ArticleArchives of orthopaedic and trauma surgery2022
Comparison of postoperative knee flexion and patient satisfaction between newly and conventionally designed medial pivot total knee arthroplasty: a 5-year follow-up matched cohort study.
Article in Archives of orthopaedic and trauma surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Posterior cruciate ligament management in medial pivot total knee arthroplasty: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2026Pooled it
- Alignment strategy does not confer clinically meaningful advantages in medial pivot total knee arthroplasty: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2026Pooled it
- Robotic assisted versus conventional total knee arthroplasty: a systematic review and meta-analysis of randomised controlled trials.Journal of robotic surgery · 2024Pooled it
- Comparison of CT-based migration analysis against radiostereometric analysis for assessing two-year migration in an uncemented medial pivot tibial knee implant : clinical implications from a prospective safety study.Bone & joint open · 2026Article
- Effects of anterior cruciate ligament resection and total knee arthroplasty on lower limb alignment and tibiofemoral rotation.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2026Article
- Medial Congruent and Medial Pivot Inserts in Total Knee Arthroplasty: A Scoping Review.Medicina (Kaunas, Lithuania) · 2025Article
- Predictors of improved and decreased range of motion after medial pivot total knee arthroplasty: A multicenter retrospective analysis.Journal of orthopaedics · 2025Article
- Mechanically Aligned Second-Generation Medial Pivot Primary Total Knee Arthroplasty Does Not Reproduce Normal Knee Biomechanics: A Gait Analysis Study.Journal of clinical medicine · 2024Article
- Tibiofemoral articulation and axial tibial rotation of the knee after a cruciate retaining total knee arthroplasty.Knee surgery & related research · 2024Article
- Cementless medial pivot design demonstrates equal or better outcomes compared to cementless cruciate-retaining design following total knee arthroplasty.Journal of orthopaedics · 2024Article
- Efficacy of the newly designed "SkyWalker" robot compared to the MAKO robotic system in primary total knee arthroplasty: a one-year follow-up study.International orthopaedics · 2024Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe medial pivot total knee arthroplasty (TKA) has good patients' satisfaction; however, there is likely the restriction of postoperative knee flexion. The 2nd generation medial pivot TKA prosthesis was designed to improve postoperative knee flexion. This study aimed to compare the clinical outcomes and patient satisfaction between the 2nd generation and 1st generation medial pivot TKA prostheses. MATERIALS AND
methodsWe conducted a retrospective study of 472 consecutive TKAs, performed using either the 2nd generation (EVOLUTION
resultsThe average follow-up period was 5.0 (3.7-6.3) years for the 2nd generation group and 8.7 (6.1-12.8) years for the 1st generation group (p < 0.01). The postoperative knee flexion range was 127° (80°-140°) for the 2nd generation and 118° (90°-135°) for the 1st generation at final follow-up (p < 0.01). On multivariate regression analysis, use of the 2nd generation prosthesis predicted greater postoperative knee flexion. The average FJS-12 score was 64 (0-100) for the 2nd generation and mean 57 (0-100) for the 1st generation (p < 0.01). Other clinical outcomes were similar between the two groups.
conclusionsCompared to the 1st generation, the 2nd generation medial pivot prosthesis provides greater postoperative knee flexion and patient satisfaction.
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