Knee kinematics in bi-cruciate stabilized total knee arthroplasty during squatting and stair-climbing activities

被引：13

作者：

Murakami, Koji ^{[1
]}

Hamai, Satoshi ^{[1
]}

Okazaki, Ken ^{[2
]}

Gondo, Hirotaka ^{[3
]}

Wang, Yifeng ^{[3
]}

Ikebe, Satoru ^{[4
]}

Higaki, Hidehiko ^{[3
]}

Shimoto, Takeshi ^{[5
]}

Mizu-uchi, Hideki ^{[1
]}

Akasaki, Yukio ^{[1
]}

Nakashima, Yasuharu ^{[1
]}

机构：

[1] Kyushu Univ, Grad Sch Med Sci, Dept Orthopaed Surg, Higashi Ku, 3-1-1 Maidashi, Fukuoka, Fukuoka 8128582, Japan

[2] Tokyo Womens Med Univ, Dept Orthopaed Surg, Shinjyuku Ku, 8-1 Kawada Cho, Tokyo 1628666, Japan

[3] Kyushu Sangyo Univ, Fac Life Sci, Dept Life Sci, Higashi Ku, 2-3-1 Matsugadai, Fukuoka, Fukuoka 8138583, Japan

[4] Kitakyushu Coll, Natl Inst Technol, Dept Creat Engn, Kokuraminami Ku, 5-20-1 Shii, Kitakyushu, Fukuoka 8020985, Japan

[5] Fukuoka Inst Technol, Fac Informat Engn, Dept Informat & Syst Engn, Higashi Ku, 3-30-1 Wajiro Higashi, Fukuoka, Fukuoka 8110295, Japan

来源：

JOURNAL OF ORTHOPAEDICS | 2018年 / 15卷 / 02期

关键词：

Total knee arthroplasty; Bi-cruciate stabilized; Kinematics; Cam-post mechanism; Image-matching techniques;

D O I：

10.1016/j.jor.2018.05.003

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：

This study aimed to evaluate clinical outcomes and in vivo kinematics of bi-cruciate stabilized (BCS) total knee arthroplasty (TKA), using image-matching techniques. We analyzed tibiofemoral anteroposterior translation, axial rotation, and anterior/posterior cam-post contact for 22 BCS TKAs during squatting and stair-climbing. The functional activities on the 2011 Knee Society Score were significantly improved from 36 to 71. The tibiofemoral translation and axial rotation during squatting/stair-climbing were 16.1 mm/7.1 mm and 2.5 degrees external/1.1 degrees internal, respectively. Anterior/posterior cam-post contacts were observed during squatting (14%/96%) and stair-climbing (27%/96%). In conclusion, BCS TKA produced physiological sagittal plane kinematics during activities with favorable clinical outcomes.

引用

页码：650 / 654

页数：5

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