Continuous Sagittal Radiological Evaluation of Stair-Climbing in Cruciate-Retaining and Posterior-Stabilized Total Knee Arthroplasties Using Image-Matching Techniques
Abstract In this study, we evaluated the in vivo kinematics of stair-climbing after posterior stabilized (PS) and cruciate retaining (CR) total knee arthroplasty (TKA) using radiographic-based image-matching techniques. Mid-flexion anteroposterior stability was demonstrated in all knees after CR TKA...
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| Veröffentlicht in: | The Journal of arthroplasty 2015-05, Vol.30 (5), p.864-869 |
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| container_title | The Journal of arthroplasty |
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| creator | Hamai, Satoshi, M.D., Ph.D Okazaki, Ken, M.D., Ph.D Shimoto, Takeshi, Ph.D Nakahara, Hiroyuki, M.D., Ph.D Higaki, Hidehiko, Ph.D Iwamoto, Yukihide, M.D., Ph.D |
| description | Abstract In this study, we evaluated the in vivo kinematics of stair-climbing after posterior stabilized (PS) and cruciate retaining (CR) total knee arthroplasty (TKA) using radiographic-based image-matching techniques. Mid-flexion anteroposterior stability was demonstrated in all knees after CR TKA. However, paradoxical femoral translation at low flexion angles was seen in both designs. The post-cam mechanism did not function after PS TKA. Larger posterior tibial slope in PS TKA was linked to forward sliding of the femur at mid-flexion and unintended anterior tibial post impingement at knee extension. CR TKA is more sagittally stable in mid-flexion during stair climbing and attention must be given to minimize posterior tibial slope when using late cam-post engaging PS TKA designs. |
| doi_str_mv | 10.1016/j.arth.2014.12.027 |
| format | Article |
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Mid-flexion anteroposterior stability was demonstrated in all knees after CR TKA. However, paradoxical femoral translation at low flexion angles was seen in both designs. The post-cam mechanism did not function after PS TKA. Larger posterior tibial slope in PS TKA was linked to forward sliding of the femur at mid-flexion and unintended anterior tibial post impingement at knee extension. CR TKA is more sagittally stable in mid-flexion during stair climbing and attention must be given to minimize posterior tibial slope when using late cam-post engaging PS TKA designs.</description><identifier>ISSN: 0883-5403</identifier><identifier>EISSN: 1532-8406</identifier><identifier>DOI: 10.1016/j.arth.2014.12.027</identifier><identifier>PMID: 25618811</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged ; Aged, 80 and over ; Arthroplasty, Replacement, Knee - methods ; Biomechanical Phenomena ; Female ; Femur - surgery ; Gait - physiology ; Humans ; Joint Instability - physiopathology ; Joint Instability - surgery ; kinematics ; Knee Joint - diagnostic imaging ; Knee Joint - physiopathology ; Knee Joint - surgery ; Ligaments, Articular - diagnostic imaging ; Ligaments, Articular - surgery ; Male ; Middle Aged ; Orthopedics ; post-cam mechanism ; posterior cruciate ligament ; Radiography ; Range of Motion, Articular ; stair-climbing ; total knee arthroplasty</subject><ispartof>The Journal of arthroplasty, 2015-05, Vol.30 (5), p.864-869</ispartof><rights>Elsevier Inc.</rights><rights>2015 Elsevier Inc.</rights><rights>Copyright © 2015 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c547t-7fe6282867a4bba326c963d178f4213e172f0af6111eb981dacfe16188f3a4873</citedby><cites>FETCH-LOGICAL-c547t-7fe6282867a4bba326c963d178f4213e172f0af6111eb981dacfe16188f3a4873</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.arth.2014.12.027$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25618811$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hamai, Satoshi, M.D., Ph.D</creatorcontrib><creatorcontrib>Okazaki, Ken, M.D., Ph.D</creatorcontrib><creatorcontrib>Shimoto, Takeshi, Ph.D</creatorcontrib><creatorcontrib>Nakahara, Hiroyuki, M.D., Ph.D</creatorcontrib><creatorcontrib>Higaki, Hidehiko, Ph.D</creatorcontrib><creatorcontrib>Iwamoto, Yukihide, M.D., Ph.D</creatorcontrib><title>Continuous Sagittal Radiological Evaluation of Stair-Climbing in Cruciate-Retaining and Posterior-Stabilized Total Knee Arthroplasties Using Image-Matching Techniques</title><title>The Journal of arthroplasty</title><addtitle>J Arthroplasty</addtitle><description>Abstract In this study, we evaluated the in vivo kinematics of stair-climbing after posterior stabilized (PS) and cruciate retaining (CR) total knee arthroplasty (TKA) using radiographic-based image-matching techniques. Mid-flexion anteroposterior stability was demonstrated in all knees after CR TKA. However, paradoxical femoral translation at low flexion angles was seen in both designs. The post-cam mechanism did not function after PS TKA. Larger posterior tibial slope in PS TKA was linked to forward sliding of the femur at mid-flexion and unintended anterior tibial post impingement at knee extension. CR TKA is more sagittally stable in mid-flexion during stair climbing and attention must be given to minimize posterior tibial slope when using late cam-post engaging PS TKA designs.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arthroplasty, Replacement, Knee - methods</subject><subject>Biomechanical Phenomena</subject><subject>Female</subject><subject>Femur - surgery</subject><subject>Gait - physiology</subject><subject>Humans</subject><subject>Joint Instability - physiopathology</subject><subject>Joint Instability - surgery</subject><subject>kinematics</subject><subject>Knee Joint - diagnostic imaging</subject><subject>Knee Joint - physiopathology</subject><subject>Knee Joint - surgery</subject><subject>Ligaments, Articular - diagnostic imaging</subject><subject>Ligaments, Articular - surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>post-cam mechanism</subject><subject>posterior cruciate ligament</subject><subject>Radiography</subject><subject>Range of Motion, Articular</subject><subject>stair-climbing</subject><subject>total knee arthroplasty</subject><issn>0883-5403</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9ks9uEzEQxlcIREPhBTigPXLZ4LH3jyshpCoqUFEEatKz5fXOJhM2dmt7K5UH4jmxlcKBAydr7O_7bM9viuI1sCUwaN_tl9rH3ZIzqJfAl4x3T4oFNIJXsmbt02LBpBRVUzNxUrwIYc8YQNPUz4sT3rQgJcCi-LVyNpKd3RzKtd5SjHoqr_VAbnJbMqm4uNfTrCM5W7qxXEdNvlpNdOjJbkuy5crPhnTE6hrTmc272g7ldxcienK-SpaeJvqJQ7lxOf6LRSzP09O9u510iIShvAnZeHnQW6y-6mh2udyg2Vm6mzG8LJ6Negr46nE9LW4-XmxWn6urb58uV-dXlWnqLlbdiC2XXLadrvteC96as1YM0Mmx5iAQOj4yPbYAgP2ZhEGbESH3YhS6lp04Ld4ec2-9y_dGdaBgcJq0xdQiBa1kIDvZNEnKj1LjXQgeR3Xr6aD9gwKmMh-1V5mPynwUcJX4JNObx_y5P-Dw1_IHSBK8Pwow_fKe0KtgCK3BgTyaqAZH_8__8I_dTIlJ4vgDHzDs3ext6p8CFZJBrfOE5AGBhqXpEEL8BirmuXk</recordid><startdate>20150501</startdate><enddate>20150501</enddate><creator>Hamai, Satoshi, M.D., Ph.D</creator><creator>Okazaki, Ken, M.D., Ph.D</creator><creator>Shimoto, Takeshi, Ph.D</creator><creator>Nakahara, Hiroyuki, M.D., Ph.D</creator><creator>Higaki, Hidehiko, Ph.D</creator><creator>Iwamoto, Yukihide, M.D., Ph.D</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20150501</creationdate><title>Continuous Sagittal Radiological Evaluation of Stair-Climbing in Cruciate-Retaining and Posterior-Stabilized Total Knee Arthroplasties Using Image-Matching Techniques</title><author>Hamai, Satoshi, M.D., Ph.D ; Okazaki, Ken, M.D., Ph.D ; Shimoto, Takeshi, Ph.D ; Nakahara, Hiroyuki, M.D., Ph.D ; Higaki, Hidehiko, Ph.D ; Iwamoto, Yukihide, M.D., Ph.D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c547t-7fe6282867a4bba326c963d178f4213e172f0af6111eb981dacfe16188f3a4873</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arthroplasty, Replacement, Knee - methods</topic><topic>Biomechanical Phenomena</topic><topic>Female</topic><topic>Femur - surgery</topic><topic>Gait - physiology</topic><topic>Humans</topic><topic>Joint Instability - physiopathology</topic><topic>Joint Instability - surgery</topic><topic>kinematics</topic><topic>Knee Joint - diagnostic imaging</topic><topic>Knee Joint - physiopathology</topic><topic>Knee Joint - surgery</topic><topic>Ligaments, Articular - diagnostic imaging</topic><topic>Ligaments, Articular - surgery</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Orthopedics</topic><topic>post-cam mechanism</topic><topic>posterior cruciate ligament</topic><topic>Radiography</topic><topic>Range of Motion, Articular</topic><topic>stair-climbing</topic><topic>total knee arthroplasty</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hamai, Satoshi, M.D., Ph.D</creatorcontrib><creatorcontrib>Okazaki, Ken, M.D., Ph.D</creatorcontrib><creatorcontrib>Shimoto, Takeshi, Ph.D</creatorcontrib><creatorcontrib>Nakahara, Hiroyuki, M.D., Ph.D</creatorcontrib><creatorcontrib>Higaki, Hidehiko, Ph.D</creatorcontrib><creatorcontrib>Iwamoto, Yukihide, M.D., Ph.D</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of arthroplasty</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hamai, Satoshi, M.D., Ph.D</au><au>Okazaki, Ken, M.D., Ph.D</au><au>Shimoto, Takeshi, Ph.D</au><au>Nakahara, Hiroyuki, M.D., Ph.D</au><au>Higaki, Hidehiko, Ph.D</au><au>Iwamoto, Yukihide, M.D., Ph.D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Continuous Sagittal Radiological Evaluation of Stair-Climbing in Cruciate-Retaining and Posterior-Stabilized Total Knee Arthroplasties Using Image-Matching Techniques</atitle><jtitle>The Journal of arthroplasty</jtitle><addtitle>J Arthroplasty</addtitle><date>2015-05-01</date><risdate>2015</risdate><volume>30</volume><issue>5</issue><spage>864</spage><epage>869</epage><pages>864-869</pages><issn>0883-5403</issn><eissn>1532-8406</eissn><abstract>Abstract In this study, we evaluated the in vivo kinematics of stair-climbing after posterior stabilized (PS) and cruciate retaining (CR) total knee arthroplasty (TKA) using radiographic-based image-matching techniques. Mid-flexion anteroposterior stability was demonstrated in all knees after CR TKA. However, paradoxical femoral translation at low flexion angles was seen in both designs. The post-cam mechanism did not function after PS TKA. Larger posterior tibial slope in PS TKA was linked to forward sliding of the femur at mid-flexion and unintended anterior tibial post impingement at knee extension. CR TKA is more sagittally stable in mid-flexion during stair climbing and attention must be given to minimize posterior tibial slope when using late cam-post engaging PS TKA designs.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>25618811</pmid><doi>10.1016/j.arth.2014.12.027</doi><tpages>6</tpages></addata></record> |
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| subjects | Aged Aged, 80 and over Arthroplasty, Replacement, Knee - methods Biomechanical Phenomena Female Femur - surgery Gait - physiology Humans Joint Instability - physiopathology Joint Instability - surgery kinematics Knee Joint - diagnostic imaging Knee Joint - physiopathology Knee Joint - surgery Ligaments, Articular - diagnostic imaging Ligaments, Articular - surgery Male Middle Aged Orthopedics post-cam mechanism posterior cruciate ligament Radiography Range of Motion, Articular stair-climbing total knee arthroplasty |
| title | Continuous Sagittal Radiological Evaluation of Stair-Climbing in Cruciate-Retaining and Posterior-Stabilized Total Knee Arthroplasties Using Image-Matching Techniques |
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