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International Orthopaedics
Published in: International Orthopaedics 3/2009

01-06-2009 | Original Paper

Comparison of tibial rotation in fixed and mobile bearing total knee arthroplasty using computer navigation

Author: James B. Stiehl

Published in: International Orthopaedics | Issue 3/2009

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Abstract

Tibial rotation is an important aspect of knee function and can be altered after total knee arthroplasty (TKA). These alterations include decreased internal rotation with knee flexion as compared to the normal state and paradoxical external rotation with flexion. Mobile bearing total knee prostheses may allow greater unconstrained tibial rotation. I compared tibial rotation after fixed bearing or mobile bearing total knee arthroplasty in 82 patients who underwent TKA with the tibia cut first technique to ascertain any differences. Using intraoperative imageless computer navigation, measurements included the determination of tibial rotation from extension to 90° flexion before and after prosthetic implantation with non-weight-bearing range of motion. I found that tibial rotation was significantly reduced after fixed bearing total knee replacement as compared to mobile bearing. In addition, the tibial position compared to the distal femur in extension was more external in fixed bearings compared to mobile bearings. Placing the fixed tibial tray with increased internal rotation could explain this difference.
Literature
1.
Argenson JN, Scuderi GR, Komistek RD, Scott WN, Kelly MA, Aubaniac JM (2005) In vivo kinematic evaluations and design considerations related to high flexion in total knee arthroplasty. J Biomech 38:277–284PubMedCrossRef
2.
Banks SA, Markovich GD, Hodge WA (1997) In vivo kinematics of cruciate-retaining and –substituting knee arthroplasties. J Arthroplasty 12:297–304PubMedCrossRef
3.
Berger RA, Crossett LS, Jacobs JJ, Rubash HE (1988) Rotation causing patellofemoral complications after total knee arthroplasty. Clin Orthop 356:144–153
4.
Blunn GW, Joshi AB, Minns RJ, Lidgren L, Liley R, Ryd L, Engelbrecht E, Walker PS (1997) Wear in retrieved condylar knee arthroplasties. A comparison of wear in different designs of 280 retrieved condylar knee prostheses. J Arthroplasty 12:281–290PubMedCrossRef
5.
Coughlin KM, Incavo SJ, Churchill DL, Beynnon BD (2003) Tibial axis and patellar position relative to the femoral epicondylar axis during squatting. J Arthroplasty 18:1048–1055PubMedCrossRef
6.
Dennis DA, Komistek RD, Mahfouz MR, Walker SA, Tucker A (2004) A multicenter analysis of axial femorotibial rotation after total knee arthroplasty. Clin Orthop 428:180–189PubMedCrossRef
7.
El Nahass B, Madson MM, Walker PS (1991) Motion of the knee after condylar resurfacing—an in vivo study. J Biomech 24:1107–1117PubMedCrossRef
8.
Hoff WA, Komistek RD, Dennis DA, Gabriel SM (1998) Three-dimensional determination of femoral-tibial contact positions under in vivo conditions using fluoroscopy. Clin Biomech (Bristol, Avon) 13:455–472CrossRef
9.
Insall JA, Binazzi R, Soudry M, Mestriner LA (1983) Total knee arthroplasty. Clin Orthop 192:13–17
10.
Ishii Y, Terajima K, Terashima S, Koga Y (1997) Three-dimensional kinematics of the human knee with intracortical pin fixation. Clin Orthop 343:144–150PubMed
11.
Jonsson H, Karrholm J, Elmqvist LG (1989) Kinematics of active knee extension after tear of the anterior cruciate ligament. Am J Sports Med 17:796–802PubMedCrossRef
12.
Karrholm J, Jonsson H, Nilsson KG, Soderqvist I (1994) Kinematics of successful knee prosthesis during weight-bearing: three dimensional movements and positions of screw axes in the Tricon-M and Miller-Galante designs. Knee Surg Sports Traumatol Arthrosc 2:50–59PubMedCrossRef
13.
Karrholm J, Selvik G, Elmqvist LG, Hansson LI (1988) Active knee motion after cruciate ligament rupture. Stereoradiography. Acta Orthop Scand 59:158–164PubMed
14.
Karrholm J, Selvik G, Elmqvist LG et al (1988) Three-dimensional instability of the anterior cruciate deficient knee. J Bone Joint Surg Br 70:777–783PubMed
15.
Komistek RD, Dennis DA, Mahfouz MR (2003) In vivo fluoroscopic analysis of the normal human knee. Clin Orthop 410:69–81PubMedCrossRef
16.
Lafortune MA, Cavanagh PR, Sommer HJ III, Kalenak A (1992) Three-dimensional kinematics of the human knee during walking. J Biomech 25:347–357PubMedCrossRef
17.
Lewis P, Rorabeck CH, Bourne RB, Devane P (1994) Posteromedial tibial polyethylene failure in total knee replacements. Clin Orthop 299:11–17PubMed
18.
Nilsson KG, Karrholm J, Ekelund L (1990) Knee motion in total knee arthroplasty. A roentgen stereophotogrammetric analysis of the kinematics of the Tricon-M knee prosthesis. Clin Orthop 256:147–161PubMed
19.
Nilsson KG, Karrholm J, Gadegaard P (1991) Abnormal kinematics of the artificial knee. Roentgen stereophotogrammetric analysis of 10 Miller-Galante and five New Jersey LCS knees. Acta Orthop Scand 62:440–446PubMedCrossRef
20.
Saragaglia D, Picard F (2003) Computer-assisted implantation of total knee endoprosthesis with no preoperative imaging: the kinematic model. In: Stiehl JB, Konermann WH, Haaker RG (eds) Navigation and robotics in total joint and spinal surgery. Springer, Berlin Heidelberg New York
21.
Siston RA, Giori DJ, Goodman SB, Delp SL (2006) Intraoperative passive kinematics of osteoarthritic knees before and after total knee arthroplasty. J Orthop Res 24:1607–1614PubMedCrossRef
22.
Siston RA, Goodman SB, Patel JJ, Delp SL, Giori NJ (2006) High variability of tibial rotational alignment in total knee arthroplasty. Clin Orthop 452:65–69PubMedCrossRef
23.
Siston RA, Patel JJ, Goodman SB, Delp SL, Giori NJ (2005) True variability of rotational alignment in total knee arthroplasty. J Bone Joint Surg Am 87:2276–2280PubMedCrossRef
24.
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 14:293–299PubMedCrossRef
25.
Stiehl JB, Komistek RD, Dennis DA (1999) Detrimental kinematics of a flat on flat total condylar knee arthroplasty. Clin Orthop 365:139–148PubMedCrossRef
Metadata
Title
Comparison of tibial rotation in fixed and mobile bearing total knee arthroplasty using computer navigation
Author
James B. Stiehl
Publication date
01-06-2009
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 3/2009
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-008-0562-7

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