Muscle loaded stability reflects ligament-based stability in TKA: a cadaveric study.
In vitro
Knee stability
Laxity
Muscles
Total knee replacement
Journal
Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
ISSN: 1433-7347
Titre abrégé: Knee Surg Sports Traumatol Arthrosc
Pays: Germany
ID NLM: 9314730
Informations de publication
Date de publication:
Feb 2022
Feb 2022
Historique:
received:
24
06
2020
accepted:
08
10
2020
pubmed:
10
11
2020
medline:
26
2
2022
entrez:
9
11
2020
Statut:
ppublish
Résumé
This paper aims at evaluating the effects of muscle load on knee kinematics and stability after TKA and second at evaluating the effect of TKA surgery on knee kinematics and stability; and third, at correlating the stability in passive conditions and the stability in active, muscle loaded conditions. Fourteen fresh frozen cadaveric knee specimens were tested under passive and active condition with and without external loads involving a varus/valgus and internal/external rotational torque before and after TKA surgery using two in-house developed and previously validated test setups. Introduction of muscle force resulted in increased valgus (0.98°) and internal rotation of the femur (4.64°). TKA surgery also affected the neutral path kinematics, resulting in more varus (1.25°) and external rotation of the femur (5.22°). All laxities were significantly reduced by the introduction of the muscle load and after implantation of the TKA. The presence of the implant significantly affects the active varus/valgus laxity. This contrasts with the rotational laxity, in which case the passive laxity is the main determinant for the active laxity. For the varus/valgus laxity, the passive laxity is also a significant predictor of the active laxity. Knee stability is clearly affected by the presence of muscle load. This points to the relevance of appropriate rehabilitation with focus on avoiding muscular atrophy. At the same time, the functional, muscle loaded stability strongly relates to the passive, ligament-based stability. It remains therefore important to assess knee stability at the time of surgery, since the passive laxity is the only predictor for functional stability in the operating theatre. Case series, Level IV.
Identifiants
pubmed: 33165634
doi: 10.1007/s00167-020-06329-2
pii: 10.1007/s00167-020-06329-2
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
612-620Informations de copyright
© 2020. European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA).
Références
Arnout N, Victor J, Vermue H, Pringels J, Bellemans J, Verstraete M (2020) Knee joint laxity is restored in a bi-cruciate retaining TKA design. Knee Surg Sports Traumatol Arthrosc 28(9):2863–2871
doi: 10.1007/s00167-019-05639-4
pubmed: 31377826
Athwal KK, Hunt NC, Davies AJ, Deehan DJ, Amis AA (2014) Clinical biomechanics of instability is related to total knee arthroplasty. Clin Biomech 29(2):119–128
doi: 10.1016/j.clinbiomech.2013.11.004
Baldwin M, Clary C, Maletsky LP, Rullkoetter PJ (2009) Verification of predicted specimen-specific natural and implanted patellofemoral kinematics during simulated deep knee bend. J Biomech 42(14):2341–2348
doi: 10.1016/j.jbiomech.2009.06.028
pubmed: 19720376
Banks SA, Hodge WA (2004) Hap Paul Award Paper of the International Society for Technology in Arthroplasty design and activity dependence of kinematics in fixed and mobile-bearing knee arthroplasties. J Arthroplasty 19(7):809–816
doi: 10.1016/j.arth.2004.04.011
pubmed: 15483794
Carr AJ, Robertsson O, Graves S, Price AJ, Arden NK, Judge A, Beard DJ (2012) Knee replacement. Lancet 379(9823):1331–1340
doi: 10.1016/S0140-6736(11)60752-6
pubmed: 22398175
Chevalier A, Verstraete M, Ionescu C, De Keyser R (2017) Decoupled control for the bicycling UGent knee rig: design, implementation, and validation. IEEE/ASME Trans Mechatronics 22(4):1685–1694
doi: 10.1109/TMECH.2017.2696708
Freeman MR, Pinskerova V (2005) The movement of the normal tibio-femoral joint. J Biomech 38(2):197–208
doi: 10.1016/j.jbiomech.2004.02.006
pubmed: 15598446
Ghosh KM, Blain AP, Longstaff L, Rushton S, Amis AA, Deehan DJ (2014) Can we define envelope of laxity during navigated knee arthroplasty? Knee Surg Sports Traumatol Arthrosc 22(8):1736–1743
doi: 10.1007/s00167-013-2574-0
pubmed: 23832172
Gapeyeva H, Buht N, Peterson K, Ereline J, Haviko T, Pääsuke M (2007) Quadriceps femoris muscle voluntary isometric force production and relaxation characteristics before and 6 months after unilateral total knee arthroplasty in women. Knee Surg Sports Traumatol Arthrosc 15(2):202–211
doi: 10.1007/s00167-006-0166-y
pubmed: 17006663
Grood ES, Suntay WJ (1983) A joint coordinate system for the clinical description of three-dimensional motions: application to the knee. J Biomech Eng 105(2):136–144
doi: 10.1115/1.3138397
pubmed: 6865355
Gustke KA, Golladay GJ, Roche MW, Jerry GJ, Elson LC, Anderson CR (2014) Increased satisfaction after total knee replacement using sensor-guided technology. Bone Jt J 96B(10):1333–1338
doi: 10.1302/0301-620X.96B10.34068
Halewood C, Amis AA (2015) Clinically relevant biomechanics of the knee capsule and ligaments. Knee Surg Sports Traumatol Arthrosc 23(10):2789–2796
doi: 10.1007/s00167-015-3594-8
pubmed: 25894747
Iwaki H, Pinskerova V, Freeman MAR (2002) Tibiofemoral movement 1: the shapes and the unloaded cadaver knee. J Bone Joint Surg Br 82(8):1189–1195
doi: 10.1302/0301-620X.82B8.0821189
Keays SL, Bullock-saxton JE, Newcombe P (2003) The relationship between knee strength and functional stability before and after anterior cruciate ligament reconstruction. J Orthop Res 21(2):231–237
doi: 10.1016/S0736-0266(02)00160-2
pubmed: 12568953
Kurtz S, Ong K, Lau E, Mowat F, Halpern M (2007) Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J Bone Joint Surg Am 89(4):780–785
doi: 10.2106/00004623-200704000-00012
pubmed: 17403800
Le DH, Goodman SB, Maloney WJ, Huddleston JI (2014) Current modes of failure in TKA: infection, instability, and stiffness predominate. Clin Orthop 472(7):2197–2200
doi: 10.1007/s11999-014-3540-y
pubmed: 24615421
pmcid: 4048402
Lo J, Müller O, Dilger T, Wülker N, Wünschel M (2011) Translational and rotational knee joint stability in anterior and posterior cruciate-retaining knee arthroplasty. Knee 18(6):491–495
doi: 10.1016/j.knee.2010.10.009
pubmed: 21074997
Manning WA, Ghosh K, Blain A, Longstaff L, Deehan DJ (2017) Tibiofemoral forces for the native and post—arthroplasty knee: relationship to maximal laxity through a functional arc of motion. Knee Surg Sports Traumatol Arthrosc 25(6):1669–1677
doi: 10.1007/s00167-016-4093-2
pubmed: 27034084
Martin JW, Whiteside LA (1990) The influence of joint line position on knee stability after condylar knee arthroplasty. Clin Orthop 259:146–156
doi: 10.1097/00003086-199010000-00021
Meloni MC, Hoedemaeker W, Violante B, Mazzola C (2014) Soft tissue balancing in total knee arthroplasty. Joints 2(1):37–40
pubmed: 25606540
pmcid: 4295665
Mizner R, Petterson S, Stevens J, Vandenborne K, Snyder-Mackler L (2005) Early quadriceps strength loss after total knee arthroplasty. J Bone Joint Surg 87A(5):1047–1053
doi: 10.2106/JBJS.D.01992
Murer M, Falkowski A, Hirschmann A, Amsler F, Hirschmann M (2020) Threshold values for stress radiographs in unstable knees after total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc. https://doi.org/10.1007/s00167-020-05964-z
doi: 10.1007/s00167-020-05964-z
pubmed: 32236677
Noble PC, Gordon MJ, Weiss JM, Reddix RN, Conditt MA, Mathis KB (2005) Does total knee replacement restore normal knee function? Clin Orthop 431:157–165
doi: 10.1097/01.blo.0000150130.03519.fb
Pollet V, Barrat D, Meirhaeghe E, Vaes P, Handelberg F (2005) The role of the Rolimeter in quantifying knee instability compared to the functional outcome of ACL-reconstructed versus conservatively-treated knees. Knee Surg Sports Traumatol Arthrosc 13(1):12–18
doi: 10.1007/s00167-004-0497-5
pubmed: 15221209
Salvadore G, Meere P, Verstraete M, Victor J, Walker P (2018) Laxity and contact forces of total knee designed for anatomic motion: a cadaveric study. Knee 25(4):650–656
doi: 10.1016/j.knee.2018.04.014
pubmed: 29778656
Seah RB, Yeo SJ, Chin PL, Yew AK, Chong HC, Lo NN (2014) Evaluation of medial-lateral stability and functional outcome following total knee arthroplasty: results of a single hospital joint registry. J Arthroplasty 29(12):2276–2279
doi: 10.1016/j.arth.2014.04.015
pubmed: 24881024
Siddiqi A, White PB, Kaplin L, Bono JV, Talmo CT (2018) Effects of coronal limb alignment and ligament balance on pain and satisfaction following total knee arthroplasty at short term follow up. Surg Technol Int 11(33):271–276
Shelton TJ, Nedopil AJ, Howell SM, Hull ML (2017) Do varus or valgus outliers have higher forces in the medial or lateral compartments than those which are in-range after a kinematically aligned total knee arthroplasty? Bone Jt J 99(10):1319–1328
doi: 10.1302/0301-620X.99B10.BJJ-2017-0066.R1
Skou ST, Roos EM, Laursen MB, Rathleff MS, Arendt-Nielsen L, Simonsen O (2015) A randomized, controlled trial of total knee replacement. N Engl J Med 373(17):1597–1606
doi: 10.1056/NEJMoa1505467
pubmed: 26488691
Verstraete MA, Arnout N, Vancouillie T, De Baets P, Victor J (2017) Real-time in-vitro evaluation of knee kinematics using enriched computed tomography data. EPiC Ser Health Sci 1:369–374
doi: 10.29007/flk2
Verstraete MA, Meere PA, Salvadore G, Victor J, Walker P (2017) Contact forces in the tibiofemoral joint from soft tissue tensions: implications to soft tissue balancing in total knee arthroplasty. J Biomech 58:195–202
doi: 10.1016/j.jbiomech.2017.05.008
pubmed: 28579262
Verstraete MA, Victor J (2015) Possibilities and limitations of novel in-vitro knee simulator. J Biomech 48(12):3377–3382
doi: 10.1016/j.jbiomech.2015.06.007
pubmed: 26152462
Verstraete MA, Willemot L, Van OS, Stevens C, Arnout N, Victor J (2016) 3D printed guides for controlled alignment in biomechanics tests. J Biomech 49(3):484–487
doi: 10.1016/j.jbiomech.2015.12.036
pubmed: 26810696
Victor J, Labey L, Wong P, Innocenti B, Bellemans J (2010) The influence of muscle load on tibiofemoral knee kinematics. J Orthop Res 28(4):419–428
pubmed: 19890990
Victor J, Van Glabbeek F, Vander Sloten J, Parizel PM, Somville J, Bellemans J (2009) An experimental model for kinematic analysis of the knee. J Bone Joint Surg Am 91(6):150–163
doi: 10.2106/JBJS.I.00498
pubmed: 19884423
Walker PS, Meere PA, Bell CP (2014) Effects of surgical variables in balancing of total knee replacements using an instrumented tibial trial. Knee 21(1):156–161
doi: 10.1016/j.knee.2013.09.002
pubmed: 24103411
Warth LC, Ishmael MK, Deckard ER, Ziemba-Davis M, Meneghini RM (2017) Do medial Pivot kinematics correlate with patient reported outcomes after total knee arthroplasty? J Arthroplasty 32(8):2411–2416
doi: 10.1016/j.arth.2017.03.019
pubmed: 28433427