ArticleArchives of orthopaedic and trauma surgery2021
Comparison of risk for postoperative hyperextension between cruciate retaining and posterior stabilized total knee arthroplasties.
Article in Archives of orthopaedic and trauma surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 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
2 citing papers in PubMed, 5 citations in OpenAlex.
- Sagittal accuracy and functional impact of tibial slope in imageless robotic-assisted Total Knee Arthroplasty.International orthopaedics · 2025Article
- Predictors of Recurrent Flexion Contracture after Total Knee Arthroplasty in Osteoarthritic Knees with Greater Than 15° Flexion Contracture.Clinics in orthopedic surgery · 2023Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe incidence of postoperative hyperextension and factors affecting hyperextension needs to be investigated separately for cruciate retaining (CR) and posterior stabilized (PS) total knee arthroplasties (TKAs), because the mechanism for preventing hyperextension is different according to the bearing design. The purpose of the study was to compare the incidence of postoperative hyperextension between CR and PS TKAs and analyze the factors affecting the postoperative hyperextension.
methodsMatched 213 CR and PS TKAs with Persona
resultsThe knee sagittal angle was not significantly different preoperatively between CR and PS TKAs. The postoperative knee sagittal angle was 2.9° in CR TKAs and 4.4° in PS TKAs (p = 0.004). The incidence of postoperative hyperextension was 11.7% (25/213) in CR TKAs and 4.2% (9/213) in PS TKAs (p = 0.007). The preoperative sagittal angle, postoperative PTS, and pelvic incidence were the significant factors affecting the postoperative hyperextension in CR TKAs (odds ratio 0.869, 2.205, and 1.045, respectively); the preoperative sagittal angle was only the significant factor in PS TKAs (odds ratio 0.857)
conclusionsPostoperative knee hyperextension occurred more frequently and was affected by more factors in CR TKAs than PS TKAs. Efforts to avoid hyperextension and closed observation are required in TKAs performed in patients with the risk factors. LEVEL OF EVIDENCE: III.
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