Influence of Total Knee Arthroplasty on Patellar Kinematics and Patellofemoral Pressure

2017 ◽  
Vol 32 (1) ◽  
pp. 280-285 ◽  
Author(s):  
Hidenori Tanikawa ◽  
Mitsunori Tada ◽  
Kengo Harato ◽  
Kazunari Okuma ◽  
Takeo Nagura
2014 ◽  
Vol 29 (11) ◽  
pp. 2197-2201 ◽  
Author(s):  
Armin Keshmiri ◽  
Günther Maderbacher ◽  
Clemens Baier ◽  
Werner Müller ◽  
Joachim Grifka ◽  
...  

2018 ◽  
Vol 3 (4) ◽  
pp. 106-113 ◽  
Author(s):  
Simon Donell

This is a review of the recent literature of the various factors that affect patellar tracking following total knee arthroplasty (TKA). Patellar tracking principally depends on the pre-existing patellar tracking and the rotational alignment of the femoral and tibial implants, but the detailed movements depend on the patellar shape. The latter means that the patellar kinematics of any implanted TKA does not return to normal. Laboratory cadaveric studies use normal knees and non-activity-based testing conditions and so may not translate into clinical findings. The recent literature has not added anything significant to change established clinical practice in achieving satisfactory patellar tracking following TKA. Cite this article: EFORT Open Rev 2018;3:106-113. DOI: 10.1302/2058-5241.3.170036.


2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Hidenori Tanikawa ◽  
Mitsunori Tada ◽  
Ryo Ogawa ◽  
Kengo Harato ◽  
Yasuo Niki ◽  
...  

Abstract Background Patellofemoral complications are one of the major issues after total knee arthroplasty (TKA). Excessive patellofemoral joint pressure is associated with complications after TKA surgery, and the amount of patellar osteotomy has a direct effect on patellofemoral joint pressure. The purpose of this study was to evaluate the influence of patella thickness on patellofemoral pressure in TKA. Methods Five freshly frozen cadavers were operated with a custom-made Stryker posterior stabilizing type knee joint prosthesis. Patellofemoral joint pressure was measured using a pressure sensor, with the knee joint flexed from 90 to 110 degrees, and with patellar thickness of − 2 mm to + 4 mm. Results Increasing or decreasing patellar thickness significantly increased or decreased patellofemoral pressure. Regarding knee flexion angle, patellofemoral pressure increased with increasing patellar thickness at all flexion angles, but the pressure increase was greatest at 90 degrees of knee flexion and smallest at 110 degrees. Conclusions The amount of patellar osteotomy influences the patellofemoral pressure. Surgeons should avoid increasing patella thickness, since the resulting increased patellofemoral pressure may reduce knee joint function.


2018 ◽  
Vol 27 (5) ◽  
pp. 1529-1534 ◽  
Author(s):  
Armin Keshmiri ◽  
Günther Maderbacher ◽  
Clemens Baier ◽  
Achim Benditz ◽  
Joachim Grifka ◽  
...  

2014 ◽  
Vol 39 (3) ◽  
pp. 441-448 ◽  
Author(s):  
Armin Keshmiri ◽  
Hans Springorum ◽  
Clemens Baier ◽  
Florian Zeman ◽  
Joachim Grifka ◽  
...  

2015 ◽  
Vol 86 (4) ◽  
pp. 444-450 ◽  
Author(s):  
Armin Keshmiri ◽  
Günther Maderbacher ◽  
Clemens Baier ◽  
Ernst Sendtner ◽  
Jens Schaumburger ◽  
...  

2015 ◽  
Vol 39 (9) ◽  
pp. 1715-1722 ◽  
Author(s):  
Daniel N. Bracey ◽  
Matthew L. Brown ◽  
Hoyt R. Beard ◽  
Sandeep Mannava ◽  
Omar F. Nazir ◽  
...  

2011 ◽  
Vol 36 (1) ◽  
pp. 73-78 ◽  
Author(s):  
Hans Kainz ◽  
Wolfgang Reng ◽  
Peter Augat ◽  
Simone Wurm

2008 ◽  
Vol 23 (1) ◽  
pp. 60-70 ◽  
Author(s):  
C. Anglin ◽  
J.M. Brimacombe ◽  
D.R. Wilson ◽  
B.A. Masri ◽  
N.V. Greidanus ◽  
...  

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