Posterior femoral translation in medial pivot total knee arthroplasty of posterior cruciate ligament retaining type

Cho, Su Hyun; Cho, Hyung Lae; Lee, Soo Ho; Jin, Hong Ki

doi:10.1016/j.jor.2013.04.004

Cited by 12 publications

(5 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Contemporary total knee arthroplasty (TKA) aims to reduce pain and restore function of the knee with severe osteoarthritis (OA) and other end‐stage knee joint diseases . Recently, many innovative component designs have been introduced to enhance knee joint flexion and improve longevity of the prosthesis . Although satisfactory clinical follow up data has been reported, there are also data showing persistent difficulties or pain during motion in patients postoperatively .…”

mentioning

confidence: 99%

“…1,2 Recently, many innovative component designs have been introduced to enhance knee joint flexion and improve longevity of the prosthesis. [3][4][5][6][7] Although satisfactory clinical follow up data has been reported, 1,8 there are also data showing persistent difficulties or pain during motion in patients postoperatively. 1,9 Polyethylene wear related problems have been reported to be a leading cause for re-operation.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Articular contact kinematics of the knee before and after a cruciate retaining total knee arthroplasty

Hosseini

Tsai

et al. 2014

Journal Orthopaedic Research

View full text Add to dashboard Cite

Accurate knowledge of tibiofemoral articular contact kinematics of the knee after total knee arthroplasty (TKA) is important for understanding the intrinsic knee biomechanics and improving the longevity of the components. The objective of this study was to compare the in vivo articular contact kinematics of the knees with end-stage medial osteoarthritis (OA) during a weightbearing, single leg lunge activity before and after a posterior cruciate retaining TKA (CR-TKA) using a dual fluoroscopic imaging technique. We found that the CR-TKA resulted in more posterior contact positions on the tibial surface and a reduced range of motion in the medial and lateral compartments. The distances between medial and lateral contact locations in the CR-TKA knees were statistically larger than the OA knees. The articular contact centers have shifted from medial side of the tibial plateau pre-operatively to the lateral side after operation. This study indicated that the CR-TKA resulted in significant changes in contact kinematics of the knees in both anteroposterior and mediolateral directions. Keywords: TKA; knee osteoarthritis; fluoroscopy; in vivo kinematics; contact kinematics Contemporary total knee arthroplasty (TKA) aims to reduce pain and restore function of the knee with severe osteoarthritis (OA) and other end-stage knee joint diseases.1,2 Recently, many innovative component designs have been introduced to enhance knee joint flexion and improve longevity of the prosthesis. [3][4][5][6][7] Although satisfactory clinical follow up data has been reported, 1,8 there are also data showing persistent difficulties or pain during motion in patients postoperatively. 1,9 Polyethylene wear related problems have been reported to be a leading cause for re-operation. 1,8,[10][11][12] Various factors, such as component design and surgical implantation, have been attributed to post-operative complications. 10,11,13 Abnormal knee kinematics following TKA has been thought to alter intrinsic knee joint biomechanics and lead to suboptimal patient satisfaction. 10 Numerous studies have been conducted to investigate the kinematics of the knee after TKA.3,14-18 Early studies performed investigation of TKA kinematics using motion analysis system to quantify the 6DOF kinematics of the TKA knees and compared the data to normal knees. 19,20 Many studies also used cadaveric specimens to compare the TKA kinematics with that of native knees under controlled conditions. 21,22 In-vivo articular contact forces have been measured using implanted force sensors. 23,24 Recently, fluoroscopic imaging technique has been widely used to investigate medial and lateral condyle motions of the knee after TKAs.18,25-27 While these studies greatly improved our knowledge on TKA biomechanics, the changes on articular contact locations after TKA compared to those measured on the knee before operation have not been reported. This information could provide further insight on how intrinsic biomechanics of the knee is altered after the surgery.Therefore, the obj...

show abstract

mentioning

confidence: 99%

mentioning

confidence: 99%

Articular contact kinematics of the knee before and after a cruciate retaining total knee arthroplasty

Hosseini

Tsai

et al. 2014

Journal Orthopaedic Research

View full text Add to dashboard Cite

show abstract

“…The asymmetrical insert of the AMP knee creates a ball-in-socket articulating surface on the medial side, forming a medial axis during knee flexion. In addition, the lateral arcuate groove facilitates femoral rollback [ 20 ]. Previous studies have described the satisfactory long-term performance of AMP implants [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

Equivalence of clinical and radiological outcomes in cruciate-retaining and cruciate-substituting total knee arthroplasty with medial pivot knee: A comparative study

Hu,

Xiang,

et al. 2023

Heliyon

View full text Add to dashboard Cite

“…The ADVANCE® knee system is one of the most widely applied medial-pivot (MP) knee implants worldwide which is characterized by the conformed medial ball-socket articulating interface [ 16 ]. This unique design diminishes the paradoxical anterior translation of the femur, and good to excellent long-term outcomes and implant survivorship have been reported [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of double-high insert mid-term outcomes in cruciate-retaining medial-pivotal total knee arthroplasty – a propensity score-matched analysis with averaged 8-year follow-up

Wang

Xiang

Wang

et al. 2022

BMC Musculoskelet Disord

View full text Add to dashboard Cite

Background This study aimed to compare the mid-term clinical and radiographic outcomes between medial-pivotal (MP) insert and double-high (DH) insert used under the cruciate-retaining condition in ADVANCE® total knee arthroplasty (TKA). Methods The follow-up was conducted for 158 consecutive patients who underwent unilateral ADVANCE® TKA from January 2011 to April 2014. Eighty-four MP inserts and 74 DH inserts were used under cruciate-retaining conditions. A 1:1 propensity score matching (PSM) analysis was performed between MP inserts and DH inserts to compare the clinical and radiographic outcomes. Results After a 1:1 PSM, 120 patients (60 pairs) were matched between the MP and DH inserts groups. The baseline demographic parameters and clinical scores were comparable between the two groups. The postoperative clinical outcomes at an averaged 8-year follow-up of both groups were significantly improved. The range of motion (ROM) of the DH group was better than that of the MP group, and equivalent Knee Society Function Score (KSFS) between the two groups was found. However, the Knee Society Score (KSS), Western Ontario and McMaster Universities Arthritis Index (WOMAC) score, and Forgotten Joint Score (FJS) of the MP group were found to be significantly superior to those of the DH group. Comparable complication and revision rates were observed between the two groups. The radiographic results were also equally good between MP and DH groups. Conclusions Although the mid-term clinical and radiographic outcomes of the DH inserts are fairly good, the clinical scores of the DH group were worse than those of the MP group.

show abstract

Posterior femoral translation in medial pivot total knee arthroplasty of posterior cruciate ligament retaining type

Abstract: In medial pivot TKA of PCL retaining type, clinical outcomes were satisfactory and posterior femoral translations were consistently observed during progressive flexions of knees at two- to three-year follow-up.

Cited by 12 publications

References 15 publications

Articular contact kinematics of the knee before and after a cruciate retaining total knee arthroplasty

Articular contact kinematics of the knee before and after a cruciate retaining total knee arthroplasty

Equivalence of clinical and radiological outcomes in cruciate-retaining and cruciate-substituting total knee arthroplasty with medial pivot knee: A comparative study

Evaluation of double-high insert mid-term outcomes in cruciate-retaining medial-pivotal total knee arthroplasty – a propensity score-matched analysis with averaged 8-year follow-up

Contact Info

Product

Resources

About