, tibiofemoral kinematics were reconstructed throughout complete cycles of level gait, downhill walking, stair descent, and squat activities. Kinematic data were then used to drive subject-specific multibody knee models to estimate length-change patterns of the LCL as well as three bundles of the MCL. In addition, a sensitivity analysis examined the role of the attachment site in the elongation patterns. Our data indicate a slackening of the LCL but non-uniform length-change patterns across the MCL bundles (ranging from lengthening of the anterior fibers to shortening of the posterior fibers) with increasing knee flexion angle. Near-isometric behavior of the intermediate fibers was observed throughout the entire cycle of the studied activities. These length-change patterns were found to be largely consistent across different activities. Importantly, length-change patterns were critically sensitive to the location of the femoral attachment points relative to the femoral component. Thus, in TKA with ultra-congruent implants, implantation of the femoral component may critically govern post-operative ligament function.
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Registered trials
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.