Native rotational knee kinematics are lost in bicruciate-retaining total knee arthroplasty when the tibial component is replaced

Hamada, Daisuke; Wada, Keizo; Takasago, Tomoya; Goto, Tomohiro; Nitta, Akihiro; Higashino, Kosaku; Fukui, Yoshihiro; Sairyo, Koichi

doi:10.1007/s00167-018-4842-5

Cited by 31 publications

(29 citation statements)

References 42 publications

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“…2,5 A number of in vitro and computational studies have demonstrated that the knee joint stability after BCR TKA in the anterior–posterior, internal–external, and valgus–varus directions is similar to that of the native knee. 4–7 Similarly, long-term clinical studies of BCR TKA found satisfactory survivorship and function after more than 20 years of in vivo use and greater patient preference compared to conventional TKA. 8 Furthermore, recent short-term studies with a modern BCR TKA found greater patient reported satisfaction and reduced joint awareness in BCR patients compared to patients with conventional TKA.…”

Section: Introductionmentioning

confidence: 99%

Leveraging subject-specific musculoskeletal modeling to assess effect of anterior cruciate ligament retaining total knee arthroplasty during walking gait

Zhang

Chen

Zhang

et al. 2020

Proc Inst Mech Eng H

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Bi-cruciate retaining total knee arthroplasty has several potential advantages including improved anteroposterior knee stability compared to contemporary posterior cruciate-retaining total knee arthroplasty. However, few studies have explored whether there is significant differences of knee biomechanics following bi-cruciate retaining total knee arthroplasty compared to posterior cruciate-retaining total knee arthroplasty. In the present study, subject-specific lower extremity musculoskeletal multi-body dynamics models for bi-cruciate retaining, bi-cruciate retaining without anterior cruciate ligament, and posterior cruciate-retaining total knee arthroplasty were developed based on the musculoskeletal modeling framework using force-dependent kinematics method and validated against in vivo telemetric data. The experiment data of two subjects who underwent total knee arthroplasty were obtained for the SimTK “Grand Challenge Competition” repository, and integrated into the musculoskeletal model. Five walking gait trials for each subject were used as partial inputs for the model to predict the knee biomechanics for bi-cruciate retaining, bi-cruciate retaining without anterior cruciate ligament, and posterior cruciate-retaining total knee arthroplasty. The results revealed significantly greater range of anterior/posterior tibiofemoral translation, and significantly more posterior tibial location during the early phase of gait and more anterior tibial location during the late phase of gait were found in bi-cruciate retaining total knee arthroplasty without anterior cruciate ligament when compared to the bi-cruciate retaining total knee arthroplasty. No significant differences in tibiofemoral contact forces, rotations, translations, and ligament forces between bi-cruciate retaining and posterior cruciate-retaining total knee arthroplasty during normal walking gait, albeit slight differences in range of tibiofemoral internal/external rotation and anterior/posterior translation were observed. The present study revealed that anterior cruciate ligament retention has a positive effect on restoring normal knee kinematics in bi-cruciate retaining total knee arthroplasty. Preservation of anterior cruciate ligament in total knee arthroplasty and knee implant designs interplay each other and both contribute to restoring normal knee kinematics in different types of total knee arthroplasty. Further evaluation of more demanding activities and subject data from patients with bi-cruciate retaining and posterior cruciate-retaining total knee arthroplasty via musculoskeletal modeling may better highlight the role of the anterior cruciate ligament and its stabilizing influence.

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Section: Introductionmentioning

confidence: 99%

Leveraging subject-specific musculoskeletal modeling to assess effect of anterior cruciate ligament retaining total knee arthroplasty during walking gait

Zhang

Chen

Zhang

et al. 2020

Proc Inst Mech Eng H

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“…10 Moreover, several studies have demonstrated that the kinematics of knees that underwent BCR-TKA differed from that of normal knees during passive flexion, passive extension, sit-to-stand exercises, deep lunges, and stair climbing. [11][12][13] Arauz et al reported that these kinematic differences between BCR-TKA knees and normal knees might be attributed to the articular surface. 13 The Journey II XR total knee arthroplasty system (Smith & Nephew, Memphis, TN) has a medial concave and lateral convex articular design of the tibial insert.…”

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confidence: 99%

In Vivo Kinematics of Bicruciate-Retaining Total Knee Arthroplasty with Anatomical Articular Surface under High-Flexion Conditions

et al. 2019

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Bicruciate-retaining total knee arthroplasty (BCR-TKA) recreates normal knee movement by preserving the anterior cruciate and posterior cruciate ligaments. However, in vivo kinematics of BCR-TKA with the anatomical articular surface remains unknown. The objective of this study was to evaluate in vivo kinematics of BCR-TKA with the anatomical articular surface during high-flexion activities. For this purpose, 17 knees after BCR-TKA with an anatomical articular surface were examined. Under fluoroscopy, each patient performed squatting and cross-legged sitting motions. To estimate the spatial position and orientation of the knee, a two-dimensional or three-dimensional registration technique was used. Rotation, varus-valgus angle, and anteroposterior translation of medial and lateral contact points of the femoral component relative to the tibial component were evaluated in each flexion angle. The results showed that from 80 to 110° of flexion, the femoral external rotation during squatting was significantly larger than that during cross-legged sitting. At maximum flexion, the knees during sitting indicated significantly more varus alignment than during squatting. During squatting, a medial pivot pattern was observed from minimum flexion to 10° flexion, with no significant movement beyond 10° of flexion. Conversely, during cross-legged sitting, no significant movement was detected from minimum flexion to 60° of flexion, with a medial pivot beyond 60° of flexion. Therefore, the knees showed relatively normal kinematics after BCR-TKA with an anatomical articular surface; however, it varied during high-flexion activities depending on the activity.

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“…A total number of 127 entries (excluding duplicates) were obtained based on the keywords enhanced database query on MEDLINE and Web of Science since 2010. After implementing the exclusion criteria, five in-vitro studies that tested the Vanguard XP system (Zimmer Biomet) using cadaveric knee specimens were selected for analysis [2][3][4][5][6]. All five studies reported the tibiofemoral internal rotation during passive flexion ( Fig.…”

Section: Resultsmentioning

confidence: 99%

“…2b). Four studies reported the anteroposterior tibiofemoral contact (dynamic translations [3][4][5] or static locations [2]) and only two studies reported the valgus rotations [3,5]. In terms of knee loading, all five in-vitro studies included data measured from passive knee flexion under non-weight bearing, and two studies also collected knee kinematics data under quadriceps and hamstring loading conditions [3,5].…”

Section: Resultsmentioning

confidence: 99%

Does Contemporary Bicruciate Retaining Total Knee Arthroplasty Restore the Native Knee Kinematics? A Systematic Review of In-vitro Cadaveric Investigations.

Peng¹,

Li²

2019

Molecular &Amp; Cellular Biomechanics

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Native rotational knee kinematics are lost in bicruciate-retaining total knee arthroplasty when the tibial component is replaced

Cited by 31 publications

References 42 publications

Leveraging subject-specific musculoskeletal modeling to assess effect of anterior cruciate ligament retaining total knee arthroplasty during walking gait

Leveraging subject-specific musculoskeletal modeling to assess effect of anterior cruciate ligament retaining total knee arthroplasty during walking gait

In Vivo Kinematics of Bicruciate-Retaining Total Knee Arthroplasty with Anatomical Articular Surface under High-Flexion Conditions

Does Contemporary Bicruciate Retaining Total Knee Arthroplasty Restore the Native Knee Kinematics? A Systematic Review of In-vitro Cadaveric Investigations.

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