scholarly journals Nontraumatic tibial polyethylene insert cone fracture in mobile-bearing posterior-stabilized total knee arthroplasty

2016 ◽  
Vol 2 (4) ◽  
pp. 157-163 ◽  
Author(s):  
Yohei Tanikake ◽  
Koji Hayashi ◽  
Munehiro Ogawa ◽  
Yusuke Inagaki ◽  
Kenji Kawate ◽  
...  
The Knee ◽  
2011 ◽  
Vol 18 (6) ◽  
pp. 496-498 ◽  
Author(s):  
Hideo Kobayashi ◽  
Yasushi Akamatsu ◽  
Naoya Taki ◽  
Hirohiko Ota ◽  
Naoto Mitsugi ◽  
...  

2018 ◽  
Vol 2018 ◽  
pp. 1-11 ◽  
Author(s):  
Kyoung-Tak Kang ◽  
Yong-Gon Koh ◽  
Juhyun Son ◽  
Oh-Ryong Kwon ◽  
Jun-Sang Lee ◽  
...  

Reconstructed posterior tibial slope (PTS) plays a significant role in kinematics restoration after total knee arthroplasty (TKA). However, the effect of increased and decreased PTS on prosthetic type and design has not yet been investigated. We used a finite element model, validated using in vitro data, to evaluate the effect of PTS on knee kinematics in cruciate-retaining (CR) and posterior-stabilized (PS) fixed TKA and rotating platform mobile-bearing TKA. Anterior-posterior tibial translation and internal-external tibial rotation were investigated for PTS ranging from -3° to 15°, with increments of 1°, for three different designs of TKA. Tibial posterior translation and external rotation increased as the PTS increased in both CR and PS TKAs. In addition, there was no remarkable difference in external rotation between CR and PS TKAs. However, for the mobile-bearing TKA, PTS had less effect on the kinematics. Based on our computational simulation, PTS is the critical factor that influences kinematics in TKA, especially in the CR TKA. Therefore, the surgeon should be careful in choosing the PTS in CR TKAs.


2014 ◽  
Vol 29 (10) ◽  
pp. 2021-2024 ◽  
Author(s):  
Nimrod Snir ◽  
Ran Schwarzkopf ◽  
Brian Diskin ◽  
Richelle Takemoto ◽  
Mathew Hamula ◽  
...  

2012 ◽  
Vol 27 (3) ◽  
pp. 421-429 ◽  
Author(s):  
Giles R. Scuderi ◽  
David R. Hedden ◽  
John A. Maltry ◽  
Steven M. Traina ◽  
Mitchell B. Sheinkop ◽  
...  

Arthroplasty ◽  
2021 ◽  
Vol 3 (1) ◽  
Author(s):  
Susumu Takemura ◽  
Tessyu Ikawa ◽  
Yohei Ohyama ◽  
Mitsunari Kim ◽  
Kunio Takaoka ◽  
...  

Abstract Background It remains uncertain whether an increase in the tibial slope leads to better flexion in posterior-stabilized (PS) total knee prostheses. Purpose To compare the intra-operative flexion angle between standard and an additional 10° posterior slope inserts. Patients and methods Between December 2014 and February 2015, 22 patients (25 knees) who underwent PS mobile-bearing primary total knee arthroplasty (TKA) were included. Flexion angles were measured using either standard or specially-made inserts. Differences in flexion angles between the two situations were analyzed to determine the relationship between changes in flexion angle and pre-operative flexion angle or body mass index (BMI), and between intra- and post-operative flexion angle. Results The difference between the average flexion angle of standard inserts and specially-made inserts was not statistically significant. Although the correlations between changes in flexion angle due to insert difference and flexion angle, pre-operative flexion angle or BMI were not significant, there was a positive correlation between intra-operative and post-operative flexion at 2 years. Conclusion The results showed an additional posterior tibial slope by 10° did not affect the intra-operative flexion angle. Surgeons performing PS mobile-bearing TKA do not need to excessively slope the tibial bone cutting to improve the post-operative flexion angle. Level of evidence I, Experimental study.


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