Moderate External Rotation of Tibial Component Generates More Natural Kinematics Than Internal Rotation After Total Knee Arthroplasty

Autor: Chaohua Fang, Yichao Luan, Zhiwei Wang, Long Shao, Tiebing Qu, Cheng-Kung Cheng
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Frontiers in Bioengineering and Biotechnology, Vol 10 (2022)
Druh dokumentu: article
ISSN: 2296-4185
DOI: 10.3389/fbioe.2022.910311
Popis: This study aimed to investigate the influence of tibial malrotation on knee kinematics after total knee arthroplasty (TKA). A symmetric fixed-bearing posterior-stabilized prosthesis was implanted in the validated knee model with different rotational alignments of the tibial component (neutral, 3° external rotation, 5° external rotation, 3° internal rotation, and 5° internal rotation). Computational kinematic simulations were used to evaluate the postoperative kinematics of the knee joint including anteroposterior translation femoral condyles and axial rotation of tibial component during 0°–135° knee flexion. The results revealed that the neutral position of the tibial component was not the closest kinematics to the intact knee, the model with 5° external rotation of the tibial component showed the closest lateral condyle translation and tibial axial rotation, and moderate external rotation could improve the kinematics after TKA.
Databáze: Directory of Open Access Journals