EFFECT OF TIBIAL COMPONENT POSITION ON PATELLAR STRAIN FOLLOWING TOTAL KNEE ARTHROPLASTY

被引：42

作者：

SINGERMAN, R

HEIPLE, KG

DAVY, DT

GOLDBERG, VM

机构：

[1] Department of Mechanical and Aerospace Engineering, Case Western Reserve University, Cleveland, Ohio

[2] Department of Orthopaedics, Case Western Reserve University, Cleveland, Ohio

来源：

JOURNAL OF ARTHROPLASTY | 1995年 / 10卷 / 05期

关键词：

TOTAL KNEE ARTHROPLASTY; PATELLAR STRAIN; KNEE BIOMECHANICS; PATELLAR FRACTURE; KNEE PROTHESIS ALIGNMENT;

D O I：

10.1016/S0883-5403(05)80210-4

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：

Patellar fracture following total knee arthroplasty has been related to component alignment and tibiofemoral joint-line position. The purpose of this study was to determine the effect of anteroposterior displacement of the tibial component and inferosuperior displacement of the tibiofemoral joint line on patellar strain following total knee arthroplasty with a cruciate-substituting design. Patellar strain increased (decreased) with anterior and inferior (posterior and superior) displacement. When averaged across all flexion angles, the strain changed approximately 1.7%/mm of anteroposterior displacement and 1.0%/mm of inferosuperior displacement. For individual specimens, changes in strain as high as 3.2%/mm of inferosuperior displacement of the joint line were seen. These changes in strain may be associated with changes in the patellofemoral contact force seen for similar changes in tibiofemoral joint-line position. These changes in strain may be a biomechanical indicator of the efficacy of retaining the preoperative position of the tibiofemoral joint line.

引用

页码：651 / 656

页数：6

共 25 条

[1]

Baley JC, Scott RD, Ewald FC, Holmes GB, Failure of the metal-backed patellar component after total knee replacement, J Bone Joint Surg, 70 A, (1988)

[2]

Brick GW, Scott RD, The patellofemoral component of total knee arthroplasty, Clin Orthop, 231, (1988)

[3]

Cameron HU, Fedorkow DM, The patella in total knee arthroplasty, Clin Orthop, 165, (1982)

[4]

Clayton ML, Thirupathi R, Patellar complications after total condylar arthroplasty, Clin Orthop, 170, (1982)

[5]

Figgie HE, Goldberg VM, Heipke KG, Et al., The influence of tibial-patellofemoral location on function of the knee in patients with the posterior stabilized condylar knee prosthesis, J Bone Joint Surg, 68 A, (1986)

[6]

Grace JN, Sim FH, Fracture of the patella after total knee arthroplasty, Clin Orthop, 230, (1988)

[7]

Lombardi AV, Engh GA, Volz RG, Et al., Fracture/dissociation of the polyethylene in metal-backed patellar components in total knee arthroplasty, J Bone Joint Surg, 70 A, (1988)

[8]

Ranawat CS, The patellofemoral joint in total condylar knee arthroplasty: pros and cons based on five- and ten-year follow-up observations, Clin Orthop, 205, (1986)

[9]

Roffman M, Hirsh DM, Mendes DG, Fracture of the resurfaced patella in total knee replacement, Clin Orthop, 148, (1980)

[10]

Scott RD, Turoff N, Ewald FC, Stress fracture of the patella following duopatellar total knee arthroplasty with patellar resurfacing, Clin Orthop, 170, (1982)

← 1 2 3 →