In Vivo Knee Kinematics During Stair and Deep Flexion Activities in Patients With Bicruciate Substituting Total Knee Arthroplasty

Kuroyanagi, Yuji; Mu, Shang; Hamai, Satoshi; Robb, William J.; Banks, Scott A.

doi:10.1016/j.arth.2011.03.005

Cited by 44 publications

(33 citation statements)

References 25 publications

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“…The use of fluoroscopic images to directly measure human joint kinematics has increasing been used to study the knee [37][38][39], shoulder [20,[22][23][24][25][26][27], ankle [35] and spine [36,40]. In a study of glenohumeral translations, Nishinaka and colleagues estimated (based on their prior work on knee kinematics) that the in-plane errors for measuring shoulder kinematics are 0.5 mm in translation and 0.5 • in rotation using a single fluoroscopic Image 2D-3D registration technique.…”

Section: Discussionmentioning

confidence: 98%

The accuracy and repeatability of an automatic 2D–3D fluoroscopic image-model registration technique for determining shoulder joint kinematics

Zhu

Massimini

Wang

et al. 2012

Medical Engineering & Physics

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Section: Discussionmentioning

confidence: 98%

The accuracy and repeatability of an automatic 2D–3D fluoroscopic image-model registration technique for determining shoulder joint kinematics

Zhu

Massimini

Wang

et al. 2012

Medical Engineering & Physics

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“…Investigation of characteristic motion of the knee is critical for design and evaluation of contemporary total knee arthroplasty (TKA) that aims to restore normal knee function and achieve full range of knee flexion (Fitz et al, 2012; Kuroyanagi et al, 2012; Moynihan et al, 2010; Tamaki et al, 2009). Medial-pivoting motion during knee flexion, that describes the knee rotation along an axis located at the medial side of the knee during flexion, has been widely accepted as a motion character and has been implemented in several current TKA components such as Advance (Wright Medical Technology, Arlington, TN) and Journey (Smith & Nephew Inc., Memphis, TN) (Fitz et al, 2012; Kuroyanagi et al, 2012; Moynihan et al, 2010).…”

Section: Introductionmentioning

confidence: 99%

“…Medial-pivoting motion during knee flexion, that describes the knee rotation along an axis located at the medial side of the knee during flexion, has been widely accepted as a motion character and has been implemented in several current TKA components such as Advance (Wright Medical Technology, Arlington, TN) and Journey (Smith & Nephew Inc., Memphis, TN) (Fitz et al, 2012; Kuroyanagi et al, 2012; Moynihan et al, 2010). While many studies have reported data to support the medial-pivoting feature of the knee motion (Hill et al, 2000; Jensen, 2005; Johal et al, 2005; Tanifuji et al, 2011), there are studies that reported knee flexion in a lateral-pivoting pattern during gait (Hoshino and Tashman, 2012; Koo and Andriacchi, 2008; Kozanek et al, 2009).…”

Section: Introductionmentioning

confidence: 99%

In vivo kinematics of the knee during weight bearing high flexion

Hosseini

Tsai

et al. 2013

Journal of Biomechanics

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Achieving high flexion is an objective of contemporary total knee arthoplasty, however little is known on the knee biomechanics at high flexion under weight-bearing conditions. This study is to investigate the 6DOF kinematics and tibiofemoral cartilage contact biomechanics of the knee during weight-bearing flexion from full extension to maximal flexion. Eight knees from seven healthy subjects with no history of injuries or chronic pain were recruited. The knees were MRI scanned to create 3D models of the tibia and femur, including their articular cartilage surfaces. The subjects were then imaged using a dual fluoroscopic image system while performing a weight-bearing quasi-static single-legged lunge from full extension to maximal flexion. The 6DOF kinematics and the articular cartilage contact locations were measured along the flexion path of the knee. The result indicated that the internal tibial rotation increased sharply at low flexion angles (full extension to 30°), maintained a small variation in the middle range of flexion (30° to 120°), and then sharply increased again at high flexion angles (120° to maximal flexion). The contact point moved similarly in the medial and lateral compartments before 120° of flexion, but less on the medial compartment at high flexion angles. The results indicated that the knee motion couldn’t be described using one character in the entire range of flexion, especially in high flexion. The knee kinematic data in the entire range of flexion of the knee could be instrumental for designing new knee prostheses to achieve physical high flexion and improving rehabilitation protocols after knee injuries.

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“…4, 6,11 One potential cause may be that conventional TKA designs cannot reproduce normal knee kinematics and function due to the lack of the anterior cruciate ligament (ACL). 5,7,[12][13][14] In cruciate retaining (CR) and posterior stabilizing (PS) TKA procedures, the ACL is always resected, which can cause abnormal tibiofemoral positioning in the range of knee motion (ROM) and anterior knee laxity. 5,11,12 In traditional CR and PS TKA procedures, paradoxical anterior sliding of the femoral bone and insufficient femoral rotation in the ROM have been reported.…”

mentioning

confidence: 99%

“…5,11,12 In traditional CR and PS TKA procedures, paradoxical anterior sliding of the femoral bone and insufficient femoral rotation in the ROM have been reported. 7,13,14 It has been suggested that this paradoxical movement of the femoral bone results in the loss of knee flexion. 14,15 Recently, bi-cruciate substituting (BCS) TKA has been developed to obtain better knee function and kinematics similar to that of normal knees.…”

mentioning

confidence: 99%

Comparison of Muscle Recovery Following Bi-cruciate Substituting versus Posterior Stabilized Total Knee Arthroplasty in the Asian Population

et al. 2017

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The purpose of this study was to compare muscle recovery in the lower extremities following the newly developed bi-cruciate substituting (BCS) to posterior stabilized (PS) total knee arthroplasty (TKA) in the Asian population. Forty-one knees in 41 patients undergoing BCS-TKA (41 female, average age: 71 ± 8.8) and 34 knees in 34 patients undergoing PS-TKA (33 female, average age: 73 ± 7.2) were included in this study. The maximum isometric power of the quadriceps and hamstring muscles was measured preoperatively, and at 1, 3, 6, and 12 months after surgery using a handheld dynamometer. Postoperative muscle recovery was calculated regarding preoperative muscle power as 100%. Pre- and postoperative range of knee motion, femorotibial angle, and clinical scores (Knee Society score and function score) were also compared. No significant difference in sex, age, preoperative quadriceps, or preoperative hamstring power was observed between the BCS and PS-TKA groups. When regarding the preoperative muscle power as 100%, quadriceps power at 1, 3, 6, and 12 months following BCS-TKA was 61.2 ± 22%, 86.3 ± 28.3%, 97 ± 27.4%, and 112.4 ± 30.8%, respectively. Quadriceps power at 1, 3, 6, and 12 months following PS-TKA was 72.4 ± 20.8%, 84 ± 16.9%, 95 ± 20.7%, and 110.8 ± 27%, respectively. Hamstring power at 1, 3, 6, and 12 months following BCS-TKA was 96.3 ± 30%, 111.4 ± 35%, 120 ± 37%, and 125 ± 31%, respectively. Hamstring power at 1, 3, 6, and 12 months following PS-TKA was 95 ± 25%, 112.4 ± 27%, 117 ± 38.5%, and 120.4 ± 18.5%, respectively. No significant difference in muscle power recovery was observed at 3 ( = 0.995), 6 ( = 0.944), and 12 ( = 0.917) months after surgery between the two groups. No significant difference of the clinical score was observed between the groups (Knee Society score: = 0.479, function score: = 0.342). No significant difference in muscle recovery and clinical score were observed between the BCS and PS-TKA groups. Longer follow-up is needed for the evaluation of efficacy of BCS-TKA in the Asian populations.

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In Vivo Knee Kinematics During Stair and Deep Flexion Activities in Patients With Bicruciate Substituting Total Knee Arthroplasty

Cited by 44 publications

References 25 publications

The accuracy and repeatability of an automatic 2D–3D fluoroscopic image-model registration technique for determining shoulder joint kinematics

The accuracy and repeatability of an automatic 2D–3D fluoroscopic image-model registration technique for determining shoulder joint kinematics

In vivo kinematics of the knee during weight bearing high flexion

Comparison of Muscle Recovery Following Bi-cruciate Substituting versus Posterior Stabilized Total Knee Arthroplasty in the Asian Population

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