Skip to main content
Log in

Kinematics of successful knee prostheses during weight-bearing: Three-dimensional movements and positions of screw axes in the Tricon-M and Miller-Galante designs

  • Originals
  • Biomechanics
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Using roentgen stereophotogrammetric analysis we recorded the three-dimensional movements in six knees with implanted Tricon-M prostheses and ten knees with Miller-Galante prostheses as the patients ascended a platform. Fourteen patients with normal knees were used as controls. The two prosthetic designs displayed decreased internal tibial rotation and the Tricon-M increased valgus rotation. A central point on the tibial articular surface had a more lateral position in the Tricon-M design and a more distal one in the Miller-Galante design compared to normal knees. Increased posterior displacement with increasing flexion was observed in both designs. When the normal knees were extended at full weightbearing the helical axes mainly shifted inclination in the frontal plane. In the prosthetic knees there was a tendency to anterior-posterior displacement of the axes as extension proceeded, especially in the Miller-Galante design. Translations along the helical axes were larger than normal in the Miller-Galante and smaller in the Tricon-M knees, reflecting differences in constraint of the two designs.

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

Access this article

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

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

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Andriacchi TP, Galante J, Fermier RW (1982) The influence of total knee replacement design on walking and stair-climbing. J Bone Joint Surg [Am] 64: 1328–1335

    Google Scholar 

  2. Anouchi YS, Whiteside LA, Kaiser AD, Milliano MT (1990) The effects of axial rotational alignment of the femoral component on knee stability and patellar tracking in total knee arthroplasty. Trans 36th ORS, New Orleans, p 481

  3. Bain AM (1973) Replacement of the knee joint with the Walldius prosthesis using cement fixatoin. Clin Orthop 94: 65–71

    PubMed  Google Scholar 

  4. Bartel DL, Bicknell VL, Itacha MS, Wright TM (1986) The effect of conformity, thickness, and material on stresses in ultrahigh molecular weight components for total joint replacement. J Bone Joint Surg [Am] 68: 1041–1051

    Google Scholar 

  5. Becker MW, Insall JN, Faris PM (1991) Bilateral total knee arthroplasty. One cruciate retaining and one cruciate substituting. Clin Orthop 271: 122–134

    PubMed  Google Scholar 

  6. Blankevoort L, Huiskes R, de Lange A (1985) The envelope of passive knee motion. J Biomech 21: 705–720

    Google Scholar 

  7. Blankevoort L, Huiskes R, de Lange A (1986) Helical axes along the envelope of passive knee motion. Trans 32nd ORS, New Orleans, p 410

  8. Carlsson L, Ryd L, Herberts P (1991) An in vivo roentgen stereophotogrammetric analysis of the Miller-Galante tibial component. Trans 37th ORS, Anaheim

  9. De Lange A, Huiskes R, Kauer JM (1990) Measurement errors in roentgen-stereophotogrammetric joint-motion analysis. J Biomech 23: 259–269

    PubMed  Google Scholar 

  10. Dorr LD (1989) Discussion. Clin Orthop 248: 26

    Google Scholar 

  11. Dorr LD, Ochsner JL, Gronley J, Perry J (1988) Functional comparison of posterior cruciate-retained versus cruciate-sacrificed total knee arthroplasty. Clin Orthop 23: 36–43

    Google Scholar 

  12. Frankel VH, Burstein AH, Brooks DB (1971) Biomechanics of internal derangement of the knee. Pathomechanics as determined by analysis of the instant centers of motion. J Bone Joint Surg [Am] 53: 945–962

    Google Scholar 

  13. Freeman PA (1973) Walldius arthroplasty. Clin Orthop 94: 85–91

    PubMed  Google Scholar 

  14. Goodfellow J, O'Connor J (1978) The mechanics of the knee and prosthetic design. J Bone Joint Surg [Br] 60: 358–369

    Google Scholar 

  15. Gunston FH (1971) Polycentric knee arthroplasty. Prosthetic simulation of normal knee movement. J Bone Joint Surg [Br] 53B: 272–277

    Google Scholar 

  16. Harding ML, Harding L, Goodfellow JW (1977) A preliminary report of a simple rig to aid study of the functional anatomy of the cadaver human knee joint. Technical note. J Biomech 10: 517–523

    PubMed  Google Scholar 

  17. Kelman GJ, Biden EN, Wyatt MP, Ritter MA, Colwell CW (1989) Gait laboratory analysis of a posterior cruciate-sparing total knee arthroplasty in stair ascent and descent. Clin Orthop 248: 21–25

    PubMed  Google Scholar 

  18. Kettelkamp DB, Jacobs AW (1972) Tibiofemoral contact areadetermination and implications. J Bone Joint Surg [Am] 54: 349–356

    Google Scholar 

  19. Kettelkamp DB, Nascara R (1973) Biomechanics and knee replacement arthroplasty. Clin Orthop 94: 8–14

    PubMed  Google Scholar 

  20. Knutsson K, Lindstrand A, Lidgren L (1986) Survival of knee arthroplasties. A nation-wide multicentre investigation of 8000 cases. J Bone Joint Surg [Br] 68: 795–803

    Google Scholar 

  21. Kurosawa H, Walker PS, Garg S, Hunter T (1985) Geometry and motion of the knee for implant and arthotic design. J Biomech 18: 487–498

    PubMed  Google Scholar 

  22. Kärrholm J, Selvik G, Elmqvist L-G, Hansson LI (1988) Active knee motion after cruciate ligament rupture. Stereoradiography. Acta Orthop Scand 59: 158–164

    PubMed  Google Scholar 

  23. Lew WD, Lewis JL (1982) The effect of knee-prosthesis geometry on cruciate ligament mechanics during flexion. J Bone Joint Surg [Am] 64: 734–739

    Google Scholar 

  24. Mantas JP, Bloebaum RD, Skedros JG, Hofmann AA (1992) Implications of reference axes used for rotational alignment of the femoral component in primary and revision knee arthroplasty. J Arthroplasty 7: 531–535

    PubMed  Google Scholar 

  25. Nilsson KG, Kärrholm J (1993) Increased varus-valgus tilting of screw fixated knee prostheses. Stereoradiographic study of uncemented vs. cemented tibial components. J Arthroplasty 8: 529–540

    PubMed  Google Scholar 

  26. Nilsson KG, Kärrholm J, Ekelund L (1990) Knee motion in total knee arthroplasty. A roentgen stereophotogrammetric analysis of the kinematics of the Tricon-M prosthesis. Clin Orthop 256: 147–161

    PubMed  Google Scholar 

  27. Nilsson KG, Kärrholm J, Ekelund L, Magnusson P (1991) Evaluation of micromotion in cemented vs cementless knee arthroplasty in osteoarthrosis and rheumatoid arthritis. Randomized study using roentgen stereophotogrammetric analysis. J Arthroplasty 6: 265–278

    PubMed  Google Scholar 

  28. Nilsson KG, Kärrholm J, Gadegaard P (1991) Abnormal kinematics of the artificial knee. Roentgen stereophotogrammetric analysis of 10 Miller-Galante and five New Jersey LCS knees. Acta Orthop Scand 62: 440–446

    PubMed  Google Scholar 

  29. Nisell R, Németh G, Ohlsén H (1986) Joint forces in extension of the knee. Analysis of a mechanical model. Acta Orthop Scand 57: 41–46

    PubMed  Google Scholar 

  30. Nyström L (1990) Algorithms and program system for roentgen stereophotogrammetric analysis. Thesis, Institute of Information Processing, University of Umeå, Uminf-187.90

  31. Ryd L (1986) Micromotion in knee arthroplasty. A roentgen stereophotogrammetric analysis of tibial component fixation. Acta Orthop Scand 57 [Suppl 220]: 1–80

    PubMed  Google Scholar 

  32. Selvik G (1989) A roentgen stereophotogrammetric system for the study of the kinematics of the skeletal systems. Acta Orthop Scand 60 [Suppl 232]: 1

    PubMed  Google Scholar 

  33. Soudan K, Audekercke R van, Martens M (1980) Exact knowledge of knee motion kinematics as a basis for well-designed knee prostheses: the instant axis concept. Acta Orthop Belg 46: 757–765

    PubMed  Google Scholar 

  34. Soudry M, Walker PS, Reilly DT, Kurosawa H, Sledge CB (1986) Effects of total knee replacement design on femoral-tibial contact conditions. J Arthroplasty 1: 35–45

    PubMed  Google Scholar 

  35. Söderqvist I (1990) Some numerical methods for kinematical analysis. Thesis, Institute of Information Processing, University of Umeå, Uminf-186.90

  36. Townley CO (1988) Total knee arthroplasty. A personal retrospective and prospective view. Clin Orthop 236: 8–22

    PubMed  Google Scholar 

  37. Walker PS, Hajek (1972) The load-bearing area in the knee joint. J Biomech 5: 581–589

    PubMed  Google Scholar 

  38. Walker PS, Shoji H, Erkman MJ (1972) The rotational axis of the knee and its significance to prosthesis design. Clin Orthop 89: 160–170

    PubMed  Google Scholar 

  39. Walldius B (1957) Arthroplasty of the knee using an endoprosthesis. Acta Orthop Scand [Suppl 24]: 1–112

    PubMed  Google Scholar 

  40. Waugh TR, Smith RC, Orofino CF, Anzel SM (1973) Total knee replacement. Clin Orthop 94: 196–201

    PubMed  Google Scholar 

  41. Woltring HJ, Huiskes R, De Lange A (1985) Finite centroid and helical axis estimation from noisy landmark measurements in the study of human joint kinematics. J Biomech 18: 379–389

    PubMed  Google Scholar 

  42. Young HH (1963) Use of a hinged vitallium prosthesis for arthroplasty of the knee. J Bone Joint Surg [Am] 45: 1627–1642

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kärrholm, J., Jonsson, H., Nilsson, K.G. et al. Kinematics of successful knee prostheses during weight-bearing: Three-dimensional movements and positions of screw axes in the Tricon-M and Miller-Galante designs. Knee Surg, Sports traumatol, Arthroscopy 2, 50–59 (1994). https://doi.org/10.1007/BF01552655

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01552655

Key words

Navigation