Posterior Femoral Condylar Offset After Total Knee Replacement in The Risk of Knee Flexion Contracture

被引:40
|
作者
Onodera, Tomohiro [1 ]
Majima, Tokifumi [2 ]
Nishiike, Osamu [3 ]
Kasahara, Yasuhiko [1 ]
Takahashi, Daisuke [1 ,2 ]
机构
[1] Hokkaido Univ, Sch Med, Dept Orthopaed Surg, Sapporo, Hokkaido 0608638, Japan
[2] Hokkaido Univ, Sch Med, Dept joint Replacement & Tissue Engn, Kita Ku, Sapporo, Hokkaido 0608638, Japan
[3] Kushiro Sanjikai Hosp, Dept Orthopaed Surg, Kushiro, Hokkaido, Japan
来源
JOURNAL OF ARTHROPLASTY | 2013年 / 28卷 / 07期
关键词
total knee arthroplasty; implant design; posterior condylar offset; extension gap; ARTHROPLASTY; RANGE; MOTION; MOVEMENT; GAP;
D O I
10.1016/j.arth.2012.07.029
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
The aim of this study was to clarify the risk of knee flexion contracture associated with a posterior femoral condylar offset after total knee replacement (TKR). Radiographs from 100 healthy Japanese volunteers were included in the study. We evaluated femoral component posterior offset in various implants and compared them with the normal Japanese knee. Posterior offset of the femoral condyle is up to a maximum of 4.7 times greater than that of the healthy Japanese knee in all knee implants. Excess posterior offset of the femoral condyle in TKR prostheses may cause knee joint flexion contracture due to the relative shortening of the posterior soft tissue. (c) 2013 Elsevier Inc. All rights reserved.
引用
收藏
页码:1112 / 1116
页数:5
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