Kneeling Is Safe for Patients Implanted With Medial-Pivot Total Knee Arthroplasty Designs

被引:24
作者
Barnes, C. Lowry [1 ]
Sharma, Adrija [2 ]
Blaha, J. David [3 ]
Nambu, Satya N. [4 ]
Carroll, Michael E. [4 ]
机构
[1] Arkansas Specialty Orthopaed, Little Rock, AR USA
[2] Vanderbilt Univ, Med Ctr, Dept Neurol Surg, Nashville, TN USA
[3] Univ Michigan, Dept Orthoped, Ann Arbor, MI 48109 USA
[4] Wright Med Technol Inc, Arlington, TN USA
关键词
total knee arthroplasty; kneeling; ADVANCE Medial-Pivot; PATELLOFEMORAL FORCES; KINEMATIC ANALYSIS; DEEP FLEXION; REPLACEMENT; MOTION; RANGE; JOINT; MODELS; LOADS; HIP;
D O I
10.1016/j.arth.2010.04.027
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Nine ADVANCE (Wright Medical Technology, Arlington, TN)) Medial-Pivot (MP) and 9 ADVANCE Double-High total knee arthroplasties were analyzed under radiographic surveillance at standing, mid kneeling, and full kneeling. In vivo tibiofemoral contact positions were obtained using the 3- to 2-dimensional image registration technique. The contact in Double-High knee was always more posterior than that in the MP knee presumably because of the presence of the posterior cruciate ligament. The contact positions in both the designs moved anterior from standing to mid kneeling, moved posterior from mid kneeling to full kneeling, and remained within the intended articulation range of the implants. This study indicates that kneeling is safe in MP total knee arthroplasty even in the absence of a cam-post or posterior cruciate ligament.
引用
收藏
页码:549 / 554
页数:6
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