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[Importance Of The Tibial Slope In Knee Arthroplasty].

S. Wittenberg, U. Sentuerk, L. Renner, C. Weynandt, C. Perka, C. Gwinner
Published 2019 · Medicine

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Notwithstanding the contributions of soft tissue restraints on postoperative kinematics and long-term survival after total knee arthroplasty (TKA), there is an emerging consensus that the underlying anatomy, especially the posterior inclination of the tibial plateau in the sagittal plane (tibial slope), might just have a comparable impact. However, this has not been fully elucidated as yet. Therefore, a thorough literature search, analysis and presentation of current scientific data was conducted. The tibial slope has been shown to relate linearly to the postoperative range of motion and function of the extensor mechanism. Furthermore, it impacts wear of the tibial insert and loosening, as well as instability of the TKA. As no consensus has been reached on the ideal tibial slope, recommendations range from 0° to 10°. Notably, more recent studies favor reconstructing the native, preoperative tibial slope, and the majority of authors advocate that knowledge of this is crucial for optimal TKA surgery.
This paper references
10.1016/j.knee.2009.11.001
Influence of posterior condylar offset on knee flexion after cruciate-sacrificing mobile-bearing total knee replacement: a prospective analysis of 410 consecutive cases.
T. Bauer (2010)
10.1016/J.ARTH.2005.10.019
Optimization of the posterior condylar offset, tibial slope, and condylar roll-back in total knee arthroplasty.
P. Massin (2006)
10.1097/00003086-199101000-00031
Range of motion in total knee arthroplasty. A computer analysis.
P. Walker (1991)
10.1097/00003086-199108000-00011
Effect of the tibial cut on subsidence following total knee arthroplasty.
A. Hofmann (1991)
10.1002/JOR.20306
Femoral rollback of cruciate‐retaining and posterior‐stabilized total knee replacements: In vivo fluoroscopic analysis during activities of daily living
S. Fantozzi (2006)
10.1016/J.KNEE.2004.05.006
Patellofemoral forces after total knee arthroplasty: effect of extensor moment arm.
Christopher Browne (2005)
10.1097/00003086-198910000-00027
Effect of total knee arthroplasty on maximal flexion.
M. Tew (1989)
10.1054/ARTH.2003.50046
Knee range of motion after total knee arthroplasty: how important is this as an outcome measure?
Andrew L Miner (2003)
10.1007/s00167-011-1414-3
Development and validation of a new method for the radiologic measurement of the tibial slope
S. Utzschneider (2011)
10.1007/s00167-011-1696-5
How much of the PCL is really preserved during the tibial cut?
G. Matziolis (2011)
10.1007/s00167-017-4561-3
Anterior referencing of tibial slope in total knee arthroplasty considerably influences knee kinematics: a musculoskeletal simulation study
M. A. Marra (2017)
10.2106/00004623-200200002-00004
Mechanism of anterior impingement damage in total knee arthroplasty.
S. Banks (2002)
Posterior tibial slope in the normal and varus knee.
S. Matsuda (1999)
10.1302/0301-620X.95B10.31477
Restoring the anatomical tibial slope and limb axis may maximise post-operative flexion in posterior-stabilised total knee replacements.
G. Singh (2013)
10.1097/01.blo.0000063121.39522.19
Knee Motions During Maximum Flexion in Fixed and Mobile-Bearing Arthroplasties
S. Banks (2003)
10.1007/s00167-004-0557-x
The influence of tibial slope on maximal flexion after total knee arthroplasty
J. Bellemans (2004)
10.1016/S0883-5403(96)80167-7
Decreased posterior tibial slope increases strain in the posterior cruciate ligament following total knee arthroplasty.
R. Singerman (1996)
10.2106/00004623-200307000-00014
Predicting Range of Motion After Total Knee Arthroplasty: Clustering, Log-Linear Regression, and Regression Tree Analysis
M. Ritter (2003)
10.1016/j.arth.2015.02.042
Effect of Tibial Posterior Slope on Knee Kinematics, Quadriceps Force, and Patellofemoral Contact Force After Posterior-Stabilized Total Knee Arthroplasty.
S. Okamoto (2015)
10.1016/j.clinbiomech.2009.03.008
In vitro study of inter-individual variation in posterior slope in the knee joint.
J. D. de Boer (2009)
10.5792/ksrr.2012.24.3.158
The Correlation between Posterior Tibial Slope and Maximal Angle of Flexion after Total Knee Arthroplasty
Keong-Hwan Kim (2012)
10.2106/00004623-198466070-00009
Kinematic total knee replacement.
F. Ewald (1984)
10.1097/00003086-198210000-00015
Revision total knee arthroplasty.
R. S. Bryan (1982)
10.1007/s00167-018-4925-3
The increase in posterior tibial slope provides a positive biomechanical effect in posterior-stabilized total knee arthroplasty
Kyoung-Tak Kang (2018)
10.2106/00004623-200908005-00065
Revision total knee arthroplasty.
J. Rand (1986)
10.2106/JBJS.I.00479
Contact stress at the anterior aspect of the tibial post in posterior-stabilized total knee replacement.
S. Hamai (2010)
10.1002/JOR.1100050409
Interaction between intrinsic knee mechanics and the knee extensor mechanism
L. Draganich (1987)
10.1097/00003086-198604000-00003
Technical considerations in total knee arthroplasty.
L. Dorr (1986)
10.1097/00003086-199402000-00005
Wear patterns on retrieved polyethylene tibial inserts and their relationship to technical considerations during total knee arthroplasty.
R. Wasielewski (1994)
10.1007/s00167-018-4877-7
Posterior tibial slope impacts intraoperatively measured mid-flexion anteroposterior kinematics during cruciate-retaining total knee arthroplasty
Y. Dai (2018)
10.1016/j.knee.2018.02.001
Interactive effect of femoral posterior condylar offset and tibial posterior slope on knee flexion in posterior cruciate ligament-substituting total knee arthroplasty.
Hyuk-Soo Han (2018)
10.1007/s00167-014-2864-1
Can the tibial slope be measured on lateral knee radiographs?
M. Faschingbauer (2014)
10.1016/J.ARTH.2004.01.013
The stability of the cemented tibial component of total knee arthroplasty: posterior cruciate-retaining versus posterior-stabilized design.
F. Catani (2004)
10.1016/j.arth.2011.04.037
Comparison of radiographic alignment of imageless computer-assisted surgery vs conventional instrumentation in primary total knee arthroplasty.
W. P. Barrett (2011)
10.2106/JBJS.H.00685
Balancing the flexion gap: relationship between tibial slope and posterior cruciate ligament release and correlation with range of motion.
A. Lombardi (2008)
10.1016/j.medengphy.2010.04.013
Numerical analysis of variations in posterior cruciate ligament properties and balancing techniques on total knee arthroplasty loading.
J. Zelle (2010)
10.1016/j.arth.2007.05.006
Anatomical references to assess the posterior tibial slope in total knee arthroplasty: a comparison of 5 anatomical axes.
Jae Ho Yoo (2008)
10.1302/0301-620X.76B5.8083263
Tibial translation after anterior cruciate ligament rupture. Two radiological tests compared.
H. Dejour (1994)
The function of posterior tilt of the tibial component following posterior cruciate ligament-retaining total knee arthroplasty.
T. Takatsu (1998)
10.1007/s00402-004-0728-8
Effect of high tibial flexion osteotomy on cartilage pressure and joint kinematics: a biomechanical study in human cadaveric knees
J. Agneskirchner (2004)
[The tibial slope. Proposal for a measurement method].
P. Génin (1993)
10.1016/0021-9290(72)90030-9
The load-bearing area in the knee joint.
P. Walker (1972)
10.1055/s-0035-1551833
Polyethylene Wear in Knee Arthroplasty.
Rajit Chakravarty (2015)
10.1054/ARTH.2000.9058
Effect of posterior cut angle on tibial component loading.
B. Bai (2000)
10.1155/2017/4908639
Biomechanical Effects of Posterior Condylar Offset and Posterior Tibial Slope on Quadriceps Force and Joint Contact Forces in Posterior-Stabilized Total Knee Arthroplasty
Kyoung-Tak Kang (2017)
10.1016/j.arth.2015.08.027
Effect of Posterior Tibial Slope on Flexion and Anterior-Posterior Tibial Translation in Posterior Cruciate-Retaining Total Knee Arthroplasty.
Andrew W Chambers (2016)
10.1097/00003086-198811000-00005
Functional comparison of posterior cruciate-retained versus cruciate-sacrificed total knee arthroplasty.
L. Dorr (1988)
10.1016/j.arth.2014.03.024
Extreme variability in posterior slope of the proximal tibia: measurements on 2395 CT scans of patients undergoing UKA?
R. Nunley (2014)
10.1115/1.3138409
In-vitro measurement of static pressure distribution in synovial joints--Part I: Tibial surface of the knee.
A. Ahmed (1983)
10.1007/s11999-009-0711-3
Novel Measurement Technique of the Tibial Slope on Conventional MRI
R. Hudek (2009)
10.1016/S0883-5403(88)80009-3
The effect of posterior tibial slope on knee stability after Ortholoc total knee arthroplasty.
L. Whiteside (1988)
10.1302/0301-620X.86B6.14589
Does the femur roll-back with flexion?
V. Pinskerova (2004)
10.1007/s00167-008-0712-x
Predicting range of movement after knee replacement: the importance of posterior condylar offset and tibial slope
A. Malviya (2008)
10.1016/J.ARTH.2005.08.023
The effect of posterior tibial slope on range of motion after total knee arthroplasty.
Devanshu Kansara (2006)
10.3928/01477447-20090728-27
Seven cuts to the perfect total knee.
P. Brooks (2009)
10.1177/0363546507304665
Importance of Tibial Slope for Stability of the Posterior Cruciate Ligament—Deficient Knee
J. Robert Giffin (2007)
Evaluation of the posterior tibial slope on MR images in different population groups using the tibial proximal anatomical axis.
B. Haddad (2012)
10.1097/00003086-200204000-00050
How Correctly Does an Intramedullary Rod Represent the Longitudinal Tibial Axes?
Kathleen Denis (2002)
10.1016/0883-5403(94)90110-4
Posterior cruciate function following total knee arthroplasty. A biomechanical study.
O. Mahoney (1994)
[Evaluation of methods for radiographic measurement of the tibial slope. A study of 83 healthy knees].
J. C. Brazier (1996)
10.2106/JBJS.G.01358
The geometry of the tibial plateau and its influence on the biomechanics of the tibiofemoral joint.
J. Hashemi (2008)
10.1007/s00167-017-4706-4
High tibial slope correlates with increased posterior tibial translation in healthy knees
I. Schatka (2017)
10.1177/0363546503258880
Effects of Increasing Tibial Slope on the Biomechanics of the Knee
J. Robert Giffin (2004)
10.1007/s00167-012-2058-7
The effect of posterior tibial slope on knee flexion in posterior-stabilized total knee arthroplasty
Xiaojun Shi (2012)
10.1016/S0883-5403(06)80042-2
Radiological analysis of normal axial alignment of femur and tibia in view of total knee arthroplasty.
M. Oswald (1993)
10.1097/01.blo.0000138960.57680.60
Effect of Tibial Slope or Posterior Cruciate Ligament Release on Knee Kinematics
H. Jôjima (2004)
10.1302/0301-620X.82B8.0821189
Tibiofemoral movement 1: the shapes and relative movements of the femur and tibia in the unloaded cadaver knee.
H. Iwaki (2000)
10.1007/s00167-006-0078-x
In vitro investigation of the influence of tibial slope on quadriceps extension force after total knee arthroplasty
S. Ostermeier (2006)



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