Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Knee Surgery, Sports Traumatology, Arthroscopy
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 2/2004

01-03-2004 | Knee

Dynamic in-vivo tibio-femoral and bearing motions in mobile bearing knee arthroplasty

Authors: S. Fantozzi, A. Leardini, S. A. Banks, M. Marcacci, S. Giannini, F. Catani

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 2/2004

Login to get access

Abstract

To determine the tibio-femoral and bearing motions in well functioning mobile bearing total knee arthroplasties, a quantitative analysis by means of fluoroscopy was carried out during stair ascending, chair rising-sitting and step up-down motor tasks. Femoral and tibial component positions were obtained using a CAD-model-based shape matching technique. Direct measurement of mobile bearing motion was carried out by tracking previously inserted tantalum beads. A relatively small motion of the bearing was observed. The advantage of self-alignment claimed for the mobile bearing arthroplasty seems to be confirmed by subject-specific ranges of motion exhibited by these patients. It has also been demonstrated that these total knee arthroplasties, which are not fully conforming in flexion, provide little constraint to antero-posterior motion, leading to a kinematic pattern very similar to an ACL deficient knee.
Literature
1.
Banks SA, Hodge WA (1996) Accurate measurement of three-dimensional knee replacement kinematics using single-plane fluoroscopy. IEEE Trans Biomed Eng 43:638–649
2.
Banks SA, Markovich GD, Hodge WA (1997) In vivo kinematics of cruciate-retaining and -substituting knee arthroplasties. J.Arthroplasty 12:297–304PubMed
3.
Banks SA, Markovich GD, Hodge WA (1997) The mechanics of knee replacements during gait. In vivo fluoroscopic analysis of two designs. Am J Knee Surg 10:261–267PubMed
4.
Bercovy M (2001) Mobile-bearing versus fixed-bearing knees. J Bone Joint Surg Am 83-A: 1113–1114
5.
Callaghan JJ, Insall JN, Greenwald AS, Dennis DA, Komistek RD, Murray DW, Bourne RB, Rorabeck CH, Dorr LD (2001) Mobile-bearing knee replacement: concepts and results. Instr Course Lect 50:431–449PubMed
6.
Callaghan JJ, Squire MW, Goetz DD, Sullivan PM, Johnston RC (2000) Cemented rotating-platform total knee replacement. A nine to twelve- year follow-up study. J Bone Joint Surg Am 82:705–711CrossRefPubMed
7.
Dennis DA, Komistek RD, Colwell CE Jr., Ranawat CS, Scott RD, Thornhill TS, Lapp MA (1998) In vivo anteroposterior femorotibial translation of total knee arthroplasty: a multicenter analysis. Clin Orthop:47–57
8.
Dennis DA, Komistek RD, Hoff WA, Gabriel SM (1996) In vivo knee kinematics derived using an inverse perspective technique. Clin Orthop:107–117
9.
Dennis DA, Komistek RD, Walker SA, Cheal EJ, Stiehl JB (2001) Femoral condylar lift-off in vivo in total knee arthroplasty. J Bone Joint Surg Br 83:33–39CrossRefPubMed
10.
Grood ES, Suntay WJ (1983) A joint coordinate system for the clinical description of three- dimensional motions: application to the knee. J Biomech Eng 105:136–144PubMed
11.
Heim CS, Postak PD, Plaxton NA, Greenwald AS (2001) Classification of mobile-bearing knee designs: mobility and constraint. J Bone Joint Surg Am 83-A Suppl 2:32–37
12.
Hoff WA, Komistek RD, Dennis DA, Gabriel SM, Walker SA (1998) Three-dimensional determination of femoral-tibial contact positions under in vivo conditions using fluoroscopy. Clin Biomech 13:455–472CrossRef
13.
Jordan LR, Olivo JL, Voorhorst PE (1997) Survivorship analysis of cementless meniscal bearing total knee arthroplasty. Clin Orthop:119–123
14.
Kaper BP, Smith PN, Bourne RB, Rorabeck CH, Robertson D (1999) Medium-term results of a mobile bearing total knee replacement. Clin Orthop:201–209
15.
Komistek RD, Dennis DA, Mabe JA, Walker SA (2000) An in vivo determination of patellofemoral contact positions. Clin Biomech 15:29–36CrossRef
16.
Murray DW, Goodfellow JW, O'Connor JJ (1998) The Oxford medial unicompartmental arthroplasty: a ten-year survival study. J Bone Joint Surg Br 80:983–989PubMed
17.
Pratt W (1991) Geometric distortion correction. In: Digital image processing. Wiley, New York, pp 429–432
18.
Psychoyios V, Crawford RW, O'Connor JJ, Murray DW (1998) Wear of congruent meniscal bearings in unicompartmental knee arthroplasty: a retrieval study of 16 specimens. J Bone Joint Surg Br 80:976–982PubMed
19.
Ramsey DK, Wretenberg PF (1999) Biomechanics of the knee: methodological considerations in the in vivo kinematic analysis of the tibiofemoral and patellofemoral joint. Clin Biomech 14:595–611CrossRef
20.
Ryd L, Boegard T, Egund N, Lindstrand A, Selvik G, Thorngren KG (1983) Migration of the tibial component in successful unicompartmental knee arthroplasty. A clinical, radiographic and roentgen stereophotogrammetric study. Acta Orthop Scand 54:408–416PubMed
21.
Stiehl JB, Dennis DA, Komistek RD, Crane HS (1999) In vivo determination of condylar lift-off and screw-home in a mobile- bearing total knee arthroplasty. J Arthroplasty 14:293–299PubMed
22.
Stiehl JB, Dennis DA, Komistek RD, Keblish PA (1997) In vivo kinematic analysis of a mobile bearing total knee prosthesis. Clin Orthop:60–66
23.
Stiehl JB, Dennis DA, Komistek RD, Keblish PA (2000) In vivo kinematic comparison of posterior cruciate ligament retention or sacrifice with a mobile bearing total knee arthroplasty. Am J Knee Surg 13:13–18PubMed
24.
Stiehl JB, Komistek RD, Cloutier JM, Dennis DA (2000) The cruciate ligaments in total knee arthroplasty: a kinematic analysis of two total knee arthroplasties. J Arthroplasty 15:545–550CrossRefPubMed
25.
Stiehl JB, Komistek RD, Dennis DA (1999) Detrimental kinematics of a flat on flat total condylar knee arthroplasty. Clin Orthop:139–148
26.
Stiehl JB, Komistek RD, Dennis DA, Paxson RD, Hoff WA (1995) Fluoroscopic analysis of kinematics after posterior-cruciate-retaining knee arthroplasty. J Bone Joint Surg Br 77:884–889PubMed
27.
Stukenborg-Colsman C, Ostermeier S, Wenger KH, Wirth CJ (2002) Relative motion of a mobile bearing inlay after total knee arthroplasty—dynamic in vitro study. Clin Biomech 17:49–55CrossRef
28.
Walker PS, Komistek RD, Barrett DS, Anderson D, Dennis DA, Sampson M (2002) Motion of a mobile bearing knee allowing translation and rotation. J Arthroplasty 17:11–19CrossRef
29.
Walker PS, Sathasivam S (1999) The design of guide surfaces for fixed-bearing and mobile-bearing knee replacements. J Biomech 32:27–34CrossRefPubMed
Metadata
Title
Dynamic in-vivo tibio-femoral and bearing motions in mobile bearing knee arthroplasty
Authors
S. Fantozzi
A. Leardini
S. A. Banks
M. Marcacci
S. Giannini
F. Catani
Publication date
01-03-2004
Publisher
Springer-Verlag
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 2/2004
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-003-0384-5

Other articles of this Issue 2/2004

Knee Surgery, Sports Traumatology, Arthroscopy 2/2004 Go to the issue

Experimental Study

The effect of two nonresorbable suture types on the mechanical performance over a metal suture anchor eyelet

Knee

A clinical case and anatomical study of the innervation supply of the vastus medialis muscle

Knee

An anatomical study of meniscal allograft sizing

Knee

Conservative treatment for rugby football players with an acute isolated posterior cruciate ligament injury

Knee

Osteochondroma leading to proximal tibiofibular synostosis as a cause of persistent ankle pain and lateral knee pain: a case report

Knee

Rehabilitation of avulsion fracture of the tibial tuberosity following Osgood-Schlatter disease