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Stemmed tibial revision component alignment: Does an anatomic conflict exist?

Overview of attention for article published in Knee, October 2016
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  • Good Attention Score compared to outputs of the same age and source (72nd percentile)

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1 Google+ user

Citations

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19 Mendeley
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Title
Stemmed tibial revision component alignment: Does an anatomic conflict exist?
Published in
Knee, October 2016
DOI 10.1016/j.knee.2016.08.009
Pubmed ID
Authors

Kevin M. Smith, Andrew Moorman, Sabir K. Ismaily, Stephen J. Incavo

Abstract

Obtaining satisfactory coronal plane alignment is important for success in revision total knee arthroplasty (TKA). The study objective was to determine tibial coronal plane alignment after TKA when a tibial stem was used and assess if there was an anatomic conflict in tibial stemmed component alignment. A radiographic review of 88 revision TKA cases was performed. Full length leg radiographs were examined for varus/valgus alignment, defined as greater than or equal to three degrees from neutral 180 degrees, canal or non-canal filling tibial stems, and any native tibial bow. In tibias with a native valgus alignment of three or more degrees, a canal-filling stem allowed little flexibility to improve final positioning of the tibial stem and resulted in a valgus alignment of the tibial stem in 87.5% of cases, where a canal filling stem was utilized. A non-canal filling stem utilized in native valgus tibias allowed on average a two-degree improvement in tibial alignment and 64.7% of cases resulted in a neutral placement of the tibial stem. Implanting the tibial component in a desired position is limited by type of stem and the native angulation of the tibia. When anatomic conflict exists between tibial mechanical axis and the intramedullary canal, canal filling stems may compromise coronal alignment.

X Demographics

X Demographics

The data shown below were collected from the profiles of 2 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 19 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 19 100%

Demographic breakdown

Readers by professional status Count As %
Other 3 16%
Student > Master 3 16%
Researcher 2 11%
Student > Postgraduate 2 11%
Student > Ph. D. Student 1 5%
Other 3 16%
Unknown 5 26%
Readers by discipline Count As %
Medicine and Dentistry 8 42%
Nursing and Health Professions 2 11%
Chemistry 1 5%
Engineering 1 5%
Unknown 7 37%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 18 January 2017.
All research outputs
#14,600,553
of 25,374,647 outputs
Outputs from Knee
#536
of 1,144 outputs
Outputs of similar age
#166,423
of 319,620 outputs
Outputs of similar age from Knee
#11
of 40 outputs
Altmetric has tracked 25,374,647 research outputs across all sources so far. This one is in the 41st percentile – i.e., 41% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,144 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.6. This one has gotten more attention than average, scoring higher than 52% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 319,620 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 47th percentile – i.e., 47% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 40 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 72% of its contemporaries.