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The Posterior Stabilized Knee Prosthesis

  • Chapter
Total Knee Replacement

Abstract

If the Total Condylar prosthesis proved to be so successful, why then was the Posterior Stabilized version designed and introduced into clinical practice? There are several reasons. It must be remembered that the Total Condylar, a cruciate sacrificing design, was conceived from the outset as part of a system of progressively more constrained devices (Insall . 1979b). Eventually, specific clinical limitations of the Total Condylar became apparent, such as the risk of the tibia dislocating posteriorly in the presence of a patellectomy (Vince . 1989). In addition, the initial experience with the Total Condylar suggested that more motion was desirable. Because it is generally held that the posterior cruciate ligament causes the femur to “roll back” on the tibia during flexion, and that the phenomenon of “femoral rollback” is necessary for full flexion, it was concluded that mechanical restitution of this phenomenon would increase flexion (Insall 1984). Clearly, general improvements in surgical technique that had been developed by the time the Posterior Stabilized prosthesis was introduced also contributed to superior flexion with this design. These are discussed in detail below.

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  1. Kelly G. Vince
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Editors and Affiliations

  1. Albert Einstein College of Medicine, New York, USA

    Richard S. Laskin MD (Professor of Orthopaedic Surgery, Chairman) (Professor of Orthopaedic Surgery, Chairman)

  2. Department of Orthopaedic Surgery, Long Island Jewish Medical Center, New Hyde Park, New York, 11042, USA

    Richard S. Laskin MD (Professor of Orthopaedic Surgery, Chairman) (Professor of Orthopaedic Surgery, Chairman)

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© 1991 Springer-Verlag London Limited

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Vince, K.G. (1991). The Posterior Stabilized Knee Prosthesis. In: Laskin, R.S. (eds) Total Knee Replacement. Springer, London. https://doi.org/10.1007/978-1-4471-1825-1_8

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  • DOI: https://doi.org/10.1007/978-1-4471-1825-1_8

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  • Online ISBN: 978-1-4471-1825-1

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