Abstract
The Low Contact Stress (LCS) knee system was introduced in 1977 as an attempt to improve the survivorship and clinical function of total knee replacement. From its outset, the design goals of this mobile bearing knee system were to decrease the prospect of polyethylene material damage, minimize constraint and optimize patient implant kinematics. The gait-congruent LCS design, in its origin, was proposed as a system inclusive of both cruciate-sparing meniscal bearing and PCL-sacrificing rotating platform variants, with the latter gaining the majority of popular usage over time. Both systems employ a dynamic tracking metal-backed rotating patellar component that articulates with the femoral sulcus.
I would like to thank Maryrose Bauschka, B. A., for invaluable assistance in the preparation of this manuscript.
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References
Argenson JN, O’Connor J J (1992) Polyethylene wear in meniscal knee replacement. A one to nine-year retrieval analysis of the Oxford knee. J Bone Joint Surg Br 74 (2): 228–32
Buechel FF Sr, Buechel FF Jr, Pappas MJ, D’Alessio J (2001) Twenty-year evaluation of meniscal bearing and rotating platform knee replacements. Clin Orthop 388: 41–50
Buechel FF, Pappas MJ, Makris G (1991) Evaluation of contact stress in metal-backed patellar replacements. A predictor of survivorship. Clin Orthop (273): 190–197
Callaghan J J, Squire MW, Goetz DD, Sullivan PM, Johnston RC (2000) Cemented rotating-platform total knee replacement. A nine to twelve-year follow-up study. J Bone Joint Surg Am 82 (5): 705–711
Cepulo AJ, Black JD, Moran JM, Matejczyk M, Stahurski TM, Greenwald AS (1982) Mechanical characteristics of patellofemoral replacements. Trans Orthop Res Soc 8: 41
Goodfellow JW, O’Connor J (1986) Clinical results of the Oxford knee. Surface arthroplasty of the tibiofemoral joint with a meniscal bearing prosthesis. Clin Orthop 205: 21-42
Greenwald AS, Bacon RK, Smith TS (1984) FDA Pre-market application LCS meniscal bearing knee simulator studies.
Greenwald AS, Black JD, Matejczyk MB (1981) American Academy of Orthopaedic Surgeons Instructional Course Lectures, Mosby, St. Louis, pp 301–312
Heim CS, Postak PD, Plaxton NA, Greenwald AS (2001) Classification of mobile bearing knee design: mobility and constraint. J Bone Joint Surg Am 83 (Suppl 2): 32–37
Heim CS, Postak PD, Plaxton NA, Greenwald AS (2000) Mobility characteristics of mobile bearing total knee designs - Series II. Proceedings of the American Academy of Orthopaedic Surgeons Annual Meeting 1: 618
Jordan, LR, Olivo JL, Voorhorst PE (1997) Survivorship analysis of cementless meniscal bearing total knee arthroplasty. Clin Orthop 338: 119–123
Maquet PGJ (1976) Biomechanics of the Knee, Springer, New York, pp 13–170
Matsuda S, White SE, Williams VG II, McCarthy DS, White-side LA (1998) Contact stress analysis in mensical bearing total knee arthroplasty. J Arthroplasty 13 (6): 699–706
Matthews LS, Sonstegard DA, Henke J A (1977) Load bearing characteristics of the patello-femoral joint. Acta Orthop Scand 48: 511–516
Morrison JB (1970) The mechanics of the knee joint in relation to normal walking. J Biomech 3: 51–61
Postak PD, Matejczyk MB, Greenwald AS (1987) Stability characteristics of total knee replacements. Scientific Exhibit, AAOS Annual Meeting, San Francisco, 1987
Seireg A, Arvikar RJ (1975) The prediction of the muscular load sharing and joint forces in the lower extremities during walking. J Biomech 8: 89–102
Sorrells RB (1996) Primary knee arthroplasty: long- term outcomes of the rotating platform mobile bearing TKA. Orthopedics 19: 793–796
Steubben CM, Postak PD, Greenwald AS (1993/94) Mechanical characteristics of patello-femoral replacements. Orthop Trans 17 (4): 1126
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Greenwald, A.S. (2002). Stability Characteristics of the Tibial-Femoral and Patellar-Femoral Articulations. In: Hamelynck, K.J., Stiehl, J.B. (eds) LCS® Mobile Bearing Knee Arthroplasty. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-59347-5_7
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DOI: https://doi.org/10.1007/978-3-642-59347-5_7
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