title: Device-length changes and implant function following surgical implantation of the KineSpring in cadaver knees.
abstract: BACKGROUND
  The KineSpring implant system has been shown to provide load reductions at the medial compartment of the knee, and has demonstrated clinical success in reducing pain and increasing function in patients with medial knee osteoarthritis. These results depend on the ability of the KineSpring to rotate, lengthen, and shorten to accommodate knee motions, and in response to knee position and loading.
  
  
  OBJECTIVE
  The present study was undertaken to determine length changes of the implanted KineSpring in response to a range of knee positions, external knee loads, and placements by different orthopedic surgeons.
  
  
  METHODS
  KineSpring system components were implanted in ten cadaver leg specimens by ten orthopedic surgeons, and absorber-length changes were measured under combined loading and in different positions of the knee.
  
  
  CONCLUSIONS
  Spring compression consistent with knee-load reduction, and device lengthening and shortening to accommodate knee loads and motions were seen. These confirm the functionality of the KineSpring when implanted medially to the knee.
authors.affiliation: Aintree University Hospital, Teaching Hospital, Major Trauma Centre, NHS Foundation Trust, Liverpool, UK.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: McNicholas
authors.affiliation: Moximed, Hayward, CA, USA.
authors.forename: Stefan M
authors.initials: SM
authors.lastname: Gabriel
authors.affiliation: Moximed, Hayward, CA, USA.
authors.forename: Anton G
authors.initials: AG
authors.lastname: Clifford
authors.affiliation: Moximed, Hayward, CA, USA.
authors.forename: Evelyne M
authors.initials: EM
authors.lastname: Hasler
keywords: KineSpring; function; knee; offloading; osteoarthritis; preservation