Restoration of the joint line in total knee arthroplasty

J Arthroplasty. 2009 Oct;24(7):1099-102. doi: 10.1016/j.arth.2008.06.030. Epub 2008 Aug 30.

Abstract

The purpose of the study was to assess the effect of the joint line position in a posterior cruciate ligament-retaining, mobile-bearing total knee arthroplasty (TKA). Seventy-six consecutive TKAs performed by 1 surgeon were prospectively assessed for a minimum of 2.5 years. Posterior cruciate ligament-retaining, mobile-bearing TKA was performed in all cases. The joint line was elevated 1 mm on average (range, -11 to +10). There was no correlation between joint line position and range of motion, knee function scores, knee pain scores, or patellar height. The joint line position in a posterior cruciate-retaining, mobile-bearing (LCS AP Glide; DePuy, Leeds, United Kingdom) TKA did not affect the early clinical results.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Arthralgia / diagnostic imaging
  • Arthralgia / physiopathology
  • Arthralgia / prevention & control
  • Arthroplasty, Replacement, Knee / instrumentation*
  • Arthroplasty, Replacement, Knee / methods*
  • Bone Malalignment / diagnostic imaging
  • Bone Malalignment / physiopathology
  • Bone Malalignment / prevention & control
  • Female
  • Follow-Up Studies
  • Humans
  • Knee Joint / diagnostic imaging*
  • Knee Joint / physiology
  • Knee Joint / surgery*
  • Knee Prosthesis*
  • Male
  • Middle Aged
  • Posterior Cruciate Ligament / surgery
  • Prospective Studies
  • Radiography
  • Range of Motion, Articular / physiology
  • Treatment Outcome