ArticleArchives of orthopaedic and trauma surgery2021
A ligament tensor-guided extramedullary alignment technique for distal femoral cut in total knee replacement: results at a minimum 3 years follow-up.
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 17 papers, 2 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.
- Kinematic alignment versus mechanical alignment in primary total knee arthroplasty: an updated meta-analysis of randomized controlled trials.Journal of orthopaedic surgery and research · 2022Pooled it
- Comparison of posterior cruciate retention and substitution in total knee arthroplasty during gait: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2022Pooled it
- Clinical and mechanical outcomes of robotic-assisted versus conventional total knee arthroplasty: a retrospective propensity-matched analysis of 163,516 patients.Journal of orthopaedic surgery and research · 2026Article
- The effect of using patient-specific guides for total knee replacement without hardware removal in complex post-traumatic arthritis: an in-vitro study.Biomedical engineering online · 2026Article
- Alignment Philosophies in Total Knee Arthroplasty: A Comprehensive Narrative Review.Arthroplasty today · 2026Article
- Extramedullary tibial guide orientation in TKA personalized alignment: validation of a trigonometric method.Archives of orthopaedic and trauma surgery · 2025Article
- Clinical outcomes of intramedullary tibial guides in total knee arthroplasty: experience from a single-centre cohort.Journal of orthopaedic surgery and research · 2025Article
- From empirical to analytical: Soft-tissue tension gauging in total knee arthroplasty.Knee surgery & related research · 2025Review
- PCL preservation or sacrifice does not influence clinical outcomes and survivorship at mid-term follow-up of a J-curve CR total knee replacement with a medial congruent liner and a functional coronal alignment.Archives of orthopaedic and trauma surgery · 2024Article
- Precision soft tissue balancing: grid-assisted pie-crusting in total knee arthroplasty.Frontiers in surgery · 2024Article
- Individualized alignment and ligament balancing technique with the ROSA® robotic system for total knee arthroplasty.International orthopaedics · 2023Article
- Distal femur complex fractures in elderly patients treated with megaprosthesis: Results in a case series of 11 patients.World journal of orthopedics · 2022Article
- Measurement for gap balancing technique in patients undergoing total knee arthroplasty: a large retrospective observational study.Journal of orthopaedic surgery and research · 2022Observational
- Biomechanical effects of fixed-bearing femoral prostheses with different coronal positions in medial unicompartmental knee arthroplasty.Journal of orthopaedic surgery and research · 2022Article
- Long-term outcomes of one single-design varus valgus constrained versus one single-design rotating hinge in revision knee arthroplasty after over 10-year follow-up.Journal of orthopaedic surgery and research · 2022Article
- Robotic arm-assisted total knee arthroplasty improves preoperative planning and intraoperative decision-making.Journal of orthopaedic surgery and research · 2021Article
- Accuracy of one-dimensional templating on linear EOS radiography allows template-directed instrumentation in total knee arthroplasty.Journal of orthopaedic surgery and research · 2021Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFemoral intramedullary canal referencing is used by most knee arthroplasty systems for distal femoral cut; to avoid the opening of the femoral canal different solutions have been presented such as navigation, patient-specific instruments (PSI) or the use of an extramedullary device. The FuZion
methodsA total of 110 patients were operated on with this technique. Patients were evaluated with weight-bearing long-standing X-rays, knee a-p and lateral views, validated PROMs (Oxford Knee Score, EQ-5D and EQ-VAS), the Knee Society Scoring System (KSS) and the Forgotten Joint Score (FJS). Minimum follow up was 3 years (range 38-50 months).
resultsComplete results were available for 104 patients (5 were lost in follow up and 1 died). Significant improvements were registered for all the evaluated scores from pre-op to the final follow up. Pre-op long-standing X-rays showed 21 valgus knees (20%) with a mean HKA of 187.6° (± 3.2°), 70 varus knees (62%) with a mean 172.2° (± 3.7°) HKA and 19 neutrally aligned knees, with a mean HKA of 179.5° (0 ± 2°). The radiographic evaluation at 3 months post-op showed 20 valgus knees (mean HKA 183.7° ± 1.5°), 67 varus knees (mean HKA 176.1° ± 1.8°) and 23 neutrally aligned knees with a mean HKA of 179.3° (0 ± 2°). At final follow up the survival rate was 100% for revision of the implant as the endpoint. With any reoperation as the endpoint Kaplan-Meier survival estimate showed a survival rate of 95.1% at 3 years.
conclusionsThis technique for performing a ligament driven alignment in total knee arthroplasty showed encouraging clinical outcomes at mid-term follow up leaving a residual deformity on the coronal plane.
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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.