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Knee Surgery, Sports Traumatology, Arthroscopy

Published in:

01-06-2011 | Knee

In vivo kinematics of mobile-bearing total knee arthroplasty during deep knee bending under weight-bearing conditions

Authors: Kazuma Futai, Tetsuya Tomita, Takaharu Yamazaki, Masashi Tamaki, Hideki Yoshikawa, Kazuomi Sugamoto

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 6/2011

Abstract

Purpose

Little is known about the in vivo kinematics of mobile-bearing total knee arthroplasty, especially at deep knee flexion under weight-bearing conditions.

Methods

In vivo knee kinematics was analyzed for 12 patients (13 knees) implanted with PFC-Sigma Rotating Platform-Flex (RP-F) prostheses. Under fluoroscopic surveillance, each patient performed weight-bearing deep knee bending. Motion between each component was analyzed using a two- to three-dimensional registration technique, which uses computer-assisted design models to reproduce the spatial positions of the femoral and tibial components and a polyethylene insert (implanted with four tantalum beads) from single-view fluoroscopic images.

Results

External rotation of the femoral component on the tibial tray was mostly caused by rotation of the polyethylene insert on the tibial tray. The femoral component typically exhibited a central pivot pattern from extension to 80° relative to the tibial component. From 80° to 120°, bilateral condyles moved backward. In an upright standing position, the femoral component had already rotated externally relative to the tibial component by 7.8 ± 7.5°, and the polyethylene insert had also rotated 8.2° ± 6.2° externally on the tibial tray.

Conclusion

The present results demonstrated that mobile-bearing mechanisms with this prosthesis might reduce articular contact stress in vivo.

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Title: In vivo kinematics of mobile-bearing total knee arthroplasty during deep knee bending under weight-bearing conditions
Authors: Kazuma Futai
Tetsuya Tomita
Takaharu Yamazaki
Masashi Tamaki
Hideki Yoshikawa
Kazuomi Sugamoto
Publication date: 01-06-2011
Publisher: Springer-Verlag
Published in: Knee Surgery, Sports Traumatology, Arthroscopy / Issue 6/2011
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-010-1262-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

In vivo kinematics of mobile-bearing total knee arthroplasty during deep knee bending under weight-bearing conditions

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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