Bridging postural biomechanics and knee arthroplasty success.

Filippo Migliorini, Nicola Maffulli, Luise Schäfer, Philipp Kobbe, Andreas Bell, Raju Vaishya, Jörg Eschweiler

Abstract readReview

In one paragraph

Review in Arthroplasty (London, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Filippo MiglioriniDepartment of Trauma and Reconstructive Surgery, University Hospital of Halle, Luther University Halle-Wittenberg, 06120, MartinHalle (Saale), Germany. filippo.migliorini@uk-halle.de.

Nicola MaffulliDepartment of Trauma and Orthopaedic Surgery, Faculty of Medicine and Psychology, University "La Sapienza" of Rome, 00189, Rome, Italy.

Luise SchäferDepartment of Trauma and Reconstructive Surgery, University Hospital of Halle, Luther University Halle-Wittenberg, 06120, MartinHalle (Saale), Germany.

Philipp KobbeDepartment of Trauma and Reconstructive Surgery, University Hospital of Halle, Luther University Halle-Wittenberg, 06120, MartinHalle (Saale), Germany.

Andreas BellDepartment of Orthopaedic and Trauma Surgery, Eifelklinik St. Brigida, Kammerbruchstr. 8, 52152, Simmerath, Germany.

Raju VaishyaDepartment of Orthopaedics and Joint Replacement Surgery, Indraprastha Apollo Hospital, Sarita Vihar, 110076, New Delhi, India.

Jörg EschweilerDepartment of Trauma and Reconstructive Surgery, University Hospital of Halle, Luther University Halle-Wittenberg, 06120, MartinHalle (Saale), Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite advances in surgical techniques and implant design, a significant number of patients remain dissatisfied after total knee arthroplasty (TKA), often because of factors unrelated to the arthroplasty itself. Among these, pelvic biomechanics play a vital yet frequently overlooked role in affecting knee alignment, load distribution, and functional outcomes. This review explores how pelvic orientation, tilt, and dynamics, as well as coronal asymmetries and spinopelvic mobility, influence knee biomechanics and TKA planning. By viewing the pelvis not as a static reference but as a dynamic biomechanical driver, this study discusses how sagittal imbalance, pelvic obliquity, and stiffness impact intraoperative assessment and postoperative knee function. Using an integrated, evidence-based approach, the present study advocates for a paradigm shift in knee arthroplasty that recognises the pelvis as a central factor for success in TKA and promotes personalised solutions grounded in whole-body biomechanics.

Indexed as

AlignmentBiomechanicsCoronal imbalancePelvic tiltReplacementSagittal alignmentSpinopelvic mobility

Identifiers

PMID42498971

DOI10.1186/s42836-026-00411-9

PMCPMC13397779

What Socratic holds

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LicenceCC BY

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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 Socratic graph.