Summary
Mobile-bearing knee arthroplasty promises better kinematics, improved range of motion, and implant longevity. Various designs have evolved since the procedure was first introduced in the late 1970s. Successful mobile-bearing arthroplasty relies on obtaining movement as closely as possible around the original mechanical axes and within the normal soft-tissue envelope of the knee. Retaining tension of the collateral and posterior cruciate ligaments is essential, along with preserving the joint line. If these are not achieved then it is unlikely that the mobile component will move, thus compromising the result.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Menchetti PPM, Walker PS (1997) Mechanical evaluation of mobile bearing knees. Am J Knee Surg 10:73–82
Wasielewski RC (2002) The causes of insert backside wear in total knee arthroplasty. Clin Orthop 404:232–246
Chapman-Sheath PJ, Bruce WJ, et al (2003) In vitro assessment of proximal polyethylene contact surface areas and stresses in mobile bearing knees. Med Eng Phys 25:437–443
Cheng CK, Huang CH et al (2003) The influence of surgical malalignment on the contact pressures of fixed and mobile bearing knee prostheses — a biomechanical study. Clin Biomech (Bristol, Avon). 18:231–236
Stukenborg-Colsman C, Ostermeier S, et al (2002) Tibiofemoral contact stress after total knee arthroplasty: comparison of fixed and mobile-bearing inlay designs. Acta Orthop Scand 73:638–646
Price AJ, Rees JL, et al (2003) A mobile-bearing total knee prosthesis compared with a fixed-bearing prosthesis. A multicentre single-blind randomised controlled trial. J Bone Joint Surg [Br] 85:62–67
Morberg P, Chapman-Sheath P, et al (2002) The function of the posterior cruciate ligament in an anteroposterior-gliding rotating platform total knee arthroplasty: J Arthroplasty 17:484–489
Beverland D (2002) Advanced mobile-bearing surgical technique: Orthopedics 25[Suppl 2]:s265–271
Bellermans J, Banks S, et al (2002) Fluorscopic analysis of the kinematics of deep flexion in total knee arthroplasty. Influence of posterior condylar offset: J Bone Joint Surg [Br] 84:50–53
Whitesides LA, Arima J (1995) The anteoposterior axis for femoral rotational alignment in valgus total knee arthroplasty. Clin Orthop 321:168–172
Tosun N, Aydinlioglu A, et al (2003) Anatomical characteristics of the tibial medullary canal and their implications for intreamedullary fixation. J Int Med Res 31:557–660
Vertullo CJ, Easley, et al (2001) Mobile bearings in primary knee arthroplasty. JAAOS 9:355–364
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2005 Springer Medizin Verlag Heidelberg
About this chapter
Cite this chapter
Myers, P.T. (2005). Specific Issues in Surgical Techniques for Mobile-Bearing Designs. In: Bellemans, J., Ries, M.D., Victor, J.M. (eds) Total Knee Arthroplasty. Springer, Berlin, Heidelberg. https://doi.org/10.1007/3-540-27658-0_34
Download citation
DOI: https://doi.org/10.1007/3-540-27658-0_34
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-20242-4
Online ISBN: 978-3-540-27658-6
eBook Packages: MedicineMedicine (R0)