Abstract
The research and development of total knee prostheses in Taiwan has grown rapidly since 1993 when the first domestic orthopaedic company was founded. We conducted several clinical and biomechanical research projects to further the local orthopaedic company’s development of knee prostheses. This article presents some of our more significant results. In our clinical study, the morphometric investigation of resected surfaces in OA knees revealed the ratio of the anteroposterior length to the mediolateral width of the resected surface to be larger than many of the imported prostheses, and the patellar thickness of Chinese people to be thinner than that of Caucasian people. Analysis of failed knee prostheses provided useful information for recognizing drawbacks of past designs. Comparison of fixed and mobile bearing knees demonstrated that the mobile version had a higher prevalence of osteolysis. In our biomechanical study, we propose a malalignment analysis of knee prostheses, which more closely resembles an in vivo situation. Also, we found Fuji pressure sensitive film to be inaccurate as a tool for measuring the contact characteristics of knee prostheses. The current state of knee prostheses in Taiwan and their future development there are also described.
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References
Nordin M, Frankel VH. Basic Biomechanics of the Musculoskeletal System. In 2nd edition, Philadelphia: Lea and Febiger, 1989: 115–134.
Salter RB. Textbook of Disorders and Injuries of the Musculoskeletal System. In 3rd edition, Baltimore, Williams and Wilkins. 1999: 257–302.
Scuderi GR, Insall JN, Windsor RE, Moran MC. Survivorship of Cemented Knee Replacements. J Bone Joint Sure, 1989: 71B: 798–803.
Ritter MA, Herbst SA, Keating EM, Raris PM, Meding JB. Long term Survival Analysis of a Posterior Cruciate Retaining Total Condylar Knee Arthroplasty. Clin Orthop, 1993: 286: 94–102.
Insall JN, Binazzi R, Soudry M, Mestriner LA. Total knee Arthroplasty. Clin Orthop, 1985: 192: 13–22.
Hsu WE: Statistical Report of Total Joint Replacement in Taiwan (1992.7.1–1993.6.31) J. Ortho Surg ROC, 1993: 10:289–298.
Reports of Department of Health of Taiwan, 2002
Wang SW, Feng CH, Lu HS. A Study of Chinese Knee Joint Geometry for Prosthesis Design. Chinese Med, 1992: 105(3): 227–233.
Jiang CC, Yip KM, Liu DH. Patellar Thickness in Total Knee Replacement. J Formos Med Assoc 1994: 9(5): 417–420.
Kelly MA, Greenfield MA, Install JN, et al., Patellar Thickness and Lateral Retinacular Release in Total Knee Arthroplasty. Presented at the Combined Congress of the International Arthroscopy Association and the International Society of the Knee. Copenhagen, June 1993.
Freeman, MAR, Todd R C, Bamert P, Day WH. ICLH Arthroplasty of the Knee: 1968–1977. J Bone and Joint Surg, 1978: 60-B: 339–344.
Insall JN. Revision of Aseptic Failed Total Knee Arthroplasty. In: Surgery of the Knee, edited by Insall JN, Windsor RE, Scott WN, Kelly MA, Aglietti P, New York, Churchill Livingstone, 1994: pp. 935–957.
Krackow, KA. Prosthesis Selection. In: The Technique of Total Knee Arthroplasty, edited by Krackow KA, ST Louis, The CV Mosby Co., 1991: pp. 49–74.
Hirokawa S. Three-dimensional Mathematical Model Analysis of the Patellofemoral Joint. J Biomech, 1991: 24(8): 659–671.
Little RB, Wevers HW, Siu D, Cooke TD. A Three-Dimensional Finite Element Analysis of the Upper Tibia. JBiomech Eng, 1986: 108(2): 111–119.
Schreppers GJ, Sauren AA, Huson AA. Numerical Model of the Load Transmission in the Tibia-Femoral Contact Area. Proc Instn Mech Engrs, part H-J of Eng in Med 1990: 201(1): 53–59.
Liu HC. Review of Gross Anatomy of the Chinese Knee. J Formosan Med Assoc 1984: 83:317–325.
Mensch JS, Amstutz HC. Knee Morphology as a Guide to Knee Replacement. Clin Orthop 1975: 112: 231–241.
Rostlund T, Carlsson L, Albrektsson B, Albrektsson T. Morphometrical Studies of Human Femoral Condyles. J Biomed Eng 1989: 11(6): 442–448.
Seedhom BB, Longton EB, Wright V, Dowson D. Dimensions of the Knee - Radiographic and Autopsy Study of Sizes Required for a Knee Prosthesis. Ann Rheum Dis 1972: 31:54–58.
Huang CH, Cheng CK, Liau JJ, Lee YM. Morphometrical Comparison Between the Resected Surfaces in Osteoarthritic Knees and Porous-Coated Anatomic Knee Prosthesis. J Musculoskeletal Res, 2000: 4(1): 39–46.
Reuben JD, McDonald CL, Woodard PL, Hennington LJ. Effect of Patella Thickness on Patella Strain Following Total Knee Arthroplasty. J Arthroplasty 1991: 6: 251–258.
Wright TM, Bartel DL. Surface Damage in Polyethylene Total Knee Components. American Society of Mechanical Engineers Winter Annual Meeting New Orleans Louisiana, Dec 9–14, 1984
Cheng CK, Lung CY, Lee YM, Huang CH. A New Approach of Designing the Tibial Baseplate of Total Knee Prostheses. Clin Biomech 1999: 14: 112–117.
Huang CH, Cheng CK, Liau JJ, Lee YM. Morphometrical Comparison Between the Resected Surface in Osteoarthritic Knees and Total Knee Prostheses. 67th Annual meeting of American Academy of Orthopaedic Surgeons, Orlando, March 15–19, 2000.
Huang CH, Young TH, Lee YM, Jan CH, Cheng CK, Polyethylene Failure in New Jersey Low Contact Stress Total Knee Arthroplasty. J Biomed Mater Res, 1998: 39(1): 153–160.
Huang CH, Lee YM, Lai JH, Liau JJ, Cheng CK, Failure of the All-Polyethylene Patellar Component After Total Knee Arthroplasty. J Arthroplasty, 1999: 14(8): 940–944.
Huang CH, Ma HM, Liau JJ, Ho FY, Cheng CK, Late Dislocation of Rotating Platform in New Jersey Low Contact Stress Knee. Clin Orthop, 2002 (In press).
Huang CH, Liau JJ, Ho FY, Lin CY, Young TH, Cheng CK. Polyethylene Failure of the Patellar Component in a New Jersey Low-Contact Stress Total Knee Arthroplasty. J Arthroplasty, 2002 (Accepted).
Huang CH, Liau JJ, Lung CY, Lan CT, Cheng CK. The Incidence of Different Tibial Insert Designs on the Revision of Metallic Component of Total Knee Arthroplasty. The Knee 2002: 9(4): 331–334.
Goodfellow, JW, O’Connor JJ. Clinical Results of the Oxford Knee: Surface Arthroplasty of the Tibiofemoral Joint with a Meniscal Bearing Prosthesis. Clin Orthop, 1986: 205: 21–42.
Buechel FF, Pappas MJ. The New Jersey Low Contact Stress Knee Replacement System: Biomechanical Rationale and Review of the First 123 Cemented Case. Arch Orthop Trau Surg, 1986: 105: 197–204.
Buechel FF, Pappas MJ. New Jersey Low Contact Stress Knee Replacement System. Ten-Year Evaluation of Meniscal Bearings. Orthop Clin North Am 1898: 20:147–177.
Huang CH, Yang CY, Cheng CK. Fracture of the Femoral Component Associated with Polyethylene Wear and Osteolysis after Total Knee Arthroplasty. J Arthroplasty, 1999: 14: 375–379.
Cadambi A, Engh GA, Dwyer KA, Vinh TN. Osteolysis of the Distal Femur After Total Knee Arthroplasty. J Arthroplasty 1994: 9: 579–594.
Ezzet KA, Garcia R, Barrack RL. Effect of Component Fixation Method on Osteolysis in Total Knee Arthroplasty. Clin Orthop, 1995: 321: 86–91.
Kim YH, Oh JH, Oh SH. Osteolysis Around Cementless Porous-Coated Anatomic Knee Prostheses. J Bone Joint Surg, 1995: 77-B: 236–241.
Peters PC Jr, Engh GA, Dwyer KA, Vinh TN. Osteolysis After Total Knee Arthroplasty Without Cement. J Bone Joint Surg, 1992: 74-A: 864–876.
Robinson EJ, Mulliken BD, Bourne RB, Rorabeck CH, Alvarez C. Catastrophic Osteolysis in Total Knee Replacement. Clin Orthop, 1995: 321: 98–105.
Huang CH, Ma HM, Liau JJ, Ho FY, Cheng CK, Osteolysis in Failed Total Knee Arthroplasty - A Comparison Between Fixed and Mobile Bearing Knees. The Journal of Bone and Joint Surgery 2002, (In Press).
Huang CH, Ho FY, Ma HM, Yang CT, Liau JJ, Kao HC, Yang TH, Cheng CK, Particle Size and Morphology of UHMWPE Wear Debris in Failed Total Knee Arthroplasties - A Comparison Between Mobile Bearing and Fixed Bearing Knees. J Orthop Res 2002: 20(5): 1038–1041.
Cheng CK, Liau JJ, Huang CH, Lee YM, and Chueh SC. How to Define the Contact Point of the Tibiofemoral Joint of the Prosthesis in In-Vitro Biomechanical Testing. J Musculoskeletal Res, 1998: 2(3): 237–245.
Liau JJ, Cheng CK, Huang CH, Lee YM, Chueh SC, Lo WH. The Influence of Contact Alignment of the Tibiofemoral Joint of the Prostheses in In-Vitro Biomechanical Testing. Clin Biomech, 1999: 14(10): 717–721.
Liau JJ, Cheng CK, Huang CH, Lo WH. The Effect of Malalignment on Stresses in Polyethylene Component of Total Knee Prostheses - A Finite Element Analysis. Clin Biomech 2002: 17(2): 140–146.
Cheng CK, Huang CH, Liau JJ, Huang CH. The Influence of Surgical Malaignment on the Contact Pressure of Fixed and Mobile Bearing Knee Prostheses - A Biomechanical Study. Clin Biomech 2002, (Accepted)
Liau JJ, Hu CC, Cheng CK, Huang CH, Lo WH. The Influence of Inserting a Fuji Pressure Sensitive Film Between the Tibiofemoral Joint of Knee Prosthesis On Actual Contact Characteristics. Clin Biomech, 2001: 16(2): 160–166.
Liau JJ, Cheng CK, Huang CH, Lo WH. Effect of Fuji Pressure Sensitive Film On True Contact Characteristics of Artificial Tibiofemoral Joint. Clin Biomech, 2002: 17(9–10): 698–704.
Ku MC, Chu CH, Hwang MH, et al., Mid-term Results of Local Made Total Knee Replacement. 2002 Annnual of Orthopaedic Association, ROC, Taipei, Dec 25–27, 2002
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Cheng, CK., Huang, CH., Liau, JJ., Ho, WP., Yu, TC. (2003). Research and Development of a Total Knee Prosthesis in Taiwan. In: Hwang, N.H.C., Woo, S.LY. (eds) Frontiers in Biomedical Engineering. Topics in Biomedical Engineering International Book Series. Springer, Boston, MA. https://doi.org/10.1007/978-1-4419-8967-3_6
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DOI: https://doi.org/10.1007/978-1-4419-8967-3_6
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