ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2015
Factors affecting intraoperative kinematic patterns and flexion angles in navigated total knee arthroplasty.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- The modification of bone cut angle and joint line obliquity did not change the tibiofemoral kinematics and stability of knee joint after total knee arthroplasty.Archives of orthopaedic and trauma surgery · 2023Article
- Mid-flexion stability in the anteroposterior plane is achieved with a medial congruent insert in cruciate-retaining total knee arthroplasty for varus osteoarthritis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- Varus kinematics at knee flexion affect clinical outcomes of unicompartmental knee arthroplasty: Intraoperative navigation-based kinematics evaluation.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2020Article
- No differences in knee kinematics between active and passive flexion-extension movement: an intra-operative kinematic analysis performed during total knee arthroplasty.Journal of experimental orthopaedics · 2020Article
- Intraoperative kinematic analysis of posterior stabilized total knee arthroplasty with asymmetric helical post-cam design.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2019Article
- Tibiofemoral rotational alignment affects flexion angles in navigated posterior-stabilized total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2018Article
- Influence of soft tissue balancing and distal femoral resection on flexion contracture in navigated total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2017Article
- A modified technique to reduce tibial keel cutting errors during an Oxford unicompartmental knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2017Article
- Navigation-based tibial rotation at 90° of flexion is associated with better range of motion in navigated total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2016Article
- Changes in the orientation of knee functional flexion axis during passive flexion and extension movements in navigated total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2016Article
- Clinical outcome after total knee replacement.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2015Article
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8 authors.
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Abstract
purposeTo investigate the factors affecting intraoperative kinematics, as measured with a navigation system, and their effect on maximum flexion angles during total knee arthroplasty (TKA).
methodOne hundred posterior stabilised (PS) TKAs performed using an image-free navigation system were evaluated. Tibial internal rotation angles at maximum extension, 30°, 45°, 60°, 90°, and maximum flexion were collected at registration and after implantation. The varus angles from the coronal mechanical axis were also collected. The rotational patterns were divided into four groups to investigate whether flexion contracture and varus deformity affected the kinematic patterns, and correlated with the maximum pre- and post-operative flexion angles.
resultsAt registration, the flexion angles at maximum extension differed significantly between the kinematic groups; the flexion angle at maximum extension at registration was negatively correlated with the pre-operative maximum flexion angle (R(2) = 0.226, p < 0.0001) and the post-operative maximum flexion angle (R(2) = 0.059, p = 0.0167). Varus deformity at registration also differed significantly between the kinematic groups; varus deformity at registration was negatively correlated with the pre-operative maximum flexion angle (R(2) = 0.087, p = 0.0036) and post-operative maximum flexion angle (R(2) = 0.101, p = 0.0027).
conclusionNavigation-based measurements in patients undergoing PS TKA indicated that pre-operative flexion contracture and varus deformity are negatively correlated with both pre- and post-operative maximum flexion angles. The results may improve the ease with which surgeons can interpret intraoperative kinematics, by providing a multi-dimensional perspective. With further knowledge regarding intraoperative kinematics, it might be possible to improve surgical approach, prosthesis design, and clinical outcomes. LEVEL OF EVIDENCE: II.
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