Evaluation of patellofemoral joint in ADVANCE® Medial-pivot total knee arthroplasty View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2013-08-08

AUTHORS

Nobuaki Chinzei, Kazunari Ishida, Tomoyuki Matsumoto, Yuichi Kuroda, Atsushi Kitagawa, Ryosuke Kuroda, Toshihiro Akisue, Kotaro Nishida, Masahiro Kurosaka, Nobuhiro Tsumura

ABSTRACT

PurposeADVANCE® Medial Pivot (MP) (Wright Medical) total knee arthroplasty (TKA) was established to replicate normal tibio-femoral knee joint kinematics, however, its influence on the patello-femoral (PF) joint is unclear. The purpose in this study was to assess the PF joint conditions in Advance MP TKA, via radiography and three-dimensional image-matching software.MethodsTen subjects with osteoarthritis were treated with the ADVANCE MP TKA. Pre-operatively and one month after surgery, skyline views at 30, 60, and 90° of flexion were taken, and patella shift and tilt were measured. With 2D–3D registration techniques using software, implant orientations were matched with the pre-operative CT and changes in the anterior part of the femoral prosthesis, condylar twist angle (CTA) for femoral rotation, and tibial rotation were evaluated. The relationships between morphological and rotational changes were evaluated.ResultsThere were significant differences in patella tilt at 60° and patella shift at all angles between pre- and post-operation (p < 0.05). No correlation was found between morphological changes in the anterior femur with patella tilt and shift. A positive correlation between postoperative CTA and patella shift at 90° was found (p < 0.05); however, no correlation was found between rotational alignment of the tibial component and patella tilt and shift.ConclusionsADVANCE MP TKA changed patello-femoral joint kinematics, compared to that found before surgery. The kinematic features were mainly due to the design concepts for tibio-femoral joint motion, indicating the difficulty to reproduce normal patello-femoral joint kinematics after TKA. More... »

PAGES

509-515

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00264-013-2043-x

DOI

http://dx.doi.org/10.1007/s00264-013-2043-x

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1000724423

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/23925880


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32 schema:description PurposeADVANCE® Medial Pivot (MP) (Wright Medical) total knee arthroplasty (TKA) was established to replicate normal tibio-femoral knee joint kinematics, however, its influence on the patello-femoral (PF) joint is unclear. The purpose in this study was to assess the PF joint conditions in Advance MP TKA, via radiography and three-dimensional image-matching software.MethodsTen subjects with osteoarthritis were treated with the ADVANCE MP TKA. Pre-operatively and one month after surgery, skyline views at 30, 60, and 90° of flexion were taken, and patella shift and tilt were measured. With 2D–3D registration techniques using software, implant orientations were matched with the pre-operative CT and changes in the anterior part of the femoral prosthesis, condylar twist angle (CTA) for femoral rotation, and tibial rotation were evaluated. The relationships between morphological and rotational changes were evaluated.ResultsThere were significant differences in patella tilt at 60° and patella shift at all angles between pre- and post-operation (p < 0.05). No correlation was found between morphological changes in the anterior femur with patella tilt and shift. A positive correlation between postoperative CTA and patella shift at 90° was found (p < 0.05); however, no correlation was found between rotational alignment of the tibial component and patella tilt and shift.ConclusionsADVANCE MP TKA changed patello-femoral joint kinematics, compared to that found before surgery. The kinematic features were mainly due to the design concepts for tibio-femoral joint motion, indicating the difficulty to reproduce normal patello-femoral joint kinematics after TKA.
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39 schema:keywords Advance MP TKA
40 CT
41 ConclusionsADVANCE MP TKA
42 MP total knee arthroplasty
43 MethodsTen subjects
44 PF joint conditions
45 Pivot (MP) (Wright Medical) total knee arthroplasty
46 PurposeAdvances
47 ResultsThere
48 advances
49 alignment
50 angle
51 anterior femur
52 anterior part
53 arthroplasty
54 changes
55 components
56 concept
57 conditions
58 condylar twist angle
59 correlation
60 design concept
61 differences
62 difficulties
63 evaluation
64 features
65 femoral prosthesis
66 femoral rotation
67 femur
68 flexion
69 image-matching software
70 implant orientation
71 influence
72 joint conditions
73 joint kinematics
74 joint motion
75 joints
76 kinematic features
77 kinematics
78 knee arthroplasty
79 knee joint kinematics
80 medial pivot total knee arthroplasty
81 months
82 morphological changes
83 motion
84 normal patello-femoral joint kinematics
85 normal tibio-femoral knee joint kinematics
86 orientation
87 osteoarthritis
88 part
89 patella shift
90 patella tilt
91 patello-femoral joint
92 patello-femoral joint kinematics
93 patellofemoral joint
94 positive correlation
95 postoperative CTA
96 pre
97 pre-operative CT
98 prosthesis
99 purpose
100 radiography
101 registration technique
102 relationship
103 rotation
104 rotational alignment
105 rotational changes
106 shift
107 significant differences
108 skyline view
109 software
110 study
111 subjects
112 surgery
113 technique
114 three-dimensional image-matching software
115 tibial component
116 tibial rotation
117 tibio-femoral joint motion
118 tibio-femoral knee joint kinematics
119 tilt
120 total knee arthroplasty
121 twist angle
122 view
123 schema:name Evaluation of patellofemoral joint in ADVANCE® Medial-pivot total knee arthroplasty
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