Dataset Information

In vivo kinematics after a cruciate-substituting TKA.

ABSTRACT:

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Patterns of motion in the native knee show substantial variability. Guided motion prosthetic designs offer stability but may limit natural variability. To assess these limits, we therefore determined the in vivo kinematic patterns for patients having a cruciate-substituting TKA of one design and determined the intersurgeon variability associated with a guided-motion prosthetic design. Three-dimensional femorotibial contact positions were evaluated for 86 TKAs in 80 subjects from three different surgeons using fluoroscopy during a weightbearing deep knee bend. The average posterior femoral rollback of the medial and lateral condyles for all TKAs from full extension to maximum flexion was -14.0 mm and -23.0 mm, respectively. The average axial tibiofemoral rotation from full extension to maximum flexion for all TKAs was 10.8 degrees. The average weightbearing range of motion (ROM) was 109 degrees (range, 60 degrees-150 degrees; standard deviation, 18.7 degrees). Overall, the TKA showed axial rotation patterns similar to those of the normal knee, although less in magnitude. Surgeon-to-surgeon comparison revealed dissimilarities, showing the surgical technique and soft tissue handling influence kinematics in a guided-motion prosthetic design.

Level of evidence

Level III, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.

SUBMITTER: Victor J

PROVIDER: S-EPMC2816757 | biostudies-literature | 2010 Mar

REPOSITORIES: biostudies-literature

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In vivo kinematics after a cruciate-substituting TKA.

Victor Jan J Mueller John Kyle P JK Komistek Richard D RD Sharma Adrija A Nadaud Matthew C MC Bellemans Johan J

Clinical orthopaedics and related research 20090904 3

<h4>Unlabelled</h4>Patterns of motion in the native knee show substantial variability. Guided motion prosthetic designs offer stability but may limit natural variability. To assess these limits, we therefore determined the in vivo kinematic patterns for patients having a cruciate-substituting TKA of one design and determined the intersurgeon variability associated with a guided-motion prosthetic design. Three-dimensional femorotibial contact positions were evaluated for 86 TKAs in 80 subjects fr ...[more]

PMID: 19760468

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Dataset Information

In vivo kinematics after a cruciate-substituting TKA.

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Level of evidence

Publications

In vivo kinematics after a cruciate-substituting TKA.

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