Evidence map›Paper›PMID 37194040›Full record

ArticleBMC musculoskeletal disorders2023

The effect of posterior tibial slope on anteroposterior stability in posterior cruciate retaining total knee arthroplasty.

Mehmet Ersin, Mehmet Demirel, Melih Civan, Mehmet Ekinci, Turgut Akgül, Cengiz Şen

Abstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

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  6. Beyond the coronal plane in robotic total knee arthroplasty-Part 2: Combined flexion does not affect outcomes.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025
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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

6 authors.

Mehmet ErsinIstanbul Haseki Training and Research Hospital, Fatih/İstanbul, Türkiye. drmehmetersin@gmail.com.
Mehmet DemirelIstanbul Faculty of Medicine, İstanbul University, Fatih/İstanbul, Türkiye.
Melih CivanBasaksehir Cam and Sakura City Hospital, University of Health Sciences, Istanbul, Türkiye.
Mehmet EkinciIstanbul Haseki Training and Research Hospital, Fatih/İstanbul, Türkiye.
Turgut AkgülIstanbul Faculty of Medicine, İstanbul University, Fatih/İstanbul, Türkiye.
Cengiz ŞenIstanbul Faculty of Medicine, İstanbul University, Fatih/İstanbul, Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt has been suggested that the posterior tibial slope (PTS) plays an important role in increasing the anteroposterior stability following total knee arthroplasty. Although the relationship between the PTS and the flexion range has been investigated many times, studies on the relationship between PTS and anterior-posterior stability are limited. The primary aim of this study was to investigate the relationship and effects of PTS on anteroposterior stability in posterior cruciate retainer total knee arthroplasty.

methods154 primary TKAs were identified retrospectively to analyze the any association between PTS and anteroposterior laxity following posterior cruciate-retaining total knee arthroplasty in the overall study populations. Anteroposterior displacement was measured at the final follow-up based on the following two procedures: KT-1000 arthrometer and sagittal drawer radiographic images. In addition, the relationship between PTS and functional scores-ROM was examined.

resultsThere was no correlation between patients' posterior tibial slope and postoperative VAS (r: -0.060, p:0.544), WOMAC (r:0.037, p:0.709), KSS (r: -0.073, p:0.455). In addition, there was no significant correlation between postoperative knee ROM and postoperative PTS (r:0.159, p:0.106). Moreover, no correlation was found between KT-1000 arthrometer and 20 degrees AP translation with PTS. There was a negative correlation between PTS and 70 degrees AP translation (r: -0.281, p:0.008).

conclusionsThis study aimed to clarify the association between instability and AP laxity in flexion of implanted knees, and to determine what degree of AP laxity results of instability. A fundamental finding of this study was that; the optimum TS angle to increase anterior-posterior stability after total knee arthroplasty is between ≥ 4 to < 6 degrees, we also proved that there is no relationship between stability and patient satisfaction.

Indexed as

Arthroplasty, Replacement, KneeJoint InstabilityKnee ProsthesisPosterior Cruciate LigamentHumansKneeKnee JointRange of Motion, ArticularRetrospective StudiesTibiaAnteroposterior laxityKT-1000 arthrometerPosterior tibial slope (PTS)Total knee arthroplasty

Identifiers

PMID37194040
PMCPMC10186777

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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.