In vivo kinematic analysis of a high-flexion posterior stabilized fixed-bearing knee prosthesis in deep knee-bending motion.
The objective of this study was to evaluate in vivo kinematics of a high-flexion, posterior-stabilized fixed-bearing, total knee arthroplasty in weight-bearing deep knee-bending motion. A total of 20 knees implanted with the Scorpio Non-Restrictive Geometry knee system in 17 patients were assessed in this study. The Scorpio Non-Restrictive Geometry is a recent implant design with modifications made to accommodate a higher flexion range of motion and greater axial rotation, particularly during more functionally demanding activities. Patients were examined during a deep knee-bending motion using fluoroscopy, and femorotibial motion was determined using a 2-dimensional to 3-dimensional registration technique. The average flexion angle was 126.5 degrees (110 degrees -149 degrees ). The femoral component demonstrated a mean of 13.5 degrees (5.2 degrees -21 degrees ) external rotation. The external rotation increased up to maximum flexion. The pivot pattern was a medial pivot pattern similar to that reported in normal knee kinematics.
Division of Orthpaedic Biomaterial Science, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.
Masashi
M
Tamaki
Tetsuya
T
Tomita
Takaharu
T
Yamazaki
William J
WJ
Hozack
Hideki
H
Yoshikawa
Kazuomi
K
Sugamoto
D000328:Adult; D000368:Aged; D019645:Arthroplasty, Replacement, Knee / Q000295:instrumentation; D001696:Biomechanical Phenomena; D017076:Computer-Aided Design; D005260:Female; D005471:Fluoroscopy; D005500:Follow-Up Studies; D006801:Humans; D007719:Knee Joint / Q000502:physiology*; D007720:Knee Prosthesis; D008297:Male; D008875:Middle Aged; D020370:Osteoarthritis, Knee / Q000601:surgery; D011474:Prosthesis Design; D016059:Range of Motion, Articular / Q000502:physiology*