Strategies for Improving Implant Design Based on Differences in Tibiofemoral Kinematics of a Low-Conforming Total Knee Arthroplasty Implanted With Calipered Kinematic Alignment and the Native Knee

2022 ◽  
pp. 60-63
Author(s):  
Maury L. Hull
The Knee ◽  
2015 ◽  
Vol 22 (3) ◽  
pp. 206-212 ◽  
Author(s):  
Masahiro Ishikawa ◽  
Shinichi Kuriyama ◽  
Hiromu Ito ◽  
Moritoshi Furu ◽  
Shinichiro Nakamura ◽  
...  

The Knee ◽  
2017 ◽  
Vol 24 (4) ◽  
pp. 751-760 ◽  
Author(s):  
Geert Peersman ◽  
Josh Slane ◽  
Margo Dirckx ◽  
Arne Vandevyver ◽  
Philipp Dworschak ◽  
...  

2015 ◽  
Vol 97-B (1) ◽  
pp. 64-70 ◽  
Author(s):  
D. F. Hamilton ◽  
R. Burnett ◽  
J. T. Patton ◽  
C. R. Howie ◽  
M. Moran ◽  
...  

2019 ◽  
Vol 32 (08) ◽  
pp. 714-718 ◽  
Author(s):  
Samuel AbuMoussa ◽  
Charles Cody White ◽  
Josef K. Eichinger ◽  
Richard J. Friedman

AbstractAll-polyethylene tibial (APT) implants were incorporated into the initial design of the first total knee arthroplasty (TKA) systems. Since then, a dynamic shift has taken place and metal-backed tibial (MBT) implants have become the gold standard in TKA. This has mostly been due to the theoretical advantages of intraoperative flexibility and improved biomechanics in addition to the heavy influence of device manufacturers. MBT implant comes not only with a higher cost but also with potential for complications such as osteolysis, backside wear, and thinning of the polyethylene insert, which were not previously seen with APT implant. The majority of studies comparing APT and MBT implants have shown no difference in clinical outcomes and survivorship. Newer studies from the past decade have begun highlighting the economic advantages of APT implant, especially in patients undergoing primary, uncomplicated TKA. Use of APT implants in younger patients and those with a body mass index > 35 has not been extensively studied, but the existing literature suggests the use of APT implant in these cohorts to be equally as acceptable. With modern implant design and instrumentation, rising utilization of TKA along with current and future economic strain on health care, the increased use of APT implant could result in massive savings without sacrificing positive patient outcomes.


Author(s):  
Charles Rivière ◽  
Loic Villet ◽  
Dragan Jeremic ◽  
Pascal-André Vendittoli

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