Correlation between preoperative and postoperative knee kinematics in total knee arthroplasty using cruciate retaining designs

The authors evaluated the relationships between preoperative and postoperative kinematics in 50 osteoarthritic knees scheduled for cruciate retaining total knee arthroplasty with regards to posterior femoral roll back and external femoral rotation using a navigation system from 10° to 120° of knee flexion. Although posterior femoral roll back was maintained, external femoral rotation was significantly decreased compared to those of the preoperative knee after total knee arthroplasty. However, the amount of posterior roll back and external femoral rotation after total knee arthroplasty were found to be significantly positively related to those measured preoperatively (r = 0.62 and 0.57, respectively). These significant kinematic correlations may explain why preoperative range of knee motion influences range of motion after total knee arthroplasty.

[1]  Scott L Delp,et al.  Evaluation of a new algorithm to determine the hip joint center. , 2006, Journal of biomechanics.

[2]  W. Maloney,et al.  Prediction of Postoperative Knee Flexion in Insall-Burstein II Total Knee Arthroplasty , 1998, Clinical orthopaedics and related research.

[3]  Arno Martin,et al.  Imageless Navigation for TKA Increases Implantation Accuracy , 2007, Clinical orthopaedics and related research.

[4]  Shinichi Yoshiya,et al.  In vivo kinematic comparison of posterior cruciate-retaining and posterior stabilized total knee arthroplasties under passive and weight-bearing conditions. , 2005, The Journal of arthroplasty.

[5]  Jeremy F. Suggs,et al.  In vivo flexion and kinematics of the knee after TKA: comparison of a conventional and a high flexion cruciate-retaining TKA design , 2009, Knee Surgery, Sports Traumatology, Arthroscopy.

[6]  Y. Yoshioka,et al.  Tibial anatomy and functional axes , 1989, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[7]  Todd Johnson,et al.  In vivo knee kinematics during high flexion after a posterior-substituting total knee arthroplasty , 2010, International Orthopaedics.

[8]  Satoshi Hamai,et al.  Kinematic analysis of kneeling in cruciate‐retaining and posterior‐stabilized total knee arthroplasties , 2008, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[9]  N. Sobol,et al.  Preliminary results , 2020, Asymptotic Analysis of Random Walks: Light-Tailed Distributions.

[10]  R. Komistek,et al.  Lack of Axial Rotation in Mobile-bearing Knee Designs , 2008, Clinical orthopaedics and related research.

[11]  F. Picard,et al.  Using Navigation Intraoperative Measurements Narrows Range of Outcomes in TKA , 2007, Clinical orthopaedics and related research.

[12]  A. Lizaur,et al.  Preoperative factors influencing the range of movement after total knee arthroplasty for severe osteoarthritis , 1997 .

[13]  M. Marcacci,et al.  New intraoperative protocol for kinematic evaluation of ACL reconstruction: preliminary results , 2006, Knee Surgery, Sports Traumatology, Arthroscopy.

[14]  Scott L Delp,et al.  Intraoperative passive kinematics of osteoarthritic knees before and after total knee arthroplasty , 2006, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[15]  Mohamed R Mahfouz,et al.  Multicenter Determination of In Vivo Kinematics After Total Knee Arthroplasty , 2003, Clinical orthopaedics and related research.

[16]  M. Phillips,et al.  Passive knee kinematics before and after total knee arthroplasty: are we correcting pathologic motion? , 2008, The Journal of arthroplasty.

[17]  Stefano Zaffagnini,et al.  Intraoperative evaluation of total knee replacement: kinematic assessment with a navigation system , 2009, Knee Surgery, Sports Traumatology, Arthroscopy.

[18]  Stefano Zaffagnini,et al.  Knee stability before and after total and unicondylar knee replacement: In vivo kinematic evaluation utilizing navigation , 2009, Journal of Orthopaedic Research.

[19]  J. Kärrholm,et al.  Knee kinematics in medial arthrosis. Dynamic radiostereometry during active extension and weight-bearing. , 2005, Journal of biomechanics.

[20]  R. Komistek,et al.  High-flexion TKA Designs: What Are Their In Vivo Contact Mechanics? , 2007, Clinical orthopaedics and related research.

[21]  Mohamed R Mahfouz,et al.  In vivo comparison of knee kinematics for subjects having either a posterior stabilized or cruciate retaining high-flexion total knee arthroplasty. , 2008, The Journal of arthroplasty.

[22]  Scott L Delp,et al.  Evaluation of Methods That Locate the Center of the Ankle for Computer-assisted Total Knee Arthroplasty , 2005, Clinical orthopaedics and related research.

[23]  Stefano Zaffagnini,et al.  Validation of a new protocol for navigated intraoperative assessment of knee kinematics , 2007, Comput. Biol. Medicine.

[24]  Melinda J. Cromie,et al.  Posterior cruciate ligament removal contributes to abnormal knee motion during posterior stabilized total knee arthroplasty , 2008, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[25]  Takaharu Yamazaki,et al.  In vivo kinematic analysis of a high-flexion, posterior-stabilized, mobile-bearing knee prosthesis in deep knee bending motion. , 2008, The Journal of arthroplasty.

[26]  Christian Hoser,et al.  Improved accuracy of component alignment with the implementation of image-free navigation in total knee arthroplasty , 2008, Knee Surgery, Sports Traumatology, Arthroscopy.

[27]  Anthony M. J. Bull,et al.  Changes in Knee Kinematics Reflect the Articular Geometry after Arthroplasty , 2008, Clinical orthopaedics and related research.

[28]  R. Komistek,et al.  In vivo determination of knee kinematics for Japanese subjects having either a low contact stress rotating platform or an anteroposterior glide total knee arthroplasty. , 2005, The Journal of arthroplasty.

[29]  J. Stiehl.  Comparison of tibial rotation in fixed and mobile bearing total knee arthroplasty using computer navigation , 2009, International Orthopaedics.