ArticleFrontiers in bioengineering and biotechnology2025
Optimising tibial extension stem selection in total knee arthroplasty: the role of digital modelling.
Article in Frontiers in bioengineering and biotechnology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: This study explores the biomechanical impact of tibial extension stems in total knee arthroplasty using finite element digital modelling. The objective is to enhance stem selection by assessing stress and strain distribution in periprosthetic bone under varied loading scenarios. Methods: Six patient-specific FE models were created, each with different stem dimensions, to evaluate how stem geometry affects implant stability and fracture risk. Results: Extension stems reduce strain under the tibial baseplate but increase stress and fracture risk in the surrounding bone, particularly at the stem tip. Larger stem diameters were linked to higher fracture risks due to increased press-fit contact. Conclusion: These findings are consistent with previous research emphasizing the importance of stem design in achieving a balance between implant stability and bone preservation. The study offers a biomechanical foundation for surgical planning, potentially improving TKA durability and functional outcomes. Incorporating these insights into clinical practice may enhance the longevity of knee replacements and overall patient quality of life.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.