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Effect of tibial slope changes on femorotibial contact kinematics after cruciate-retaining total knee arthroplasty

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

Abstract

Purpose

The present study was undertaken to evaluate the effect of tibial slope (TS) changes on the femorotibial articular contact kinematics in subjects undergoing posterior cruciate-retaining total knee arthroplasty (CRTKA).

Methods

Eighteen knees in nine patients with medial osteoarthritis who underwent CRTKA using the same size prosthesis were analysed preoperatively and 2 years after TKA. TS changes were calculated on lateral radiographs taken before and after TKA. Knees were classified into two groups according to the change in TS obtained by subtracting the post-operative value from the preoperative value: group 1 (>3°) and group 2 (<3°). The femorotibial articular contact kinematics of knees during weight-bearing flexion were compared between the two groups by two-dimensional/three-dimensional registration.

Results

Group 1 showed a continuous posterior translation of the medial femoral condyle during the process of knee flexion, whereas in group 2 the medial femoral condyle experienced paradoxical anterior motion from 20° to 90° of knee flexion. The lateral femoral condyle continuously moved posteriorly in both groups.

Conclusion

A greater reduction in TS after TKA compared with preoperative TS reduces paradoxical medial femoral condylar movement. This may contribute to improved patient satisfaction after CR TKA.

Level of evidence

III.

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Authors and Affiliations

  1. Department of Joint Surgery, Third Hospital of Hebei Medical University, 139 Ziqiang Road, Shijiazhuang, 050051, Hebei, China

    Xi-qing Pan, Fei Wang, Gang Ji & Xiao-meng Wang

  2. Department of Orthopaedic Surgery, Third Hospital of Hebei Medical University, 139 Ziqiang Road, Shijiazhuang, 050051, Hebei, China

    A-qin Peng

  3. Department of Joint Surgery, Third Hospital of Shijiazhuang, 15 Sports South Street, Shijiazhuang, 050011, Hebei, China

    Feng Li & Xi-zeng Nie

  4. Hospital for Special Surgery, 535 E. 70th Street, New York, NY, 10021, USA

    Xi Yang

Authors
  1. Xi-qing Pan
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  4. Feng Li
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  6. Xi Yang
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  7. Gang Ji
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  8. Xiao-meng Wang
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Corresponding author

Correspondence to Fei Wang.

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Conflict of interest

The authors declare that they have no conflict of interest.

Funding

The authors received no financial support for the research, authorship, and/or publication of this article.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by any of the authors.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Cite this article

Pan, Xq., Peng, Aq., Wang, F. et al. Effect of tibial slope changes on femorotibial contact kinematics after cruciate-retaining total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc 25, 3549–3555 (2017). https://doi.org/10.1007/s00167-016-4384-7

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  • DOI: https://doi.org/10.1007/s00167-016-4384-7

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