Comparison of posterior-stabilized, cruciate-retaining, and medial-stabilized knee implant motion during gait.
X-ray fluoroscopy
joint coupling
medial pivot
tibiofemoral kinematics
total knee arthroplasty
Journal
Journal of orthopaedic research : official publication of the Orthopaedic Research Society
ISSN: 1554-527X
Titre abrégé: J Orthop Res
Pays: United States
ID NLM: 8404726
Informations de publication
Date de publication:
08 2020
08 2020
Historique:
received:
08
08
2019
revised:
18
12
2019
accepted:
21
01
2020
pubmed:
30
1
2020
medline:
15
12
2020
entrez:
30
1
2020
Statut:
ppublish
Résumé
Accurate knowledge of knee joint motion is needed to evaluate the effects of implant design on functional performance and component wear. We conducted a randomized controlled trial to measure and compare 6-degree-of-freedom (6-DOF) kinematics and femoral condylar motion of posterior-stabilized (PS), cruciate-retaining (CR), and medial-stabilized (MS) knee implant designs for one cycle of walking. A mobile biplane X-ray imaging system was used to accurately measure 6-DOF tibiofemoral motion as patients implanted with PS (n = 23), CR (n = 25), or MS (n = 26) knees walked over ground at their self-selected speeds. Knee flexion angle did not differ significantly between the three designs. Relative movements of the femoral and tibial components were generally similar for PS and CR with significant differences observed only for anterior tibial drawer. Knee kinematic profiles measured for MS were appreciably different: external rotation and abduction of the tibia were increased while peak-to-peak anterior drawer was significantly reduced for MS compared with PS and CR. Anterior-posterior drawer and medial-lateral shift of the tibia were strongly coupled to internal-external rotation for MS, as was anterior-posterior translation of the contact center in the lateral compartment. MS exhibited the least amount of paradoxical anterior translation of the femur relative to the tibia during knee flexion. The joint center of rotation in the transverse plane was located in the lateral compartment for PS and CR and in the medial compartment for MS. Substantial differences were evident in 6-DOF knee kinematics between the healthy knee and all three prosthetic designs. Overall, knee kinematic profiles observed for MS resemble those of the healthy joint more closely than PS and CR.
Types de publication
Comparative Study
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1753-1768Informations de copyright
© 2020 Orthopaedic Research Society. Published by Wiley Periodicals, Inc.
Références
Macheras GA, Galanakos SP, Lepetsos P, Anastasopoulos PP, Papadakis SA. A long term clinical outcome of the Medial Pivot Knee Arthroplasty System. Knee. 2017;24:447-453.
Argenson JN, Boisgard S, Parratte S, et al. Survival analysis of total knee arthroplasty at a minimum 10 years' follow-up: a multicenter French nationwide study including 846 cases. Orthop Traumatol Surg Res. 2013;99:385-390.
Bourne RB, Chesworth BM, Davis AM, Mahomed NN, Charron KDJ. Patient satisfaction after total knee arthroplasty: who is satisfied and who is not? Clin Orthop Relat Res. 2010;468:57-63.
Dunbar MJ, Richardson G, Robertsson O. I can't get no satisfaction after my total knee replacement: rhymes and reasons. Bone Joint J. 2013;95-B:148-152.
Pritchett JW. Patients prefer a bicruciate-retaining or the medial pivot total knee prosthesis. J Arthroplasty. 2011;26:224-228.
Dennis DA, Komistek RD, Mahfouz MR, Haas BD, Stiehl JB. Conventry award paper: multicenter determination of in vivo kinematics after total knee arthroplasty. Clin Orthop Relat Res. 2003;416:37-57.
Dennis DA, Komistek RD, Mahfouz MR, Walker SA, Tucker A. A multicenter analysis of axial femorotibial rotation after total knee arthroplasty. Clin Orthop Relat Res. 2004;428:180-189.
Schmidt R, Komistek RD, Blaha JD, Penenberg BL, Maloney WJ. Fluoroscopic analyses of cruciate-retaining and medial pivot knee implants. Clin Orthop Relat Res. 2003;410:139-147.
Fitch DA, Sedacki K, Yang Y. Mid- to long-term outcomes of a medial-pivot system for primary total knee replacement: a systematic review and meta-analysis. Bone Joint Res. 2014;3:297-304.
Hollister AM, Jatana S, Singh AK, Sullivan WW, Lupichuk AG. The axes of rotation of the knee. Clin Orthop Relat Res. 1993;290:259-268.
Churchill DL, Incavo SJ, Johnson CC, Beynnon BD. The transepicondylar axis approximates the optimal flexion axis of the knee. Clin Orthop Relat Res. 1998;356:111-118.
Scott G, Imam MA, Eifert A, et al. Can a total knee arthroplasty be both rotationally unconstrained and anteroposteriorly stabilised?: A pulsed fluoroscopic investigation. Bone Joint Res. 2016;5:80-86.
Schütz P, Taylor WR, Postolka B, et al. Kinematic evaluation of the GMK sphere implant during gait activities: a dynamic videofluoroscopy study. J Orthop Res. 2019;37:2337-2347.
Fantozzi S, Catani F, Ensini A, Leardini A, Giannini S. Femoral rollback of cruciate-retaining and posterior-stabilized total knee replacements: in vivo fluoroscopic analysis during activities of daily living. J Orthop Res. 2006;24:2222-2229.
Murakami K, Hamai S, Okazaki K, et al. Knee kinematics in bi-cruciate stabilized total knee arthroplasty during squatting and stair-climbing activities. J Orthop. 2018;15:650-654.
Ranawat CS, Komistek RD, Rodriguez JA, Dennis DA, Anderle M. In vivo kinematics for fixed and mobile-bearing posterior stabilized knee prostheses. Clin Orthop Relat Res. 2004;418:184-190.
Bertin KC, Komistek RD, Dennis DA, Hoff WA, Anderson DT, Langer T. In vivo determination of posterior femoral rollback for subjects having a NexGen posterior cruciate-retaining total knee arthroplasty. J Arthroplasty. 2002;17:1040-1048.
Hanson GR, Suggs JF, Freiberg AA, Durbhakula S, Li G. Investigation of in vivo 6DOF total knee arthoplasty kinematics using a dual orthogonal fluoroscopic system. J Orthop Res. 2006;24:974-981.
Taylor WR, Schütz P, Bergmann G, et al. A comprehensive assessment of the musculoskeletal system: the CAMS-Knee data set. J Biomech. 2017;65:32-39.
DesJardins JD, Banks SA, Benson LC, Pace T, LaBerge M. A direct comparison of patient and force-controlled simulator total knee replacement kinematics. J Biomech. 2007;40:3458-3466.
Dowsey MM, Pandy M, Young TJ, Gray H, Guan S, Choong PF. A blinded, three-arm randomised trial assessing joint function and measuring three-dimensional knee joint kinematics in individuals six months after a total knee joint replacement; comparing a medially stabilised design, to standard fixed bearing conventional designs-posterior stabilising and cruciate retaining. Int J Clin Trials. 2018;5(1):37-45.
Lai A, Lichtwark GA, Schache AG, Lin YC, Brown NAT, Pandy MG. In-vivo behavior of the human soleus muscle with increasing walking and running speeds. J Appl Physiol. 2015;118:1266-1275.
Guan S, Gray HA, Keynejad F, Pandy MG. Mobile biplane X-ray imaging system for measuring 3D dynamic joint motion during overground gait. IEEE Trans Med Imaging. 2016;35:326-336.
Grood ES, Suntay WJ. A joint coordinate system for the clinical description of three-dimensional motions: application to the knee. J Biomech Eng. 1983;105:136-144.
Guan S, Gray HA, Schache AG, Feller J, de Steiger R, Pandy MG. In vivo six-degree-of-freedom knee-joint kinematics in overground and treadmill walking following total knee arthroplasty. J Orthop Res. 2017;35:1634-1643.
Koo S, Andriacchi TP. The knee joint center of rotation is predominantly on the lateral side during normal walking. J Biomech. 2008;41:1269-1273.
Gray HA, Guan S, Thomeer LT, Schache AG, de Steiger R, Pandy MG. Three-dimensional motion of the knee-joint complex during normal walking revealed by mobile biplane x-ray imaging. J Orthop Res. 2019;37:615-630.
Trent PS, Walker PS, Wolf B. Ligament length patterns, strength, and rotational axes of the knee joint. Clin Orthop Relat Res. 1976;117:263-270.
Andriacchi TP, Galante JO, Fermier RW. The influence of total knee-replacement design on walking and stair-climbing. J Bone Joint Surg Am. 1982;64:1328-1335.
Yoshida Y, Zeni JA, Snyder-Mackler L. Do patients achieve normal gait patterns 3 years after total knee arthroplasty? J Orthop Sports Phys Ther. 2012;42:1039-1049.
Ploegmakers MJM, Ginsel B, Meijerink HJ, et al. Physical examination and in vivo kinematics in two posterior cruciate ligament retaining total knee arthroplasty designs. Knee. 2010;17:204-209.
Donadio J, Pelissier A, Boyer P, Massin P. Control of paradoxical kinematics in posterior cruciate-retaining total knee arthroplasty by increasing posterior femoral offset. Knee Surg Sports Traumatol Arthrosc. 2015;23:1631-1637.
Varadarajan KMM, Zumbrunn T, Rubash HE, Malchau H, Li G, Muratoglu OK. Cruciate retaining implant with biomimetic articular surface to reproduce activity dependent kinematics of the normal knee. J Arthroplasty. 2015;30:2149.e2-2153.e2.
Varadarajan KM, Harry RE, Johnson T, Li G. Can in vitro systems capture the characteristic differences between the flexion-extension kinematics of the healthy and TKA knee? Med Eng Phys. 2009;31:899-906.
Bull AMJ, Kessler O, Alam M, Amis AA. Changes in knee kinematics reflect the articular geometry after arthroplasty. Clin Orthop Relat Res. 2008;466:2491-2499.
Dennis DA, Komistek RD, Mahfouz MR. In vivo fluoroscopic analysis of fixed-bearing total knee replacements. Clin Orthop Relat Res. 2003;410:114-130.
Arendt-Nielsen L, Sinkjaer T, Nielsen J, Kallesøe K. Electromyographic patterns and knee joint kinematics during walking at various speeds. J Electromyogr Kinesiol. 1991;1:89-95.
Lim YP, Lin Y-C, Pandy MG. Effects of step length and step frequency on lower-limb muscle function in human gait. J Biomech. 2017;57:1-7.
Liu MQ, Anderson FC, Schwartz MH, Delp SL. Muscle contributions to support and progression over a range of walking speeds. J Biomech. 2008;41:3243-3252.
Ng AWH, Griffith JF, Hung EHY, Law KY, Ho EPY, Yung PSH. Can MRI predict the clinical instability and loss of the screw home phenomenon following ACL tear? Clin Imaging. 2013;37:116-123.
McClelland JA, Webster KE, Feller JA. Gait analysis of patients following total knee replacement: a systematic review. Knee. 2007;14:253-263.
Pua YH, Seah FJT, Clark RA, Lian-Li Poon C, Tan JWM, Chong HC. Factors associated with gait speed recovery after total knee arthroplasty: a longitudinal study. Semin Arthritis Rheum. 2017;46:544-551.