Evidence map›Paper›PMID 40291606›Full record

ArticleJournal of orthopaedics2025

Comparative outcomes of kinematically aligned TKA with medial stabilized design vs. mechanically aligned TKA with bi-cruciate stabilized design: A propensity score-matched analysis.

Ryota Fujii, Tsuneari Takahashi, Masaki Iguchi, Katsushi Takeshita, Kazuyoshi Nakanishi

Abstract read
In one paragraph

Article in Journal of orthopaedics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

5 authors.

Ryota FujiiDepartment of Orthopedic Surgery, Kobari General Hospital, Noda, Japan.
Tsuneari TakahashiDepartment of Orthopaedics, School of Medicine, Jichi Medical University, Shimotsuke, Japan.
Masaki IguchiDepartment of Orthopedic Surgery, Miyazaki Prefectural Nobeoka Hospital, Nobeoka, Japan.
Katsushi TakeshitaDepartment of Orthopaedics, School of Medicine, Jichi Medical University, Shimotsuke, Japan.
Kazuyoshi NakanishiDepartment of Orthopedic Surgery, Nihon University Itabashi Hospital, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Patient dissatisfaction after total knee arthroplasty (TKA) is often linked to altered knee kinematics and stability. This study compared the short-term clinical outcomes of kinematically aligned TKA (KA-TKA) and mechanically aligned TKA (MA-TKA) using bi-cruciate stabilized (BCS) implants. Methods: In this propensity score-matched study, 60 patients who underwent either KA-TKA or MA-TKA (30 per group) with BCS implants were analyzed. Baseline characteristics, including age, sex, preoperative range of motion (ROM), and hip-knee-ankle alignment, were matched. ROM and clinical outcomes were evaluated preoperatively and at 1 year postoperatively using the 2011 Knee Society Score (KSS) subscales and Forgotten Joint Score-12 (FJS). Results: At 1 year, the KA group achieved higher scores in KSS subscales for symptoms (23.2 vs. 20.0, Conclusions: KA-TKA demonstrated superior satisfaction and functional recovery than MA-TKA with BCS implants in the short term. These results suggested that KA-TKA, which reconstructs patient-specific alignment, may provide a more natural knee feel, leading to higher patient satisfaction compared to implant-driven BCS-TKA.

Indexed as

2011 knee society scoreBi-cruciate stabilized total knee arthroplastyForgotten joint Score-12Kinematically-aligned total knee arthroplastyLevel of evidence: IIIMedial stabilized implant

Identifiers

PMID40291606
PMCPMC12019026

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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.