Dynamic in-vivo tibio-femoral and bearing motions in mobile bearing knee arthroplasty

Knee Surg Sports Traumatol Arthrosc. 2004 Mar;12(2):144-51. doi: 10.1007/s00167-003-0384-5. Epub 2003 Jul 9.

Abstract

To determine the tibio-femoral and bearing motions in well functioning mobile bearing total knee arthroplasties, a quantitative analysis by means of fluoroscopy was carried out during stair ascending, chair rising-sitting and step up-down motor tasks. Femoral and tibial component positions were obtained using a CAD-model-based shape matching technique. Direct measurement of mobile bearing motion was carried out by tracking previously inserted tantalum beads. A relatively small motion of the bearing was observed. The advantage of self-alignment claimed for the mobile bearing arthroplasty seems to be confirmed by subject-specific ranges of motion exhibited by these patients. It has also been demonstrated that these total knee arthroplasties, which are not fully conforming in flexion, provide little constraint to antero-posterior motion, leading to a kinematic pattern very similar to an ACL deficient knee.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Activities of Daily Living
  • Aged
  • Aged, 80 and over
  • Arthroplasty, Replacement, Knee*
  • Biomechanical Phenomena
  • Female
  • Femur / physiology*
  • Fluoroscopy
  • Humans
  • Imaging, Three-Dimensional
  • Knee Prosthesis*
  • Male
  • Prosthesis Design
  • Rotation
  • Task Performance and Analysis
  • Tibia / physiology*
  • Weight-Bearing / physiology*