Top

Knee Surgery, Sports Traumatology, Arthroscopy

Published in:

01-11-2018 | Knee

Native rotational knee kinematics are lost in bicruciate-retaining total knee arthroplasty when the tibial component is replaced

Authors: Daisuke Hamada, Keizo Wada, Tomoya Takasago, Tomohiro Goto, Akihiro Nitta, Kosaku Higashino, Yoshihiro Fukui, Koichi Sairyo

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 11/2018

Abstract

Purpose

To compare the kinematics between native knees and knees that have undergone bicruciate-retaining (BCR) total knee arthroplasty (TKA) with cruciate-retaining (CR) TKA converted from BCR TKA in the same whole-body cadaveric specimen using a navigation system and, if differences exist, to investigate the point at which normal kinematics are lost during the procedure.

Methods

The rotational kinematics throughout passive flexion of the native knee and of knees after meniscectomy, femoral replacement, BCR TKA, or CR TKA were assessed in nine fresh frozen cadavers using an image-free navigation system.

Results

The rotational kinematic pattern of a knee after BCR TKA was different from that of a native knee, especially in the early flexion phase, and was similar to that after CR TKA. Screw-home movement was not observed after BCR TKA, but still occurred after meniscectomy or femoral replacement with intact cruciate ligaments and an intact tibial articular surface.

Conclusion

The rotational kinematics of the native knee are not always preserved after BCR TKA. Native rotational kinematics are preserved after meniscectomy and femoral replacement, but are lost after tibial replacement in BCR TKA. Surgeons should pay close attention to maintain the anteroposterior stabilizing function of the ACL in BCR TKA, rather than to restore the native rotational kinematics.

Akagi M, Mori S, Nishimura S, Nishimura A, Asano T, Hamanishi C (2005) Variability of extraarticular tibial rotation references for total knee arthroplasty. Clin Orthop Relat Res 436:172–176CrossRef

Andriacchi TP, Galante JO, Fermier RW (1982) The influence of total knee-replacement design on walking and stair-climbing. J Bone Jt Surg Am 64(9):1328–1335CrossRef

Bae DK, Song SJ, Park MJ, Eoh JH, Song JH, Park CH (2012) Twenty-year survival analysis in total knee arthroplasty by a single surgeon. J Arthroplast 27(7):1297–1304CrossRef

Baker PN, Van der Meulen JH, Lewsey J, Gregg PJ (2007) The role of pain and function in determining patient satisfaction after total knee replacement. J Bone Jt Surg Br 89(7):893–900CrossRef

Baumann F, Bahadin Ö, Krutsch W, Zellner J, Nerlichi M, Angele P, Tibesku CO (2017) Proprioception after bicruciate-retaining total knee arthroplasty is comparable to unicompartmental knee arthroplasty. Knee Surg Sports Traumatol Arthrosc 25(6):1697–1704CrossRef

Belvedere C, Ensini A, Leardini A, Bianchi L, Catani F, Giannini S (2007) Alignment of resection planes in total knee replacement obtained with the conventional technique, as assessed by a modern computer-based navigation system. Int J Med Robot 3(2):117–124CrossRef

Belvedere C, Tamarri S, Notarangelo DP, Ensini A, Feliciangeli A, Leardini A (2013) Three-dimensional motion analysis of the human knee joint: comparison between intra- and post-operative measurements. Knee Surg Sports Traumatol Arthrosc 21(10):2375–2383CrossRef

Berchuck M, Andriacchi TP, Bach BR, Reider B (1990) Gait adaptations by patients who have a deficient anterior cruciate ligament. J Bone Jt Surg Am 72(6):871–877CrossRef

Blankevoort L, Huiskes R, de Lange A (1991) Recruitment of knee joint ligaments. J Biomech Eng 113(1):94–103CrossRef

10.

Bourne RB, Chesworth B, Davis A, Mahomed N, Charron K (2010) Comparing patient outcomes after THA and TKA: is there a difference? Clin Orthop Relat Res 468(2):542–546CrossRef

11.

Bull AM, Kessler O, Alam M, Amis AA (2008) Changes in knee kinematics reflect the articular geometry after arthroplasty. Clin Orthop Relat Res 466(10):2491–2499CrossRef

12.

Dennis DA, Komistek RD, Mahfouz MR, Walker SA, Tucker A (2004) A multicenter analysis of axial femorotibial rotation after total knee arthroplasty. Clin Orthop Relat Res 428:180–189CrossRef

13.

Ensini A, Catani F, Leardini A, Romagnoli M, Giannini S (2007) Alignments and clinical results in conventional and navigated total knee arthroplasty. Clin Orthop Relat Res 457:156–162PubMed

14.

Fiacchi F, Zambianchi F, Digennaro V, Ricchiuto I, Mugnai R, Catani F (2014) In vivo kinematics of medial unicompartmental osteoarthritic knees during activities of daily living. Knee 21(Suppl 1):S10–S14CrossRef

15.

Goodfellow J, O’Connor J (1992) The anterior cruciate ligament in knee arthroplasty. A risk-factor with unconstrained meniscal prostheses. Clin Orthop Relat Res 276:245–252

16.

Halewood C, Traynor A, Bellemans J, Victor J, Amis AA (2015) Anteroposterior laxity after bicruciate-retaining total knee arthroplasty is closer to the native knee than ACL-resecting TKA: a biomechanical cadaver study. J Arthroplast 30(12):2315–2319CrossRef

17.

Heyse TJ, Slane J, Peersman G, Dirckx M, van de Vyver A, Dworschak P, Fuchs-Winkelmann S, Scheys L (2017) Kinematics of a bicruciate-retaining total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc 25(6):1784–1791CrossRef

18.

Huizinga MR, Brouwer RW, Bisschop R, van der Veen HC, van den Akker-Scheek I, van Raay JJ (2012) Long-term follow-up of anatomic graduated component total knee arthroplasty: a 15- to 20-year survival analysis. J Arthroplast 27(6):1190–1195CrossRef

19.

Ishida K, Shibanuma N, Matsumoto T, Sasaki H, Takayama K, Hiroshima Y, Kuroda R, Kurosaka M (2016) Navigation-based tibial rotation at 90° of flexion is associated with better range of motion in navigated total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc 24(8):2447–2452CrossRef

20.

Jacobs CA, Christensen CP, Karthikeyan T (2016) An intact anterior cruciate ligament at the time of posterior cruciate ligament-retaining total knee arthroplasty was associated with reduced patient satisfaction and inferior pain and stair function. J Arthroplast 31(8):1732–1735CrossRef

21.

Kärrholm J, Selvik G, Elmqvist LG, Hansson LI (1988) Active knee motion after cruciate ligament rupture. Stereoradiography Acta Orthop Scand 59(2):158–164PubMed

22.

Keshmiri A, Springorum HR, Baier C, Zeman F, Grifka J, Maderbacher G (2016) Changes in sagittal component alignment alters patellar kinematics in TKA: an in vitro study. Knee Surg Sports Traumatol Arthrosc 24(3):823–829CrossRef

23.

Keshmiri A, Maderbacher G, Baier C, Zeman F, Grifka J, Springorum HR (2016) Significant influence of rotational limb alignment parameters on patellar kinematics: an in vitro study. Knee Surg Sports Traumatol Arthrosc 24(8):2407–2414CrossRef

24.

Komistek RD, Allain J, Anderson DT, Dennis DA, Goutallier D (2002) In vivo kinematics for subjects with and without an anterior cruciate ligament. Clin Orthop Relat Res 404:315–325CrossRef

25.

Moro-oka T, Muenchinger M, Canciani JP, Banks SA (2007) Comparing in vivo kinematics of anterior cruciate-retaining and posterior cruciate-retaining total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc 15(1):93–99CrossRef

26.

Nishio Y, Onodera T, Kasahara Y, Takahashi D, Iwasaki N, Majima T (2014) Intraoperative medial pivot affects deep knee flexion angle and patient-reported outcomes after total knee arthroplasty. J Arthroplast 29(4):702–706CrossRef

27.

Noble PC, Conditt MA, Cook KF, Mathis KB (2006) The John Insall Award: Patient expectations affect satisfaction with total knee arthroplasty. Clin Orthop Relat Res 452:35–43CrossRef

28.

Patil S, McCauley JC, Pulido P, Colwell CW Jr (2015) How do knee implants perform past the second decade? Nineteen- to 25-year followup of the Press-fit Condylar design TKA. Clin Orthop Relat Res 473(1):135–140CrossRef

29.

Peersman G, Slane J, Dirckx M, Vandevyver A, Dworschak P, Heyse TJ, Scheys L (2017) The influence of polyethylene bearing thickness on the tibiofemoral kinematics of a bicruciate retaining total knee arthroplasty. Knee 24(4):751–760CrossRef

30.

Pritchett JW (2015) Bicruciate-retaining total knee replacement provides satisfactory function and implant survivorship at 23 years. Clin Orthop Relat Res 473(7):2327–2333CrossRef

31.

Pritchett JW (2011) Patients prefer a bicruciate-retaining or the medial pivot total knee prosthesis. J Arthroplast 26(2):224–228CrossRef

32.

Rong GW, Wang YC (1987) The role of cruciate ligaments in maintaining knee joint stability. Clin Orthop Relat Res 215:65–71

33.

Sabouret P, Lavoie F, Cloutier JM (2013) Total knee replacement with retention of both cruciate ligaments: a 22-year follow-up study. Bone Jt J 95-B(7):917–922CrossRef

34.

Seon JK, Park JK, Jeong MS, Jung WB, Park KS, Yoon TR, Song EK (2011) Correlation between preoperative and postoperative knee kinematics in total knee arthroplasty using cruciate retaining designs. Int Orthop 35(4):515–520CrossRef

35.

Siston RA, Giori NJ, Goodman SB, Delp SL (2006) Intraoperative passive kinematics of osteoarthritic knees before and after total knee arthroplasty. J Orthop Res 24(8):1607–1614CrossRef

36.

Steinbrück A, Schröder C, Woiczinski M, Müller T, Müller PE, Jansson V, Fottner A (2016) Influence of tibial rotation in total knee arthroplasty on knee kinematics and retropatellar pressure: an in vitro study. Knee Surg Sports Traumatol Arthrosc 24(8):2395–2401CrossRef

37.

Stiehl JB, Komistek RD, Cloutier JM, Dannis DA (2000) The cruciate ligaments in total knee arthroplasty: a kinematic analysis of 2 total knee arthroplasties. J Arthroplast 15(5):545–550CrossRef

38.

Victor J, Bellemans J (2006) Physiologic kinematics as a concept for better flexion in TKA. Clin Orthop Relat Res 452:53–58CrossRef

39.

Wada K, Hamada D, Tamaki S, Higashino K, Fukui Y, Sairyo K (2016) Influence of medial collateral ligament release for internal rotation of tibia in posterior-stabilized total knee arthroplasty: a cadaveric study. J Arthroplast 32:270–273CrossRef

40.

Wada K, Mikami H, Hamada D, Yonezu H, Oba K, Sairyo K (2016) Measurement of rotational and coronal alignment in total knee arthroplasty using a navigation system is reproducible. Arch Orthop Trauma Surg 136(2):271–276CrossRef

41.

Zumbrunn T, Varadarajan KM, Rubash HE, Malchau H, Li G, Muratoglu OK (2015) Regaining native knee kinematics following joint arthroplasty: a novel biomimetic design with ACL and PCL preservation. J Arthroplast 30(12):2143–2148CrossRef

Title: Native rotational knee kinematics are lost in bicruciate-retaining total knee arthroplasty when the tibial component is replaced
Authors: Daisuke Hamada
Keizo Wada
Tomoya Takasago
Tomohiro Goto
Akihiro Nitta
Kosaku Higashino
Yoshihiro Fukui
Koichi Sairyo
Publication date: 01-11-2018
Publisher: Springer Berlin Heidelberg
Published in: Knee Surgery, Sports Traumatology, Arthroscopy / Issue 11/2018
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-018-4842-5

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Native rotational knee kinematics are lost in bicruciate-retaining total knee arthroplasty when the tibial component is replaced

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 11/2018

Increases in tibial force imbalance but not changes in tibiofemoral laxities are caused by varus–valgus malalignment of the femoral component in kinematically aligned TKA

3D patient imaging and retrieval analysis help understand the clinical importance of rotation in knee replacements

Intra-articular injections of expanded mesenchymal stem cells with and without addition of platelet-rich plasma are safe and effective for knee osteoarthritis

Do modern total knee replacements improve tibial coverage?

Satisfactory functional and radiological outcomes can be expected in young patients under 45 years old after open wedge high tibial osteotomy in a long-term follow-up

Simultaneous, same-anaesthetic bilateral total knee arthroplasty has low mortality and complication rates