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Knee Surgery, Sports Traumatology, Arthroscopy

Published in:

01-08-2016 | Knee

Significant influence of rotational limb alignment parameters on patellar kinematics: an in vitro study

Authors: Armin Keshmiri, Günther Maderbacher, Clemens Baier, Florian Zeman, Joachim Grifka, Hans Robert Springorum

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 8/2016

Abstract

Purpose

Component malrotation has a major impact on patellar kinematics in total knee arthroplasty. The influence of natural rotational limb alignment on patellar kinematics is unclear so far. Based on recent clinical investigations, we hypothesized that rotational limb alignment significantly influences patellar kinematics.

Methods

Patellar kinematics of ten cadaveric knees was measured using computer navigation during passive motion. Data were correlated with different rotational limb alignment parameters of preoperative CT scans.

Results

Femoral antetorsion showed a significant influence on patellar rotation, while tibial tubercle–posterior cruciate ligament distance additionally displayed a significant influence on patellar mediolateral shift (p < 0.05). Femoral posterior condylar angle was sensitive to patellar epicondylar distance, rotation and tilt (p < 0.05). Patellar rotation was influenced by five out of eight rotational limb alignment parameters (p < 0.05).

Conclusions

Rotational limb alignment should be paid more attention in terms of clinical evaluation of patellar tracking and future biomechanical and clinical investigations.

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Title: Significant influence of rotational limb alignment parameters on patellar kinematics: an in vitro study
Authors: Armin Keshmiri
Günther Maderbacher
Clemens Baier
Florian Zeman
Joachim Grifka
Hans Robert Springorum
Publication date: 01-08-2016
Publisher: Springer Berlin Heidelberg
Published in: Knee Surgery, Sports Traumatology, Arthroscopy / Issue 8/2016
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-014-3434-2

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Significant influence of rotational limb alignment parameters on patellar kinematics: an in vitro study

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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