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
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
收藏
页码:650 / 654
页数:5
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