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International Orthopaedics

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01-04-2016 | Original Paper

No difference in patellar kinematics between fixed-bearing cruciate-retaining and cruciate-substituting total knee arthroplasty: a cadaveric investigation

Authors: Armin Keshmiri, Günther Maderbacher, Achim Benditz, Werner Müller, Joachim Grifka, Benjamin Craiovan

Published in: International Orthopaedics | Issue 4/2016

Abstract

Purpose

The influence of cruciate-ligament-retaining (CR-TKA) and cruciate-ligament-substituting (CS-TKA) TKA on tibiofemoral kinematics was analysed in many investigations. However, the influence on patellar kinematics is unclear so far. The aim of this study was to compare patellar kinematics of the natural knee with those after CR- and CS-TKA.

Methods

Patellar kinematics of nine healthy whole-body cadaveric knees before and after CR- and CS-TKA was investigated using a commercial optical computer navigation system. Patellar kinematics of the healthy knee was compared with those after CR- and CS-TKA.

Results

No significant difference between the natural knee and the knee after TKA or between both types of TKA for patellar kinematics could be found. Interestingly, both types of TKA resulted in a more medial patellar shift and a contrary patellar tilt and rotation behaviour. CR- and CS-TKA resulted in smaller values for patellar epicondylar distance at all flexion angles.

Conclusions

Our study found no influence of prosthesis type on patellar kinematics. Factors like component alignment and prosthesis design seem to be more important in terms of adequate restoration of patellar kinematics in TKA than whether choosing CR- or CS-TKA.

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Title: No difference in patellar kinematics between fixed-bearing cruciate-retaining and cruciate-substituting total knee arthroplasty: a cadaveric investigation
Authors: Armin Keshmiri
Günther Maderbacher
Achim Benditz
Werner Müller
Joachim Grifka
Benjamin Craiovan
Publication date: 01-04-2016
Publisher: Springer Berlin Heidelberg
Published in: International Orthopaedics / Issue 4/2016
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-015-3041-y

Keynote webinar | Spotlight on medication adherence

Springer Medicine

No difference in patellar kinematics between fixed-bearing cruciate-retaining and cruciate-substituting total knee arthroplasty: a cadaveric investigation

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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