Evidence map›Paper›PMID 40519777›Full record

ArticleJournal of orthopaedics2025

Mid-to-long-term outcomes of posterior-stabilized type total knee arthroplasty in asian patients: A single-center retrospective cohort study.

Hiroya Akase, Masashi Miyazaki, Masashi Hirakawa, Yu Nagashima, Shougo Matsuda, Nobuhiro Kaku

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

6 authors.

Hiroya AkaseDepartment of Orthopaedic Surgery, Faculty of Medicine, Oita University, Japan.
Masashi MiyazakiDepartment of Orthopaedic Surgery, Faculty of Medicine, Oita University, Japan.
Masashi HirakawaDepartment of Orthopaedic Surgery, Faculty of Medicine, Oita University, Japan.
Yu NagashimaDepartment of Orthopaedic Surgery, Faculty of Medicine, Oita University, Japan.
Shougo MatsudaDepartment of Orthopaedic Surgery, Faculty of Medicine, Oita University, Japan.
Nobuhiro KakuDepartment of Orthopaedic Surgery, Faculty of Medicine, Oita University, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Total knee arthroplasty (TKA) is a widely performed orthopedic procedure, yet patient satisfaction remains suboptimal, especially in Asian populations due to implant size mismatches. The FINE total knee prosthesis was anatomically designed for Japanese patients and incorporates medial pivot mechanics. However, mid-to-long-term outcomes of the posterior-stabilized (PS) type remain unreported. Methods: We retrospectively analyzed 247 consecutive primary TKAs performed using the PS-type FINE prosthesis at our institution between 2010 and 2017. Patients with at least 5 years of follow-up were included. Clinical outcomes were evaluated using the Knee Society Score (KSS), Knee Injury and Osteoarthritis Outcome Score (KOOS), and passive range of motion (ROM). Radiographic assessments included femorotibial angle (FTA), hip-knee-ankle angle (HKAA), and radiolucent line evaluation. Implant survivorship was analyzed using Kaplan-Meier methods. Results: A total of 114 knees (84 patients) met the inclusion criteria with a mean follow-up of 112.2 months. Passive ROM improved significantly (extension from -8.9° to -2.6°, flexion from 121.4° to 124.5°). Favorable improvements in KSS and KOOS were observed. Radiolucent lines ≥2 mm were found in only 4.4 % of tibial zones and none on the femoral side. No revisions were required. Four knees (3.5 %) underwent reoperation for non-mechanical complications. The 10-year reoperation-free survival rate was 95.4 %. Conclusion: The PS-type FINE prosthesis demonstrated excellent mid-to-long-term clinical and radiographic outcomes in Asian patients. Its anatomical design and material properties contribute to its durability and functional success, supporting its use in population-specific TKA strategies.

Indexed as

Follow-up studyKnee prosthesisRetrospective studyTotal knee replacement

Identifiers

PMID40519777
PMCPMC12166755

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.