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Knee Surgery, Sports Traumatology, Arthroscopy

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Open Access 01-03-2012 | Knee

No differences in in vivo kinematics between six different types of knee prostheses

Authors: N. Wolterbeek, R. G. H. H. Nelissen, E. R. Valstar

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 3/2012

Abstract

Purpose

The aim of this study was to compare a broad range of total knee prostheses with different design parameters to determine whether in vivo kinematics was consistently related to design. The hypothesis was that there are no clear recognizable differences in in vivo kinematics between different design parameters or prostheses.

Methods

At two sites, data were collected by a single observer on 52 knees (49 subjects with rheumatoid arthritis or osteoarthritis). Six different total knee prostheses were used: multi-radius, single-radius, fixed-bearing, mobile-bearing, posterior-stabilized, cruciate retaining and cruciate sacrificing. Knee kinematics was recorded using fluoroscopy as the patients performed a step-up motion.

Results

There was a significant effect of prosthetic design on all outcome parameters; however, post hoc tests showed that the NexGen group was responsible for 80% of the significant values. The range of knee flexion was much smaller in this group, resulting in smaller anterior-posterior translations and rotations.

Conclusion

Despite kinematics being generally consistent with the kinematics intended by their design, there were no clear recognizable differences in in vivo kinematics between different design parameters or prostheses. Hence, the differences in design parameters or prostheses are not distinct enough to have an effect on clinical outcome of patients.

Level of evidence

Therapeutic study, Level III.

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Title: No differences in in vivo kinematics between six different types of knee prostheses
Authors: N. Wolterbeek
R. G. H. H. Nelissen
E. R. Valstar
Publication date: 01-03-2012
Publisher: Springer-Verlag
Published in: Knee Surgery, Sports Traumatology, Arthroscopy / Issue 3/2012
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-011-1605-y

Keynote webinar | Spotlight on medication adherence

Springer Medicine

No differences in in vivo kinematics between six different types of knee prostheses

Abstract

Purpose

Methods

Results

Conclusion

Level of evidence

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

Level of evidence

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