Document Detail


Effect of total knee arthroplasty implant position on flexion angle before implant-bone impingement.
MedLine Citation:
PMID:  20870382     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
We generated patient-specific computer models of total knee arthroplasty from 10 patients to compute maximum flexion angle before implant-bone impingement. Motion was simulated for 5 different femoral implant positions and 11 different tibial insert positions at 4 different tibial posterior slopes. In the neutral position, the mean maximum flexion angle was 136.3°. The range because of anatomical variation among patients was 13.0°. A combination of 2-mm posterior translation of the femoral component with a 10-mm anterior translation of the insert and a 7° posterior slope increased flexion by a mean of 14° relative to the neutral position. The rate of change in flexion angle was 0.4°/mm to 1.5°/mm with respect to implant position and 1.5°/mm increase in the posterior condylar offset.
Authors:
Hideki Mizu-Uchi; Clifford W Colwell; Shuichi Matsuda; Cesar Flores-Hernandez; Yukihide Iwamoto; Darryl D D'Lima
Publication Detail:
Type:  Journal Article     Date:  2010-09-25
Journal Detail:
Title:  The Journal of arthroplasty     Volume:  26     ISSN:  1532-8406     ISO Abbreviation:  J Arthroplasty     Publication Date:  2011 Aug 
Date Detail:
Created Date:  2011-07-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8703515     Medline TA:  J Arthroplasty     Country:  United States    
Other Details:
Languages:  eng     Pagination:  721-7     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Elsevier Inc. All rights reserved.
Affiliation:
Shiley Center for Orthopaedic Research and Education at Scripps Clinic, La Jolla, CA; Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
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