Evidence map›Paper›PMID 36326877›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2023

The impact of different alignment strategies on bone cuts for neutral knee phenotypes in total knee arthroplasty.

Benjamin L Schelker, Céline S Moret, Rüdiger von Eisenhart-Rothe, Heiko Graichen, Markus P Arnold, Vincent Leclercq, Rolf W Huegli, Michael T Hirschmann

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Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed.

  1. Review
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  10. Excellent results of restricted kinematic alignment total knee arthroplasty at a minimum of 10 years of follow-up.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025
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  11. Article
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  13. Review
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  16. Constitutional alignment predicts medial ligament balancing in mechanically aligned total knee arthroplasty for varus knees.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023
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  17. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Benjamin L SchelkerDepartment of Orthopedic Surgery and Traumatology, Head Knee Surgery and DKF Head of Research, Kantonsspital Baselland, Bruderholz, 4101, Bottmingen, Switzerland.
Céline S MoretDepartment of Orthopedic Surgery and Traumatology, Head Knee Surgery and DKF Head of Research, Kantonsspital Baselland, Bruderholz, 4101, Bottmingen, Switzerland.
Rüdiger von Eisenhart-RotheDepartment of Orthopedics and Sports Orthopedics, Klinikum Rechts Der Isar, Technical University Munich, Ismaningerstr. 22, 81675, Munich, Germany.
Heiko GraichenDepartment of Arthroplasty, Sports Medicine and Traumatology, Orthopaedic Hospital Lindenlohe, Indanone 18, 92421, Schwandorf, Germany.
Markus P ArnoldLEONARDO, Hirslanden Klinik Birshof, Münchenstein, Switzerland.
Vincent LeclercqSymbios, Yverdon-Les-Bains, Switzerland.
Rolf W HuegliInstitute of Radiology and Nuclear Medicine, Kantonsspital Baselland, Bruderholz, 4101, Bottmingen, Switzerland.
Michael T HirschmannDepartment of Orthopedic Surgery and Traumatology, Head Knee Surgery and DKF Head of Research, Kantonsspital Baselland, Bruderholz, 4101, Bottmingen, Switzerland. michael.hirschmann@unibas.ch.ORCID http://orcid.org/0000-0002-4014-424X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this study was to simulate and visualise the influence of the alignment strategy on bone resection in neutral knee phenotypes. It was hypothesised that different amounts of bone resection would be required depending on the alignment strategy chosen. The hypothesis was that by visualising the corresponding bone cuts, it would be possible to assess which of the different alignment strategies required the least change to the soft tissues for the chosen phenotype but still ensured acceptable component alignment and could, therefore, be considered the most ideal alignment strategy.

methodsSimulations of the different alignment strategies (mechanical, anatomical, restricted kinematic and unrestricted kinematic) regarding their bone resections were performed on four common exemplary neutral knee phenotypes. NEU

resultsIn the most common neutral phenotype NEU

conclusionIllustrations of alignment strategies help the treating surgeon to estimate the postoperative joint line obliquity. When considering the alignment strategy, it seems reasonable to prefer a strategy where the joint line obliquity is changed as little as possible. Although for the most common neutral knee phenotype the choice of alignment strategy seems to be of negligible importance, in general, even for neutral phenotypes, large differences in bone cuts can be observed depending on the choice of alignment strategy.

Indexed as

Arthroplasty, Replacement, KneeOsteoarthritis, KneeFemurHumansKnee JointLower ExtremityPhenotypeRetrospective StudiesTibiaAlignmentAnatomicalArthroplastyBone cutsKinematicKneeMechanicalPhenotypeRestrictedTKA

Identifiers

PMID36326877
PMCPMC10050061

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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.