Evidence map›Paper›PMID 40693218›Full record

ArticleJournal of experimental orthopaedics2025

Femoral components are positioned in greater external rotation using functional alignment in robot-assisted total knee arthroplasty compared to mechanical alignment.

Anne Ruth van Meijeren, Danielle Langeloo, Hans-Peter van Jonbergen, Marrigje Meijer

Abstract read
In one paragraph

Article in Journal of experimental orthopaedics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. 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

4 authors.

Anne Ruth van MeijerenDepartment of Orthopedic Surgery Deventer Hospital Deventer The Netherlands.ORCID https://orcid.org/0000-0003-4046-4785
Danielle LangelooDepartment of Orthopedic Surgery Deventer Hospital Deventer The Netherlands.
Hans-Peter van JonbergenDepartment of Orthopedic Surgery Deventer Hospital Deventer The Netherlands.
Marrigje MeijerDepartment of Orthopedic Surgery Deventer Hospital Deventer The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Objective of this study was to evaluate the effect of functional alignment on femoral component rotation compared to mechanical alignment in knees with a constitutional tibial varus alignment classified as coronal plane alignment of the knee (CPAK) types I, II and IV. Methods: This retrospective study included patients undergoing conventional total knee replacement (TKR) ( Results: Femoral component rotation was statistically significant more external rotated in the conventional group versus robot-assisted group (1.3° ± 2.7° vs. 0.76° ± 1.4°, Conclusion: Functional alignment leads to more varus of the tibial component and less external rotation of the femoral component compared to mechanical alignment in TKR in patients with a constitutional tibial varus alignment. Since this is a radiological analysis, further research is needed to understand how these differences affect clinical outcomes as faster recovery, adequate patellar tracking and longer survival. Level of Evidence: Level III.

Indexed as

functional alignmentmechanical alignmentrobotic‐assisted total knee arthroplastysoft tissue balancetotal knee arthroplasty

Identifiers

PMID40693218
PMCPMC12277653

What OpenQuestion holds

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Registered trials

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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.