Different intraoperative kinematics with comparable clinical outcomes of ultracongruent and posterior stabilized mobile-bearing total knee arthroplasty View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2015-01-08

AUTHORS

Tae Woo Kim, Sang Min Lee, Sang Cheol Seong, Sahnghoon Lee, Jak Jang, Myung Chul Lee

ABSTRACT

Purpose There remains no consensus as to whether mobile total knee arthroplasty (TKA) should use a posterior cruciate ligament-sacrificing ultracongruent (UC) or a posterior cruciate ligament-substituting posterior stabilized (PS) prosthesis. The purpose of this study was to assess intraoperative kinematics and clinical outcomes of UC and PS rotating platform mobile-bearing TKA. MethodsIn this randomized controlled study, mobile UC TKA prostheses (n = 45) were compared with mobile PS TKA prostheses (n = 45) with regard to intraoperative kinematics and clinical outcomes. The passive kinematic study using intraoperative navigation system included anterior/posterior translation, varus/valgus alignment and rotation of femur during flexion. The patients were clinically and radiographically evaluated over a 3-year follow-up.ResultsParadoxical anterior translation of the femur was 10.8 ± 5.2 mm in the UC knee from 0° to 82° of knee flexion and 8.7 ± 3.0 mm in the PS knee from 0° to 70° of knee flexion (p = 0.027). Paradoxical internal rotation of the femur was 5.8° in the UC knees and 9.9° in the PS knees (p = 0.003). But, there was no significant difference between the groups in regard to the coronal alignment. There was no significant difference in the range of motion, KS knee scores, KS function scores, and WOMAC index scores.ConclusionsDespite different intraoperative kinematics between mobile UC and mobile PS TKA, neither design reproduced physiologic knee kinematics and there was no difference in clinical outcomes between the two groups. The clinical relevance of the study is that despite different intraoperative kinematics, UC design can be a considerable alternative to PS design in mobile-bearing TKA in respect of clinical outcomes.Level of evidenceII. More... »

PAGES

3036-3043

References to SciGraph publications

  • 2009-07-04. Patellofemoral pressure after TKA in vitro: highly conforming vs. posterior stabilized inlays in ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
  • 2008-01-09. Patient function after a posterior stabilizing total knee arthroplasty: cam–post engagement and knee kinematics in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2009-06-04. Reliability of leg alignment using the OrthoPilot system depends on knee position: a cadaveric study in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2008-11. Kinematic analysis of mobile-bearing total knee arthroplasty using a 6-DOF knee simulator in JOURNAL OF ORTHOPAEDIC SCIENCE
  • 2013-08-15. Tibial internal rotation is affected by lateral laxity in cruciate-retaining total knee arthroplasty: an intraoperative kinematic study using a navigation system and offset-type tensor in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2014-07-29. Three different cruciate-sacrificing TKA designs: minor intraoperative kinematic differences and negligible clinical differences in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2012-11-01. Preservation of the posterior cruciate ligament is not helpful in highly conforming mobile-bearing total knee arthroplasty: a randomized controlled study in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2012-03-17. Kinematics of a highly congruent mobile-bearing total knee prosthesis in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2008-12-20. Intraoperative evaluation of total knee replacement: kinematic assessment with a navigation system in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
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    http://scigraph.springernature.com/pub.10.1007/s00167-014-3489-0

    DOI

    http://dx.doi.org/10.1007/s00167-014-3489-0

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1027141503

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/25567541


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