In-vivo kinematics of high-flex posterior-stabilized total knee prosthesis designed for Asian populations View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2016-11

AUTHORS

Toshifumi Watanabe, Takeshi Muneta, Hideyuki Koga, Masafumi Horie, Tomomasa Nakamura, Koji Otabe, Yusuke Nakagawa, Mai Katakura, Ichiro Sekiya

ABSTRACT

PURPOSE: The purpose of this study was to determine in-vivo kinematics of our developed posterior-stabilized (PS) total knee prosthesis for Asian populations in comparison with a popular high-flexion PS prosthesis. METHODS: We analyzed 62 osteoarthritic knees: 31 knees with the new PS prosthesis (group A) and 31 knees with a popular high-flexion PS prosthesis (group B). Radiographic knee images were taken during standing, lunge, and kneeling activities. The three-dimensional position and orientation of the implant components were determined using model-based shape matching techniques. RESULTS: Group A showed slightly greater implant flexion angles compared with knees with conventional prosthesis at maximum lunge (average: 119 vs. 110°, p = 0.001), and at maximum kneeling (121 vs. 114°, p = 0.004), although the range of motion was not significantly different. The femoral centre positions were more posterior in group A at standing, at 90° lunge, at maximum lunge (-9 and -7 mm, p = 0.004), at 90° kneeling, and at maximum kneeling (-9 vs. -7 mm, p = 0.016), and posterior translations of the femoral center were greater at 90° knee flexion postures. The femoral centre positions had a strong negative correlation with implant flexion angles at maximum lunge in group B (r = -0.893, p < 0.001), but not in group A (p = 0.242). CONCLUSIONS: The new PS prosthesis designed for Asian knee morphology achieved flexion angles and range of motion at least comparable to that of conventional high-flexion PS prosthesis. The femoral roll-back pattern, however, is different from a conventional knee, reflecting the post/cam design. More... »

PAGES

2295-2302

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00264-016-3176-5

DOI

http://dx.doi.org/10.1007/s00264-016-3176-5

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1051410640

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/27038027


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