Femorotibial kinematics and load patterns after total knee arthroplasty: An in vitro comparison of posterior-stabilized versus medial-stabilized design

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11110%2F16%3A10326130" target="_blank" >RIV/00216208:11110/16:10326130 - isvavai.cz</a>

Result on the web

<a href="http://dx.doi.org/10.1016/j.clinbiomech.2016.02.002" target="_blank" >http://dx.doi.org/10.1016/j.clinbiomech.2016.02.002</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.clinbiomech.2016.02.002" target="_blank" >10.1016/j.clinbiomech.2016.02.002</a>

Result language

angličtina

Original language name

Femorotibial kinematics and load patterns after total knee arthroplasty: An in vitro comparison of posterior-stabilized versus medial-stabilized design

Original language description

Background: Femorotibial kinematics and contact patterns vary greatly with different total knee arthroplasty (TKA) designs. Therefore, guided motion knee systems were developed to restore natural knee kinematics and make them more predictable. The medial stabilized TKA design is supposed to replicate physiological kinematics more than the posterior-stabilized TKA system. We conducted this study to compare a newly developed medial stabilized design with a conventional posterior-stabilized design in terms of femorotibial kinematics and contact patterns in vitro. Methods: Twelve fresh-frozen knee specimens were tested in a weight-bearing knee rig after implantation of a posterior stabilized and medial-stabilized total knee arthroplasty under a loaded squat from 20 to 120 of flexion. Femorotibial joint contact pressures in the medial and lateral compartments were measured by pressure sensitive films and knee kinematics were recorded by an ultrasonic 3-dimensional motion analysis system. Findings: The medial stabilized design showed a reduction of medial femorotibial translation compared to posterior-stabilized design (mean 3.5 mm compared to 15.7 mm, P < 0.01). In the lateral compartment, both designs showed a posterior translation of the femur with flexion, but less in the medial stabilized design (mean 14.7 mm compared to 19.0 mm, P < 0.01). In the medial femorotibial compartment of medial stabilized design, we observed an enlarged contact area and lower peak pressure, in contrast in the lateral compartment there was a reduced contact area and an increased peak pressure. Interpretation: While posterior-stabilized design enforces a medio-lateral posterior translation, the medial stabilized arthroplasty system enables a combination of a lateral translation with a medial pivot, which restores the physiological knee kinematics better.

Czech name

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Czech description

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Type

J_x - Unclassified - Peer-reviewed scientific article (Jimp, Jsc and Jost)

CEP classification

FI - Traumatology and orthopaedics

OECD FORD branch

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Project

—

Continuities

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Publication year

2016

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Clinical Biomechanics

ISSN

0268-0033

e-ISSN

—

Volume of the periodical

33

Issue of the periodical within the volume

March

Country of publishing house

GB - UNITED KINGDOM

Number of pages

7

Pages from-to

42-48

UT code for WoS article

000374618700009

EID of the result in the Scopus database

2-s2.0-84960092648