1. Internal femoral component malrotation in TKA significantly alters tibiofemoral kinematics
- Author
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Susanne Fuchs-Winkelmann, Bilal Farouk El-Zayat, Yan Chevalier, Luc Labey, Ronny De Corte, and Thomas J. Heyse
- Subjects
Male ,musculoskeletal diseases ,medicine.medical_specialty ,Knee Joint ,Rotation ,Squat ,Kinematics ,03 medical and health sciences ,0302 clinical medicine ,Cadaver ,medicine ,Humans ,Orthopedics and Sports Medicine ,Femur ,Tibia ,Range of Motion, Articular ,Arthroplasty, Replacement, Knee ,Aged, 80 and over ,Orthodontics ,030222 orthopedics ,business.industry ,Biomechanics ,Bone Malalignment ,030229 sport sciences ,musculoskeletal system ,Biomechanical Phenomena ,Orthopedic surgery ,Squatting position ,Surgery ,Knee Prosthesis ,business - Abstract
Femoral component malrotation in total knee arthroplasty (TKA) is clinically proven to cause dissatisfaction and impaired function. This study is an attempt to characterize the tibiofemoral kinematics following femoral malrotation in posterior stabilized (PS) TKA. It was hypothesized that internal malrotation would introduce the most pronounced changes. Six fresh-frozen cadaver specimens were mounted in a kinematic rig. Three motion patterns were applied with the native knee and following PS TKA (passive motion, open chain extension, and squatting) while infrared cameras recorded the trajectories of markers attached to femur and tibia. Three different femoral implants were tested: a conventional posterior stabilized component, and adapted components of the same implant with 5° of intrinsic external and internal rotation, respectively. The implantation of the PS TKA resulted in less tibial internal rotation (squat 33–70°, p
- Published
- 2017