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Comparison of in vivo knee kinematics before and after bicruciate-stabilized total knee arthroplasty during squatting

BACKGROUND: No studies have directly evaluated kinematic changes during squatting before and after bicruciate-stabilized total knee arthroplasty (BCS-TKA) with the dual cam-post mechanism and asymmetric surfaces. This study investigated the effect of BCS-TKA on changes to pre- and postoperative skel...

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Autores principales: Kiyohara, Masato, Hamai, Satoshi, Gondo, Hirotaka, Higaki, Hidehiko, Ikebe, Satoru, Okazaki, Ken, Nakashima, Yasuharu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8436441/
https://www.ncbi.nlm.nih.gov/pubmed/34511113
http://dx.doi.org/10.1186/s12891-021-04669-9
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author Kiyohara, Masato
Hamai, Satoshi
Gondo, Hirotaka
Higaki, Hidehiko
Ikebe, Satoru
Okazaki, Ken
Nakashima, Yasuharu
author_facet Kiyohara, Masato
Hamai, Satoshi
Gondo, Hirotaka
Higaki, Hidehiko
Ikebe, Satoru
Okazaki, Ken
Nakashima, Yasuharu
author_sort Kiyohara, Masato
collection PubMed
description BACKGROUND: No studies have directly evaluated kinematic changes during squatting before and after bicruciate-stabilized total knee arthroplasty (BCS-TKA) with the dual cam-post mechanism and asymmetric surfaces. This study investigated the effect of BCS-TKA on changes to pre- and postoperative skeletal knee kinematics, to identify factors associated with postoperative skeletal kinematic parameters. METHODS: Seventeen knees in 17 patients were prospectively recruited before primary TKA for advanced medial knee osteoarthritis. Subjects underwent BCS-TKA and were evaluated more than 1 year postoperatively. In vivo dynamic skeletal knee kinematics were evaluated using periodic radiographic images collected during squatting to quantify the tibiofemoral functional extension/flexion angle, anteroposterior (AP) translation, and axial rotation angle using image-matching techniques. Rotational alignments of femoral and tibial components were measured postoperatively using computed tomography images. RESULTS: The pre- and postoperative tibiofemoral functional extension/flexion angles during squatting were 12.2° ± 6.7°/100.1° ± 16.8° and 9.6° ± 8.6°/109.4° ± 16.8°, respectively, with a significant difference in flexion angle (p < .05). Total AP translation was significantly larger postoperatively than preoperatively (10.8 mm ± 3.7 mm vs. 14.4 mm ± 4.2 mm, respectively; p < .05). The pre- and postoperative total rotation angles were 6.6° ± 3.0° and 6.4° ± 3.7°, respectively, indicating no significant difference. The pre- and postoperative tibiofemoral functional flexion angles were significantly associated with each other (p = .0434, r = .49). The postoperative total rotation angle was significantly smaller when the total component rotational mismatch angle between the femoral and tibial components was above 5° vs. below 5° (4.6° ± 2.7° vs. 8.3° ± 3.9°, respectively; p < .05). CONCLUSIONS: BCS-TKA significantly increased the tibiofemoral functional flexion angles, with larger AP translation postoperatively. Both preoperative skeletal kinematics and surgical techniques affected the skeletal kinematics of the replaced knee. A total component rotational mismatch angle greater than 5° significantly decreased postoperative total knee rotation during squatting.
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spelling pubmed-84364412021-09-13 Comparison of in vivo knee kinematics before and after bicruciate-stabilized total knee arthroplasty during squatting Kiyohara, Masato Hamai, Satoshi Gondo, Hirotaka Higaki, Hidehiko Ikebe, Satoru Okazaki, Ken Nakashima, Yasuharu BMC Musculoskelet Disord Research BACKGROUND: No studies have directly evaluated kinematic changes during squatting before and after bicruciate-stabilized total knee arthroplasty (BCS-TKA) with the dual cam-post mechanism and asymmetric surfaces. This study investigated the effect of BCS-TKA on changes to pre- and postoperative skeletal knee kinematics, to identify factors associated with postoperative skeletal kinematic parameters. METHODS: Seventeen knees in 17 patients were prospectively recruited before primary TKA for advanced medial knee osteoarthritis. Subjects underwent BCS-TKA and were evaluated more than 1 year postoperatively. In vivo dynamic skeletal knee kinematics were evaluated using periodic radiographic images collected during squatting to quantify the tibiofemoral functional extension/flexion angle, anteroposterior (AP) translation, and axial rotation angle using image-matching techniques. Rotational alignments of femoral and tibial components were measured postoperatively using computed tomography images. RESULTS: The pre- and postoperative tibiofemoral functional extension/flexion angles during squatting were 12.2° ± 6.7°/100.1° ± 16.8° and 9.6° ± 8.6°/109.4° ± 16.8°, respectively, with a significant difference in flexion angle (p < .05). Total AP translation was significantly larger postoperatively than preoperatively (10.8 mm ± 3.7 mm vs. 14.4 mm ± 4.2 mm, respectively; p < .05). The pre- and postoperative total rotation angles were 6.6° ± 3.0° and 6.4° ± 3.7°, respectively, indicating no significant difference. The pre- and postoperative tibiofemoral functional flexion angles were significantly associated with each other (p = .0434, r = .49). The postoperative total rotation angle was significantly smaller when the total component rotational mismatch angle between the femoral and tibial components was above 5° vs. below 5° (4.6° ± 2.7° vs. 8.3° ± 3.9°, respectively; p < .05). CONCLUSIONS: BCS-TKA significantly increased the tibiofemoral functional flexion angles, with larger AP translation postoperatively. Both preoperative skeletal kinematics and surgical techniques affected the skeletal kinematics of the replaced knee. A total component rotational mismatch angle greater than 5° significantly decreased postoperative total knee rotation during squatting. BioMed Central 2021-09-12 /pmc/articles/PMC8436441/ /pubmed/34511113 http://dx.doi.org/10.1186/s12891-021-04669-9 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Kiyohara, Masato
Hamai, Satoshi
Gondo, Hirotaka
Higaki, Hidehiko
Ikebe, Satoru
Okazaki, Ken
Nakashima, Yasuharu
Comparison of in vivo knee kinematics before and after bicruciate-stabilized total knee arthroplasty during squatting
title Comparison of in vivo knee kinematics before and after bicruciate-stabilized total knee arthroplasty during squatting
title_full Comparison of in vivo knee kinematics before and after bicruciate-stabilized total knee arthroplasty during squatting
title_fullStr Comparison of in vivo knee kinematics before and after bicruciate-stabilized total knee arthroplasty during squatting
title_full_unstemmed Comparison of in vivo knee kinematics before and after bicruciate-stabilized total knee arthroplasty during squatting
title_short Comparison of in vivo knee kinematics before and after bicruciate-stabilized total knee arthroplasty during squatting
title_sort comparison of in vivo knee kinematics before and after bicruciate-stabilized total knee arthroplasty during squatting
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8436441/
https://www.ncbi.nlm.nih.gov/pubmed/34511113
http://dx.doi.org/10.1186/s12891-021-04669-9
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