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Dynamic in-vivo tibio-femoral and bearing motions in mobile bearing knee arthroplasty

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

Abstract

To determine the tibio-femoral and bearing motions in well functioning mobile bearing total knee arthroplasties, a quantitative analysis by means of fluoroscopy was carried out during stair ascending, chair rising-sitting and step up-down motor tasks. Femoral and tibial component positions were obtained using a CAD-model-based shape matching technique. Direct measurement of mobile bearing motion was carried out by tracking previously inserted tantalum beads. A relatively small motion of the bearing was observed. The advantage of self-alignment claimed for the mobile bearing arthroplasty seems to be confirmed by subject-specific ranges of motion exhibited by these patients. It has also been demonstrated that these total knee arthroplasties, which are not fully conforming in flexion, provide little constraint to antero-posterior motion, leading to a kinematic pattern very similar to an ACL deficient knee.

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Acknowledgements

This work was partially supported by Stryker/Howmedica/Ostetonics Inc. Experiments comply with the current laws of the country in which they were performed.

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Authors and Affiliations

  1. Movement Analysis Laboratory, Istituti Ortopedici Rizzoli, Via di Barbiano 1/10, 40136 , Bologna, Italy

    S. Fantozzi, A. Leardini, S. Giannini & F. Catani

  2. Department of Electronics, Computer Science and Systems, University of Bologna, Viale Risorgimento 2, 40136 , Bologna, Italy

    S. Fantozzi

  3. The Biomotion Foundation, 1411 N. Flagler Drive, Suite 9800, West Palm Beach, FL 33401, USA

    S. A. Banks

  4. Department of Orthopaedic Surgery, Istituti Ortopedici Rizzoli, Via Pupilli 1, 40136 , Bologna, Italy

    M. Marcacci, S. Giannini & F. Catani

Authors
  1. S. Fantozzi
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  2. A. Leardini
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  3. S. A. Banks
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  4. M. Marcacci
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  5. S. Giannini
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  6. F. Catani
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Correspondence to S. Fantozzi.

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Fantozzi, S., Leardini, A., Banks, S.A. et al. Dynamic in-vivo tibio-femoral and bearing motions in mobile bearing knee arthroplasty. Knee Surg Sports Traumatol Arthrosc 12, 144–151 (2004). https://doi.org/10.1007/s00167-003-0384-5

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  • DOI: https://doi.org/10.1007/s00167-003-0384-5

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