Influence of surface geometry and the cam-post mechanism on the kinematics of total knee replacement
| Autor: | N. P. Thomas, David J Beard, Harinderjit Gill, Hemant Pandit, D. Hollinghurst, David W. Murray, T. Ward |
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| Jazyk: | angličtina |
| Rok vydání: | 2005 |
| Předmět: |
Male
musculoskeletal diseases Knee Joint medicine.medical_treatment Kinematics Prosthesis Design medicine Humans Orthopedics and Sports Medicine Femur Arthroplasty Replacement Knee Exercise Aged Orthodontics business.industry Biomechanics Equipment Design Anatomy Osteoarthritis Knee musculoskeletal system Arthroplasty Sagittal plane Biomechanical Phenomena Tendon Treatment Outcome medicine.anatomical_structure Fluoroscopy Female Surgery Patella business |
| Zdroj: | The Journal of bone and joint surgery. British volume. 87(7) |
| ISSN: | 0301-620X |
| Popis: | Abnormal sagittal kinematics after total knee replacement (TKR) can adversely affect functional outcome. Two important determinants of knee kinematics are component geometry and the presence or absence of a posterior-stabilising mechanism (cam-post). We investigated the influence of these variables by comparing the kinematics of a TKR with a polyradial femur with a single radius design, both with and without a cam-post mechanism. We assessed 55 patients, subdivided into four groups, who had undergone a TKR one year earlier by using an established fluoroscopy protocol in order to examine their kinematics in vivo. The kinematic profile was obtained by measuring the patellar tendon angle through the functional knee flexion range (0° to 90°) and the results compared with 14 normal knees. All designs of TKR had abnormal sagittal kinematics compared with the normal knee. There was a significant (p < 0.05) difference between those of the two TKRs near to full extension. The presence of the cam-post mechanism did not influence the kinematics for either TKR design. These differences suggest that surface geometry is a stronger determinant of kinematics than the presence or absence of a cam-post mechanism for these two designs. This may be because the cam-post mechanism is ineffective. |
| Databáze: | OpenAIRE |
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