In vivo comparisons of patellofemoral kinematics before and after ADVANCE® Medial-Pivot total knee arthroplasty View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2012-08-11

AUTHORS

Kazunari Ishida, Tomoyuki Matsumoto, Nobuhiro Tsumura, Nobuaki Chinzei, Atsushi Kitagawa, Seiji Kubo, Takaaki Chin, Tetsuhiro Iguchi, Toshihiro Akisue, Kotaro Nishida, Masahiro Kurosaka, Ryosuke Kuroda

ABSTRACT

PurposeADVANCE® Medial-Pivot (MP) (Wright Medical Technology, Arlington, TN, USA) total knee arthroplasty (TKA) was developed to replicate normal tibiofemoral knee joint kinematics, allowing medial-pivot knee motion. The design concept of the prosthesis is unique; therefore, the influence on the patellofemoral knee joint remains unclear at present. The purpose of this study was to determine the in vivo patellofemoral kinematics with ADVANCE® MP TKA and compare them with the pre-operative conditions.MethodsADVANCE® MP TKA was performed in ten subjects with osteoarthritis (OA). At before and one month after surgery, lateral radiographs with weight-bearing at maximum extension, 30, 60 and 90° were taken, and patella flexion angle (PF), tibiopatellar angle (TP) and estimated patellofemoral contact point (PC) were evaluated, according to a previously reported method.ResultsIn PF and TP, there was no statistically significant change between pre-operative and postoperative values. Pre-operative PC reached its peak at 90°; however, its peak was at 60° at one month after surgery. Postoperative PC at maximum extension was significantly higher compared to before surgery.ConclusionsThe results in this study indicated that ADVANCE® MP TKA changed patellofemoral joint kinematics compared to before surgery. Early postoperative evaluation is the limitation of this study; however, we consider that the results in this study might be one of the keys to resolving the kinematic features of this prosthesis, helping clinicians to comprehend this prosthesis. More... »

PAGES

2073-2077

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00264-012-1634-2

DOI

http://dx.doi.org/10.1007/s00264-012-1634-2

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1034346962

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/22885803


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