Skip to main content
SpringerLink
Log in

Correlation between preoperative and postoperative knee kinematics in total knee arthroplasty using cruciate retaining designs

  • Original Paper
  • Published:
International Orthopaedics Aims and scope Submit manuscript

Abstract

The authors evaluated the relationships between preoperative and postoperative kinematics in 50 osteoarthritic knees scheduled for cruciate retaining total knee arthroplasty with regards to posterior femoral roll back and external femoral rotation using a navigation system from 10° to 120° of knee flexion. Although posterior femoral roll back was maintained, external femoral rotation was significantly decreased compared to those of the preoperative knee after total knee arthroplasty. However, the amount of posterior roll back and external femoral rotation after total knee arthroplasty were found to be significantly positively related to those measured preoperatively (r = 0.62 and 0.57, respectively). These significant kinematic correlations may explain why preoperative range of knee motion influences range of motion after total knee arthroplasty.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. Bull AM, Kessler O, Alam M, Amis AA (2008) Changes in knee kinematics reflect the articular geometry after arthroplasty. Clin Orthop Relat Res 466:2491–2499

    Article  PubMed  Google Scholar 

  2. Casino D, Martelli S, Zaffagnini S et al (2009) Knee stability before and after total and unicondylar knee replacement: in vivo kinematic evaluation utilizing navigation. J Orthop Res 27:202–207

    Article  PubMed  Google Scholar 

  3. Casino D, Zaffagnini S, Martelli S et al (2009) Intraoperative evaluation of total knee replacement: kinematic assessment with a navigation system. Knee Surg Sports Traumatol Arthrosc 17:369–373

    Article  PubMed  Google Scholar 

  4. Cates HE, Komistek RD, Mahfouz MR, Schmidt MA, Anderle M (2008) In vivo comparison of knee kinematics for subjects having either a posterior stabilized or cruciate retaining high-flexion total knee arthroplasty. J Arthroplasty 23:1057–1067

    Article  PubMed  Google Scholar 

  5. Cromie MJ, Siston RA, Giori NJ, Delp SL (2008) Posterior cruciate ligament removal contributes to abnormal knee motion during posterior stabilized total knee arthroplasty. J Orthop Res 26:1494–1499

    Article  PubMed  Google Scholar 

  6. Dennis DA, Komistek RD, Mahfouz MR, Haas BD, Stiehl JB (2003) Multicenter determination of in vivo kinematics after total knee arthroplasty. Clin Orthop Relat Res 37–57

  7. Hamai S, Miura H, Higaki H et al (2008) Kinematic analysis of kneeling in cruciate-retaining and posterior-stabilized total knee arthroplasties. J Orthop Res 26:435–442

    Article  PubMed  Google Scholar 

  8. Lizaur A, Marco L, Cebrian R (1997) Preoperative factors influencing the range of movement after total knee arthroplasty for severe osteoarthritis. J Bone Joint Surg Br 79:626–629

    Article  PubMed  CAS  Google Scholar 

  9. Martelli S, Lopomo N, Bignozzi S, Zaffagnini S, Visani A (2007) Validation of a new protocol for navigated intraoperative assessment of knee kinematics. Comput Biol Med 37:872–878

    Article  PubMed  Google Scholar 

  10. Martin A, Wohlgenannt O, Prenn M, Oelsch C, von Strempel A (2007) Imageless navigation for TKA increases implantation accuracy. Clin Orthop Relat Res 460:178–184

    PubMed  Google Scholar 

  11. Mihalko WM, Ali M, Phillips MJ, Bayers-Thering M, Krackow KA (2008) Passive knee kinematics before and after total knee arthroplasty: are we correcting pathologic motion? J Arthroplasty 23:57–60

    Article  PubMed  Google Scholar 

  12. Moynihan AL, Varadarajan KM, Hanson GR et al (2010) In vivo knee kinematics during high flexion after a posterior-substituting total knee arthroplasty. Int Orthop 34:497–503

    Article  PubMed  Google Scholar 

  13. Picard F, Deakin AH, Clarke JV, Dillon JM, Gregori A (2007) Using navigation intraoperative measurements narrows range of outcomes in TKA. Clin Orthop Relat Res 463:50–57

    PubMed  Google Scholar 

  14. Rosenberger RE, Hoser C, Quirbach S et al (2008) Improved accuracy of component alignment with the implementation of image-free navigation in total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc 16:249–257

    Article  PubMed  Google Scholar 

  15. Saari T, Carlsson L, Karlsson J, Karrholm J (2005) Knee kinematics in medial arthrosis. Dynamic radiostereometry during active extension and weight-bearing. J Biomech 38:285–292

    Article  PubMed  Google Scholar 

  16. Schurman DJ, Matityahu A, Goodman SB, et al (1998) Prediction of postoperative knee flexion in Insall-Burstein II total knee arthroplasty. Clin Orthop Relat Res 353:175–184

    Google Scholar 

  17. Sharma A, Komistek RD, Scuderi GR, Cates HE Jr (2007) High-flexion TKA designs: what are their in vivo contact mechanics? Clin Orthop Relat Res 464:117–126

    PubMed  Google Scholar 

  18. Siston RA, Daub AC, Giori NJ, Goodman SB, Delp SL (2005) Evaluation of methods that locate the center of the ankle for computer-assisted total knee arthroplasty. Clin Orthop Relat Res 439:129–135

    Article  PubMed  Google Scholar 

  19. Siston RA, Delp SL (2006) Evaluation of a new algorithm to determine the hip joint center. J Biomech 39:125–130

    Article  PubMed  Google Scholar 

  20. Siston RA, Giori NJ, Goodman SB, Delp SL (2006) Intraoperative passive kinematics of osteoarthritic knees before and after total knee arthroplasty. J Orthop Res 24:1607–1614

    Article  PubMed  Google Scholar 

  21. Stiehl JB (2009) Comparison of tibial rotation in fixed and mobile bearing total knee arthroplasty using computer navigation. Int Orthop 33:679–685

    Article  PubMed  Google Scholar 

  22. Suggs JF, Kwon YM, Durbhakula SM, Hanson GR, Li G (2009) In vivo flexion and kinematics of the knee after TKA: comparison of a conventional and a high flexion cruciate-retaining TKA design. Knee Surg Sports Traumatol Arthrosc 17:150–156

    Article  PubMed  Google Scholar 

  23. Sugita T, Sato K, Komistek RD et al (2005) In vivo determination of knee kinematics for Japanese subjects having either a low contact stress rotating platform or an anteroposterior glide total knee arthroplasty. J Arthroplasty 20:154–161

    Article  PubMed  Google Scholar 

  24. Tamaki M, Tomita T, Watanabe T, et al (2009) In vivo kinematic analysis of a high-flexion, posterior-stabilized, mobile-bearing knee prosthesis in deep knee bending motion. J Arthroplasty 24(6):972–978

    Google Scholar 

  25. Wasielewski RC, Komistek RD, Zingde SM, Sheridan KC, Mahfouz MR (2008) Lack of axial rotation in mobile-bearing knee designs. Clin Orthop Relat Res 466:2662–2668

    Article  PubMed  Google Scholar 

  26. Yoshioka Y, Siu DW, Scudamore RA, Cooke TD (1989) Tibial anatomy and functional axes. J Orthop Res 7:132–137

    Article  PubMed  CAS  Google Scholar 

  27. Yoshiya S, Matsui N, Komistek RD et al (2005) In vivo kinematic comparison of posterior cruciate-retaining and posterior stabilized total knee arthroplasties under passive and weight-bearing conditions. J Arthroplasty 20:777–783

    Article  PubMed  Google Scholar 

  28. Zaffagnini S, Bignozzi S, Martelli S et al (2006) New intraoperative protocol for kinematic evaluation of ACL reconstruction: preliminary results. Knee Surg Sports Traumatol Arthrosc 14:811–816

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Center for Joint Disease, Chonnam National University Hwasun Hospital, Jeonnam, Korea

    Jong Keun Seon, Ju Kwon Park, Mun Su Jeong, Woo Bin Jung, Kyung Soon Park, Taek Rim Yoon & Eun Kyoo Song

Authors
  1. Jong Keun Seon
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Ju Kwon Park
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Mun Su Jeong
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Woo Bin Jung
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Kyung Soon Park
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Taek Rim Yoon
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Eun Kyoo Song
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Eun Kyoo Song.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Seon, J.K., Park, J.K., Jeong, M.S. et al. Correlation between preoperative and postoperative knee kinematics in total knee arthroplasty using cruciate retaining designs. International Orthopaedics (SICOT) 35, 515–520 (2011). https://doi.org/10.1007/s00264-010-1029-1

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00264-010-1029-1

Keywords

Search

Navigation