ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2018
Native rotational knee kinematics is restored after lateral UKA but not after medial UKA.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Intraoperative kinematics of the bicruciate retaining TKA using functional alignment and their influence on the clinical outcomes.Arthroplasty (London, England) · 2025Article
- High accuracy of component positioning and restoration of lower limb alignment using robotic medial unicompartmental knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Effect of lower limb alignment on outcome after lateral unicompartmental knee arthroplasty: a retrospective study.BMC musculoskeletal disorders · 2024Article
- A BMI above 30 results in satisfying outcomes in patients undergoing fixed-bearing lateral unicompartmental knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- A TKA Insert with A Lateral Flat Articular Surface Maximizes External and Internal Tibial Orientations without Anterior Lift-Off Relative to Low- and Ultracongruent Surfaces.Journal of personalized medicine · 2022Article
- No difference in return to amateur sports after medial and lateral unicompartmental knee arthroplasty in patients younger than 65 years.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Return to Sport After Unicompartmental Knee Arthroplasty: A Systematic Review and Meta-analysis.Orthopaedic journal of sports medicine · 2022Review
- [Biomechanical analysis of sitting-up movement of knee joint after robot-assisted unicompartmental knee arthroplasty].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2021Article
- Restoration of normal knee kinematics with respect to tibial insert design in mobile bearing lateral unicompartmental arthroplasty using computational simulation.Bone & joint research · 2020Article
- Morphologic difference and size mismatch in the medial and lateral tibial condyles exist with respect to gender for unicompartmental knee arthroplasty in the Korean population.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Article
- Reduction in tibiofemoral conformity in lateral unicompartmental knee arthroplasty is more representative of normal knee kinematics.Bone & joint research · 2019Article
- The medial constrained insert restores native knee rotational kinematics after bicruciate-retaining total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe aim of this study was to compare the intraoperative kinematics of medial and lateral unicompartmental knee arthroplasty (UKA) with those of the native knee using a navigation system.
methodsSix fresh-frozen cadaveric knees were included in the study. Medial UKA was performed in all right knees and lateral UKA was performed in all left knees. All UKA procedures were performed with a computerised navigation system. The tibial internal rotation angle and coronal alignment of the mechanical axis during passive knee flexion were assessed as rotational and varus/valgus kinematics before and after surgery using the navigation system.
resultsThe rotation angles of the tibia in the early flexion phase of medial UKA were significantly larger than those of native knees (p = 0.008 at minimum knee flexion, p = 0.008 at 0° knee flexion). The rotational kinematics of lateral UKA was similar to those of the native knees throughout knee flexion. There were no significant differences in varus/valgus kinematics between native and UKA knees.
conclusionThe rotational kinematics of the native knee was not restored after medial UKA but was preserved after lateral UKA. There were no significant differences in the varus/valgus kinematics after either medial or lateral UKA when compared with those of the native knees. Thus, the geometry of the medial tibial articular surface is a determinant of the ability to restore the rotational kinematics of the native knee. Surgeons and implant designers should be aware that the anatomical medial articular geometry is an important factor in restoration of the native knee kinematics after knee arthroplasty.
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