ReviewJournal of orthopaedic surgery and research2021
Management of instability after primary total knee arthroplasty: an evidence-based review.
Review in Journal of orthopaedic surgery and research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
What it found
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Who cites it
22 citing papers in PubMed.
- Are kneeling stress radiography and the posterior sag sign associated with subjective flexion instability after posterior-stabilized total knee arthroplasty?Archives of orthopaedic and trauma surgery · 2026Article
- Medial expected gap (mEG): a quantitative, biology-guided predictor of coronal plane correction and knee balance in robotic functionally aligned total knee arthroplasty.Journal of robotic surgery · 2026Article
- Long-term outcomes of single-radius total knee arthroplasty in an Asian population: a comparison of cruciate-retaining and posterior-stabilized designs.Knee surgery & related research · 2026Article
- Article
- Fast fix or false hope? Polyethylene exchange in unstable primary unconstrained total knee arthroplasty.Bone & joint open · 2026Article
- Intraoperative management of pre-operative flexion contractures using robotic-assisted total knee arthroplasty.Journal of experimental orthopaedics · 2026Article
- Pre-operative methicillin-resistantJournal of shoulder and elbow arthroplasty · 2026Article
- Medial femoral condyle restoration technique in total knee arthroplasty.Arthroplasty (London, England) · 2026Article
- Robotic-Assisted Dynamic Intraoperative Assessment of Coronal Plane Stability Across the Range of Motion During Total Knee Arthroplasty.Journal of orthopaedic case reports · 2026Article
- Foot posture as a biomechanical outcome measure following total knee arthroplasty in individuals with severe knee osteoarthritis.Scientific reports · 2025Article
- Kinematic alignment in total knee arthroplasty restores the native anatomy, with a joint line parallel to the ground on a standing view.Journal of orthopaedics · 2025Article
- Defining "Paradoxical Instability" and Other Indications for Aseptic Single-Component Polyethylene Revision: A Cohort Study Including Mid-flexion Instability and Limited Arc of Motion.Arthroplasty today · 2025Article
- The P Balasubramaniam Award-2024 Singapore Orthopaedic Association Annual Scientific Meeting Award: Novel artificial intelligence algorithm for soft tissue balancing and bone cuts in robotic total knee arthroplasty improves accuracy and surgical durationArthroplasty (London, England) · 2025Article
- Revisiting the universal femoral component: Midterm outcomes of a modern design.Journal of orthopaedics · 2024Article
- Early monitoring of inlay wear after total knee arthroplasty on plain radiographs using model-based wear measurement.Scientific reports · 2024Article
- Metaphyseal trauma of the lower extremities in major orthopedic surgery as an independent risk factor for deep vein thrombosis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Effect of Surgeon Volume on Mechanical Complications after Resection Arthroplasty with Articulating Spacer.Journal of personalized medicine · 2024Article
- Limited medial posterior capsular release increases the intraoperative medial component gap while maintaining the joint varus angle at extension in posterior-stabilized total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Article
- Evaluation of anterior translation in total knee arthroplasty utilizing stress radiographs.Journal of orthopaedic surgery and research · 2023Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundInstability is one of the most common reasons for revision after a total knee replacement. It accounts for 17.4% of all single-stage revision procedures performed in the UK National Joint Registry. Through a careful patient evaluation, physical assessment and review of investigations one can identify the likely type of instability.
aimsTo critically examine the different types of instability, their presentation and evidence-based management options.
methodA comprehensive literature search was conducted to identify articles relevant to the aetiology and management of instability in total knee replacements.
resultsInstability should be categorised as isolated or global and then, as flexion, mid-flexion, extension or recurvatum types. By identifying the aetiology of instability one can correctly restore balance and stability.
conclusionWith careful judgement and meticulous surgical planning, instability can be addressed and revision surgery can provide patients with successful outcomes.
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Registered trials
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