ArticleJournal of clinical medicine2021
Effects of Total Knee Arthroplasty on Coronal and Sagittal Whole-Body Alignments: Serial Assessments Using Whole-Body EOS.
Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.
- What Are the Optimal Sagittal Alignments in Primary Total Knee Arthroplasty: A Systematic Review and Meta-Analysis.Orthopaedic surgery · 2026Pooled it
- Comparison of coronal and sagittal pelvic-lower limb alignment after open wedge distal tibial tuberosity osteotomy and total knee arthroplasty using the EOS imaging system.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2026Article
- Exploratory Spinopelvic Compensation Patterns Are Associated with a Strict Composite 12-Month MCID Endpoint After Total Knee Arthroplasty: A Retrospective Risk-Stratification Study.Medicina (Kaunas, Lithuania) · 2026Article
- Bridging postural biomechanics and knee arthroplasty success.Arthroplasty (London, England) · 2026Review
- Reduced spinopelvic mobility does not correlate with knee flexion deformity in patients undergoing total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Impact on spino-pelvic alignment by total knee arthroplasty to correct knee flexion deformity in osteoarthritis patients: a retrospective cohort study.Quantitative imaging in medicine and surgery · 2025Article
- Effect of total knee arthroplasty on the spinopelvic parameters: A systemic review and metanalysis.World journal of orthopedics · 2025Article
- Relationship between degenerative scoliosis and lower extremity mechanical parameters based on EOS imaging system.American journal of translational research · 2022Article
- Variation in Sagittal Alignment Parameters in Adult Patients before Spine Surgery: A Serial Imaging Study Using Antero-Posterior and Latero-Lateral Projections.Diagnostics (Basel, Switzerland) · 2021Article
Corrections and comments
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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
backgroundThe aims of this study were to evaluate the effects of correcting lower limb alignment by total knee arthroplasty (TKA) on the spinopelvic alignment and to identify patients with difference in the knee joint between clinically measured passive motion and the actual standing posture.
methodsIn this retrospective study, 101 patients who underwent TKA and whose serial whole-body EOS X-ray were available were included. The relationship of the knee and spinopelvic alignment was analyzed by evaluating the parameters of standing anterior-posterior and lateral whole-body EOS X-ray. The differences between postoperative passive motion and weight-bearing posture in the knee joint were assessed in both coronal and sagittal planes. Furthermore, the causes of such differences were analyzed.
resultsSignificant correlations between Δpelvic obliquity and coronal ΔHip-Knee-Ankle (HKA)
conclusionsThe correction of lower limb alignment with TKA affected pelvic parameters dominantly; however, there was little effect on the spinal alignment. Additionally, patients with anterior stooping or lumbar flat back demonstrated difference in extension between passive knee motion and standing. Therefore, rather than only focusing on changes in the knee alignment correction, knee surgeons should also evaluate the spinopelvic alignment before surgery to consider the prognosis of the standing and predict the possible changes in the whole-body alignment. This preoperative assessment may improve the prognosis of TKA.
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