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Clinical Orthopaedics and Related Research®
Published in: Clinical Orthopaedics and Related Research® 3/2010

01-03-2010 | Clinical Research

In Vivo Kinematics after a Cruciate-substituting TKA

Authors: Jan Victor, MD, John Kyle P. Mueller, BS, Richard D. Komistek, PhD, Adrija Sharma, PhD, Matthew C. Nadaud, MD, Johan Bellemans, MD, PhD

Published in: Clinical Orthopaedics and Related Research® | Issue 3/2010

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Abstract

Patterns of motion in the native knee show substantial variability. Guided motion prosthetic designs offer stability but may limit natural variability. To assess these limits, we therefore determined the in vivo kinematic patterns for patients having a cruciate-substituting TKA of one design and determined the intersurgeon variability associated with a guided-motion prosthetic design. Three-dimensional femorotibial contact positions were evaluated for 86 TKAs in 80 subjects from three different surgeons using fluoroscopy during a weightbearing deep knee bend. The average posterior femoral rollback of the medial and lateral condyles for all TKAs from full extension to maximum flexion was −14.0 mm and −23.0 mm, respectively. The average axial tibiofemoral rotation from full extension to maximum flexion for all TKAs was 10.8°. The average weightbearing range of motion (ROM) was 109º (range, 60º–150º; standard deviation, 18.7º). Overall, the TKA showed axial rotation patterns similar to those of the normal knee, although less in magnitude. Surgeon-to-surgeon comparison revealed dissimilarities, showing the surgical technique and soft tissue handling influence kinematics in a guided-motion prosthetic design.
Level of Evidence: Level III, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.
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Metadata
Title
In Vivo Kinematics after a Cruciate-substituting TKA
Authors
Jan Victor, MD
John Kyle P. Mueller, BS
Richard D. Komistek, PhD
Adrija Sharma, PhD
Matthew C. Nadaud, MD
Johan Bellemans, MD, PhD
Publication date
01-03-2010
Publisher
Springer-Verlag
Published in
Clinical Orthopaedics and Related Research® / Issue 3/2010
Print ISSN: 0009-921X
Electronic ISSN: 1528-1132
DOI
https://doi.org/10.1007/s11999-009-1072-7

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