Kinematics of monoblock bicompartmental knee arthroplasty during weight-bearing activities

Verfasser / Beitragende:
[Brian Park, Jorg Leffler, Alois Franz, Nicholas Dunbar, Scott Banks]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/6(2015-06-01), 1756-1762
Format:
Artikel (online)
ID: 605456208
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024 7 0 |a 10.1007/s00167-014-3427-1  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-3427-1 
245 0 0 |a Kinematics of monoblock bicompartmental knee arthroplasty during weight-bearing activities  |h [Elektronische Daten]  |c [Brian Park, Jorg Leffler, Alois Franz, Nicholas Dunbar, Scott Banks] 
520 3 |a Purpose: There is an increased interest in treating arthritis of the medial and patellofemoral compartments without using a total knee arthroplasty. The purpose of this study was to measure kinematics in knees with a monoblock bicompartmental arthroplasty to see whether maintaining the cruciate ligaments and lateral compartment resulted in consistent kinematics more similar to healthy knees than those observed in replaced knees. Methods: The kinematics of ten knees with monoblock bicompartmental arthroplasty were observed using fluoroscopy during three weight-bearing activities. Model-image registration techniques were used to quantify the three-dimensional motions of the knee joints. Results: During kneeling, lunging, and stair-step activities, the medial condyle remained relatively close to the centre of the tibial plateau, while the lateral condyle typically moved posteriorly with flexion. Knees generally exhibited motion patterns consistent with retained cruciate ligament function, but individual patterns varied significantly. Conclusions: Bicompartmental knee arthroplasty has the potential to retain more natural knee function. Improved tools for aligning the implants and increased implant sizing options may be required to achieve highly consistent results and realize the clinical benefit of a knee arthroplasty with intact cruciate ligaments. Level of evidence: III. 
540 |a European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA), 2014 
690 7 |a Knee  |2 nationallicence 
690 7 |a Kinematics  |2 nationallicence 
690 7 |a Bicompartmental  |2 nationallicence 
690 7 |a Arthroplasty  |2 nationallicence 
690 7 |a Fluoroscopy  |2 nationallicence 
700 1 |a Park  |D Brian  |u Gary J. Miller PhD Orthopaedic Biomechanics Laboratory, Department of Mechanical and Aerospace Engineering, University of Florida, MAE-A 318, 32611-6250, Gainesville, FL, USA  |4 aut 
700 1 |a Leffler  |D Jorg  |u St. Marien-Krankenhaus Klinik für Orthopädie, Siegen, Germany  |4 aut 
700 1 |a Franz  |D Alois  |u St. Marien-Krankenhaus Klinik für Orthopädie, Siegen, Germany  |4 aut 
700 1 |a Dunbar  |D Nicholas  |u Gary J. Miller PhD Orthopaedic Biomechanics Laboratory, Department of Mechanical and Aerospace Engineering, University of Florida, MAE-A 318, 32611-6250, Gainesville, FL, USA  |4 aut 
700 1 |a Banks  |D Scott  |u Gary J. Miller PhD Orthopaedic Biomechanics Laboratory, Department of Mechanical and Aerospace Engineering, University of Florida, MAE-A 318, 32611-6250, Gainesville, FL, USA  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/6(2015-06-01), 1756-1762  |x 0942-2056  |q 23:6<1756  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-3427-1  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00167-014-3427-1  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Park  |D Brian  |u Gary J. Miller PhD Orthopaedic Biomechanics Laboratory, Department of Mechanical and Aerospace Engineering, University of Florida, MAE-A 318, 32611-6250, Gainesville, FL, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Leffler  |D Jorg  |u St. Marien-Krankenhaus Klinik für Orthopädie, Siegen, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Franz  |D Alois  |u St. Marien-Krankenhaus Klinik für Orthopädie, Siegen, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Dunbar  |D Nicholas  |u Gary J. Miller PhD Orthopaedic Biomechanics Laboratory, Department of Mechanical and Aerospace Engineering, University of Florida, MAE-A 318, 32611-6250, Gainesville, FL, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Banks  |D Scott  |u Gary J. Miller PhD Orthopaedic Biomechanics Laboratory, Department of Mechanical and Aerospace Engineering, University of Florida, MAE-A 318, 32611-6250, Gainesville, FL, USA  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/6(2015-06-01), 1756-1762  |x 0942-2056  |q 23:6<1756  |1 2015  |2 23  |o 167